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Alliance members impacted by the launch of the Child and Families Specialty Plan (CFSP) are invited to get more information by contacting Healthy Blue Care Together (HBCT) at 844-594-5072 or [email protected], or by contacting the NC Medicaid Ombudsman at 1-877-201-3750.

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Home / Services / Non-Medicaid: Assertive Community Treatment Team (ACTT)

Non-Medicaid: Assertive Community Treatment Team (ACTT)

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About

Coverage Information Icon

Non-Medicaid (State)

Diagnosis Group(s) Information Icon

Mental Health, Substance Use

Age Group(s) Information Icon

Adults 18+

Reference Documents

Authorization

Submission Requirements Information Icon

Initial:

  • Service Authorization Request (SAR)
  • Record supporting Severe Persistent Mental Illness (SPMI) and/or multiple hospitalizations/crisis episodes
  • Comprehensive Clinical Assessment (CCA)

Concurrent:

  • Service Authorization Request (SAR), Person Centered Plan (PCP) update

Authorization Duration and Limits Information Icon

Initial:

  • 6 months/4 units per month

Concurrent:

  • 12 months/4 units per month

Request Prior Approval from Alliance Health

Service Codes & Descriptions

  • H0040 – Assertive Community Treatment Team/IDDT

Full Service Definition

<a target="_blank" href="https://www.ncdhhs.gov/state-funded-act-policy-10-1-20/download">Download PDF</a>
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