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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
Provider Portal Log In AllianceHealthPlan.org

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Home / Services / Non Medicaid: Child and Adolescent Day Treatment

Non Medicaid: Child and Adolescent Day Treatment

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About

Coverage Information Icon

State

Diagnosis Group(s) Information Icon

Mental Health, Substance Use, Developmental Disability

Age Group(s) Information Icon

Child, 18-20

Reference Documents

Authorization

Submission Requirements Information Icon

  • Service Authorization Request (SAR)
  • Person Centered Plan (PCP)/Person Centered Plan (PCP) Update
  • Comprehensive Clinical Assessment (CCA)

Authorization Duration and Limits Information Icon

Initial:

  • 504 hours over 210 days

Concurrent:

  • None

Expected Breakdown:

  • Months 1-2 = 30 hours/week
  • Months 3-4 = 20 hours/week
  • Months 5-6 = 10 hours/week
  • Month 7 = 6 hours/week

Request Prior Approval from Alliance Health

Service Codes & Descriptions

  • YA404 Child and Adolescents Day Treatment Provided During Disaster or Emergency - State
  • H2012 HA- Day Tx Behavioral Health Child

Full Service Definition

<a target="_blank" href="https://www.ncdhhs.gov/state-funded-enhanced-mental-health-and-substance-use-services-2024-3-01-24/download?attachment">Download PDF</a>
Download PDF

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.