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Home / Services / Non Medicaid: Intensive In Home (IIH)

Non Medicaid: Intensive In Home (IIH)

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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

Child

Reference Documents

Authorization

Submission Requirements Information Icon

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

Authorization Duration and Limits Information Icon

  • Maximum of 60 units over 150 days
  • Not eligible with 3rd party insurance coverage

Request Prior Approval from Alliance Health

Service Codes & Descriptions

  • H2022 – Intensive In Home

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>
Download PDF