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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.

Alliance Health
Provider Support: 855-759-9700
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Medicaid C: Respite

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About

Coverage Information Icon

Medicaid Direct Innovations (Medicaid C)

Diagnosis Group(s) Information Icon

Developmental Disability

Age Group(s) Information Icon

18-20, Adults 18+, All, Child

Reference Documents

Authorization

Submission Requirements Information Icon

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

Request Prior Approval from Alliance Health

Service Codes & Descriptions

  • S5150 - Respite Care, Community Individual
  • S5150 22 Z5 - Respite Ind Enhanced
  • S5150HQ-Respite Care Community Group
  • S5150US - Respite Care Community Facility
  • T1005TD - Repite Care Nursing, RN
  • T1005TE - Respite Care Nursing LPN

Service Description

  • Provides family caregivers relief from caregiver responsibilities

Full Service Definition

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

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.