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Home / Services / Non Medicaid: Substance Abuse Comprehensive Outpatient Treatment (SACOT)

Non Medicaid: Substance Abuse Comprehensive Outpatient Treatment (SACOT)

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About

Coverage Information Icon

Non-Medicaid (State)

Diagnosis Group(s) Information Icon

Substance Use

Age Group(s) Information Icon

Adults 18+

Reference Documents

Authorization

Submission Requirements Information Icon

  • Service Authorization Request (SAR)
  • Person Centered Plan (PCP) or Person Centered Plan (PCP) update with Step-Down plan
  • Comprehensive Clinical Assessment (CCA)

Authorization Duration and Limits Information Icon

Initial and Concurrent:

  • Authorized monthly
  • Maximum of 4 months
  • Frequency of 4 hours per day X 5 days per week

Effective 12/1/2019: No New Admissions for Wake, Durham, Cumberland and Johnston with the exception of members with ASOUD Target Population

ASAM Level of Care Information Icon

2.5

Request Prior Approval from Alliance Health

Service Codes & Descriptions

  • H2035 – SA Comprehensive Outpatient Treatment

Full Service Definition

<a target="_blank" href="https://www.ncdhhs.gov/documents/state-funded-substance-abuse-comprehensive-outpatient-treatment-sacot-definition/open">Download PDF</a>
Download PDF