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Alliance members impacted by the launch of the Child and Families Specialty Plan (CFSP) are invited to get more information by contacting Healthy Blue Care Together (HBCT) at 844-594-5072 or [email protected], or by contacting the NC Medicaid Ombudsman at 1-877-201-3750.

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Home / Services / Non Medicaid: Residential Supports and Supported Living Periodic

Non Medicaid: Residential Supports and Supported Living Periodic

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About

Coverage Information Icon

Non-Medicaid (State)

Diagnosis Group(s) Information Icon

Developmental Disability

Age Group(s) Information Icon

Adults 18+, Child

Reference Documents

Authorization

Submission Requirements Information Icon

State Funded Residential Supports

Initial

  • Service Authorization Request (SAR)
  • Psychological Evaluation
  • Person Centered Plan (PCP) OR Individual Service Plan (ISP) with Service Order
  • SIS and/or SNAP evaluation
  • Prior Budget Approval

Concurrent

  • Service Authorization Request (SAR)
  • Updated PCP or ISP
  • Current SNAP or SIS

State Funded Supported Living Periodic (YM854)

Initial

Concurrent

Authorization Duration and Limits Information Icon

State Funded Residential Supports

Initial and Concurrent:

  • 1 unit/day up to 6 months

State Funded Supported Living Periodic (YM854)

Initial

Concurrent

Request Prior Approval from Alliance Health

Service Codes & Descriptions

  • YM846 Residential Supports Level I
  • YM847- Residential Supports Level 2
  • YM848- Residential Supports Level III
  • YM854- Supported Living Periodic

Full Service Definition

<a target="_blank" href="https://www.ncdhhs.gov/state-funded-residential-supports-idd-service-definition-0/download?attachment">Download PDF</a>
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<a target="_blank" href="https://www.ncdhhs.gov/state-funded-supported-living-periodic-idd-and-tbi-service-definition-0/download?attachment">Download PDF</a>
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