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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 or for providers.

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Medicaid C: Community Living and Support (CLS)

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About

Coverage Information Icon

Medicaid C

Diagnosis Group(s) Information Icon

Developmental Disability

Age Group(s) Information Icon

All, Adult, Child, 18, 18-20

Authorization

Submission Requirements Information Icon

  • Service Authorization Request (SAR) and other required supporting documents to be submitted by Care Navigator

Service Codes & Descriptions

  • T2012 GC- Community Living and Supports Live-in Caregiver
  • T2012 GC HQ- Community Living and Supports Live-in Caregiver Group
  • T2012- Community Living and Supports Individual (Community)
  • T2012 22- Enhanced Community Living and Supports (Community)
  • T2012 TS- Personal Care by Live In Caregiver
  • T2013 TF - Community Living Supports - Individual
  • T2013 TF 22 Enhanced Community Living and Supports
  • T2013 TF CR XU - Community Living and Supports - Individual
  • T2013 TF GT CR - Community Living Supports - Individual
  • T2013 TF HQ - Community Living Supports - Group
  • T2013 TF HQ CR XU - Community Living and Supports - Group
  • T2013 TF HQ GT CR- Community Living Supports - Group
  • T2013 TS- Life Skills Training by Live In Caregiver
  • T2012 GC 22- Enhanced Program Community Living and Supports RAP
  • T2012 HQ-Community Living and Supports Group (Community)

Service Description

  • Become more independent
  • Learn how to connect with others in your community
  • Learn skills such as shopping and banking
  • Manage eating, bathing, dressing, personal care, hygiene and other daily activities
  • Extra support for health and safety reasons

Full Service Definition

<a target="_blank" href="https://medicaid.ncdhhs.gov/8-p-north-carolina-innovations/download?attachment">Download PDF</a>
<a target="_blank" href="https://medicaid.ncdhhs.gov/media/7597/download">Download PDF</a>

Alliance Statement of Work