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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: Residential Services for Children with Complex Needs IDD/MH

Medicaid B: Residential Services for Children with Complex Needs IDD/MH

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About

Coverage Information Icon

Medicaid Direct (Medicaid B)

Diagnosis Group(s) Information Icon

Mental Health, Substance Use, Developmental Disability

Age Group(s) Information Icon

Ages 10-17, Ages 18-21

Reference Documents

Authorization

Submission Requirements Information Icon

Mandatory referral to Care Management

Initial: In Network Providers are eligible for Notification Authorization of 120 days.  Out of Network providers are not eligible for Notification Authorization and are required to submit the following:

  • Service Authorization Request (SAR)
  • Person Centered Plan (PCP) with Service Order
  • Comprehensive Clinical Assessment (CCA) completed within 30 calendar days from the requested initial authorization start date

Concurrent:

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

Service Definition Authorization Parameters Information Icon

  • Concurrent: up to 30 days

Request Prior Approval from Alliance Health

Service Codes & Descriptions

  • H0018 HA- Residential Svces for Ind with complex needs, co-occurring IDD/MH

Alliance Statement of Work

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.