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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: Inpatient Hospitalization 3 Way Bed (YP821)

Non Medicaid: Inpatient Hospitalization 3 Way Bed (YP821)

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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

All, Adult, Child, 18-20

Reference Documents

Authorization

Submission Requirements Information Icon

  • Service Authorization Request (SAR)

Authorization Duration and Limits Information Icon

  • Initial (Mental Health): 7 days
  • Initial (Substance Use/Detox): 4 days
  • Concurrent: up to 3 days for Detox

ASAM Level of Care Information Icon

4

Request Prior Approval from Alliance Health

Service Codes & Descriptions

  • 0101 All-inclusive room and board
  • YP821 - Inpatient Hospital (Three Way contract)

Full Service Definition

<a target="_blank" href="https://medicaid.ncdhhs.gov/media/9841/open">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.