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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.

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Medicaid TBI: Residential Supports (RS)

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About

Coverage Information Icon

Medicaid TBI

Diagnosis Group(s) Information Icon

Developmental Disability

Age Group(s) Information Icon

All, Adult, Child, 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

  • H2016 - Residential Supports Level 1
  • T2014 - Residential Supports Level 2
  • T2014 U2 22 CR XU RESIDENTIAL SUPPORTS
  • T2020 - Residential Supports Level 3
  • H2016 22 - Residential Supports 1
  • H2016 22 CR XU Residential Supports 1
  • H2016 HI U2 - AFL Residential Supports Level 4
  • H2016 U2 22 Residential Supports Level 1 - AFL
  • H2016 U2 22 CR XU RESIDENTIAL SUPPORTS - AFL
  • T2014 22 Residential Supports 2
  • T2014 U2 22 Residential Supports Level 2 - AFL
  • T2020 22 Residential Supports 3
  • T2020 U2 22Residential Supports Level 3 - AFL

Service Description

  • Support in daily life activities in an out of home placement
  • Learn how to stay healthy and safe in the community
  • Learn new skills and do more things for yourself
  • Get to community activities and day programs

Full Service Definition

<a target="_blank" href="https://medicaid.ncdhhs.gov/application-1915c-hcbs-waiver-nc1326r0102/download?attachment">Download PDF</a>

Alliance Statement of Work