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There are Federal changes to Medicaid and new laws are changing the rules for NC Medicaid. Some people with Medicaid will have to follow new rules to keep their coverage. For more information, visit Medicaid is Changing | NC Medicaid.

Effective July 1, 2026, WakeMed is no longer in Alliance’s network for Tailored Plan services. Services provided by WakeMed after this date may be treated as out-of-network. Get full details here.

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Home / Services / Non Medicaid: Clinically Managed Low-Intensity Residential Treatment Services (formerly Halfway House)

Non Medicaid: Clinically Managed Low-Intensity Residential Treatment Services (formerly Halfway House)

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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

Please refer to service definition for additional details regarding Authorization Submission Requirements.

Initial:

  • Service Authorization Request (SAR)
  • Comprehensive Clinical Assessment (CCA) or Diagnostic Assessment (to include ASAM Criteria Assessment)
  • Person Centered Plan (PCP) with Service Order

Concurrent:

  • Service Authorization Request (SAR)
  • Updated Person Centered Plan (PCP)
  • Updated ASAM Criteria Assessment

Authorization Duration and Limits Information Icon

Initial:

  • 90 days

Concurrent:

  • Up to 90 days
  • 180 day annual maximum

ASAM Level of Care Information Icon

3.1

Request Prior Approval from Alliance Health

Service Codes & Descriptions

  • H2034 – Clinically Managed Low-Intensity Residential Treatment Services

Full Service Definition

<a target="_blank" href="https://www.ncdhhs.gov/documents/state-funded-clinically-managed-low-intensity-residential-treatment-services-definition-pdf/open">Download PDF</a>
Download PDF

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