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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: Community Living and Support (CLS)

Non Medicaid: Community Living and Support (CLS)

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About

Coverage Information Icon

Non-Medicaid (State)

Diagnosis Group(s) Information Icon

Developmental Disability

Reference Documents

Authorization

Submission Requirements Information Icon

Initial:

  • Service Authorization Request (SAR)
  • Psychological Evaluation
  • Person Centered Plan (PCP)/Individualized Service Plan (ISP) with signed Service Order

Concurrent:

  • Service Authorization Request (SAR)
  • Updated Person Centered Plan (PCP)/Individualized Service Plan (ISP)

Authorization Duration and Limits Information Icon

Initial and Concurrent:

  • Maximum of 28 hours/week for 6 months
  • 1 unit = 15 minutes

Request Prior Approval from Alliance Health

Service Codes & Descriptions

  • YM851- Community Living and Supports, Individual
  • YM852- Community Living and Supports, Group

Full Service Definition

<a target="_blank" href="https://www.ncdhhs.gov/state-funded-community-living-and-support-1/download?attachment">Download PDF</a>
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