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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.

Alliance Health
Provider Support: 855-759-9700
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Home / Services / Medicaid B: Peer Support

Medicaid B: Peer Support

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About

Coverage Information Icon

Medicaid Direct (Medicaid B)

Diagnosis Group(s) Information Icon

Developmental Disability, Mental Health, Substance Use

Age Group(s) Information Icon

18-20, Adults 18+

Reference Documents

Authorization

Submission Requirements Information Icon

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 Information Icon

  • No authorization required for initial 24 unmanaged units once per episode per state fiscal year

Initial: Up to 270 units/90 days
Concurrent: Up to 270 units/90 days

ASAM Level of Care Information Icon

1

Request Prior Approval from Alliance Health

Service Codes & Descriptions

  • H0038 HK U4- Peer Bridger
  • H0038 - Peer Support Individual
  • H0038 GT-Peer Support Individual Telehealth
  • H0038HQ - Peer Support Group
  • H0038 HQ GT-Peer Support Group Telephonic
  • H0038 HQ KX-Peer Support Group Telephonic
  • H0038 KX-Peer Support Individual Telephonic

Full Service Definition

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

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.