NC Medicaid Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans will launch July 1, 2024. Choice period ends on May 15, 2024. Please call to select your PCP. Find PCPs available in our health plan.

Effective February 1, 2024, citizens of Harnett County are being served by Alliance Health. Access more information for health plan participants or for providers.

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Medicaid B: Peer Support TCL

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About

Coverage

Medicaid Direct (Medicaid B)

Diagnosis Group(s)

Mental Health, Substance Use

Age Group(s)

18-20, Adults 18+

Reference Documents

Authorization

Submission Requirements

Initial:

Service Authorization Request (SAR)
Person Centered Plan (PCP) with Service Order
Comprehensive Clinical Assessment (CCA)

Concurrent:

Service Authorization Request (SAR)
Updated Person Centered Plan (PCP)

Service Definition Authorization Parameters

Initial:

6 units for 6 months

Concurrent:

6 units for 6 months

Request Prior Approval from Alliance Health

Service Codes & Descriptions

H0038 22- Peer Support Services- TCL

Full Service Definition

<a target="_blank" href="https://medicaid.ncdhhs.gov/8g-peer-support-services/download?attachment">Download PDF</a>

Alliance Statement of Work

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Alliance Provider Support is available to answer provider questions about authorization, billing, claims, enrollment, ACS, or other issues.

Call 855-759-9700 Monday-Saturday from 7:00am-6:00pm.

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Medicaid B: Peer Support TCL

Full Service Definition

Alliance Statement of Work

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