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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: Facility Based Crisis (FBC)

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About

Coverage Information Icon

Non-Medicaid (State)

Diagnosis Group(s) Information Icon

Developmental Disability, Mental Health, Substance Use

Age Group(s) Information Icon

Adults 18+, Child

Authorization

Submission Requirements Information Icon

  • Service Authorization Request (SAR) after initial 7 days/168 units unmanaged

Authorization Duration and Limits Information Icon

Adult Only for Non-Medicaid

  • 7 days/168 units unmanaged

Initial and Concurrent:

  • 4 days/96 units

Service Codes & Descriptions

  • S9484 – Facility Based Crisis

Full Service Definition

<a target="_blank" href="https://www.ncdhhs.gov/state-funded-enhanced-mental-health-and-substance-use-services-2024-10-01-24/download?attachment">Download PDF</a>