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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 or for providers.

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Non Medicaid: Outpatient Therapy (OPT)

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About

Coverage Information Icon

State

Diagnosis Group(s) Information Icon

Mental Health, Substance Use, Developmental Disability, Assessment Only

Age Group(s) Information Icon

All, Adult, Child, 18, 18-20

Authorization

Submission Requirements Information Icon

  • Service Authorization Request (SAR)

Authorization Duration and Limits Information Icon

Adult Mental Health and Substance Use

  • Unmanaged 8 sessions per fiscal year
  • Prior authorization required for 4 additional sessions for a fiscal year maximum of 12 sessions

Child Mental Health and Substance Use

  • Unmanaged 12 sessions per fiscal year

ASAM Level of Care Information Icon

1

Service Codes & Descriptions

  • 90791 - SP Psychiatric Diagnostic Evaluation
  • 90791 - SP GT CR Psychiatric Diagnostic Evaluation
  • 90791 - SP GT Psychiatric Diagnostic Evaluation
  • 90791 - SP GT CR Psychiatric Diagnostic Evaluation
  • 90832 - SP Psychotherapy-30 Minutes
  • 90834 - SP Psychotherapy -45 Minutes
  • 90837 SP - Psychotherapy-53+ Minutes
  • 90846 - SP Family Therapy wo/patient
  • 90847 - SP Family Therapy w/patient
  • 90834-SP KX Psychotherapy 45 Min
  • 90834 SPCR Psychotherapy 45 Min
  • 90834 SPGTCR Psychotherapy 45 Min
  • 90837 - Psychotherapy - 60 Minutes
  • 90837 CR - Psychotherapy - 60 Minutes
  • 90837 SP CR - Psychotherapy - 53 mins
  • 90837 SP GT - Psychotherapy 53 mins
  • 90837 SP GT CR - Psychotherapy 53 mins
  • 90832 - Psychotherapy - 30 Minutes
  • 90832 CR - Psychotherapy - 30 Minutes
  • 90832GT - Psychotherapy - 30 Minutes
  • 90832 GT CR - Psychotherapy - 30 Minutes
  • 90834 - Psychotherapy - 45 Minutes
  • 90834 CR - Psychotherapy - 45 Minutes
  • 90834GT - Psychotherapy - 45 Minutes
  • 90834 GT CR - Psychotherapy - 45 Minutes
  • 90837GT - Psychotherapy - 60 Minutes
  • 90837 GT CR - Psychotherapy - 60 Minutes
  • 90837 22 Z1 - TFCBT Ind Therapy
  • 90837 22 Z2 - PCIT Therapy
  • 90837 22 Z2 GT - PCIT Therapy
  • 90837 Z1- TFCBT Individual Therapy
  • 90846 GT - Family Therapy w/o client
  • 90846 GT CR - Family Therapy w/o client
  • 90847 GT - Family Therapy w/client
  • 90847 GT CR - Family Therapy w/client
  • 90791 Z1 - Trauma Focused Assessment
  • 90837 Z2 PCIT Individual Therapy
  • 90846 - Family Therapy w/o client
  • 90846 CR - Family Therapy w/o client
  • 90847 - Family Therapy w/ client
  • 90847 CR - Family Therapy w/ client

Full Service Definition

<a target="_blank" href="https://www.ncdhhs.gov/state-funded-outpatient-behavioral-health-services-6-1-23/download?attachment">Download PDF</a>