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There are Federal changes to Medicaid and new laws are changing the rules for NC Medicaid. Some people with Medicaid will have to follow new rules to keep their coverage. For more information, visit Medicaid is Changing | NC Medicaid.

Effective July 1, 2026, WakeMed is no longer in Alliance’s network for Tailored Plan services. Services provided by WakeMed after this date may be treated as out-of-network. Get full details here.

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Non Medicaid: Dialectical Behavior Therpay (DBT)

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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+, Child

Reference Documents

Authorization

Submission Requirements Information Icon

  • Adult Only
  • Unmanaged benefit limited to scope in provider network contract

Authorization Duration and Limits Information Icon

  • 52 Individual sessions and 52 Group sessions annually
  • Effective 12/1/2019: No New Admissions

Service Codes & Descriptions

  • 90837 22 Z3 – DBT Ind Therapy
  • 90837 22 Z3 GT – DBT Ind Therapy
  • YA387 – DBT Individual

Full Service Definition

<a target="_blank" href="https://medicaid.ncdhhs.gov/8c-outpatient-behavioral-health-services-provided-direct-enrolled-providers/download?attachment">Download PDF</a>