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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 health plan participants or for providers.

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Non Medicaid: Supervised Living Low and Moderate

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About

Coverage Information Icon

State

Diagnosis Group(s) Information Icon

Mental Health, Substance Use, Developmental Disability

Age Group(s) Information Icon

Adult, 18-20

Authorization

Submission Requirements Information Icon

Adult Mental Health/Substance Use
Supervised Living Low and Moderate

  • Service Authorization Request (SAR)
  • Person Centered Plan (PCP)/Person Centered Plan (PCP) update
  • Instrumental Activities of Daily Living (IADL) Assessment OR Daily Living Activities (DLA-20) Functional Assessment
  • Authorization requires prior budget approval through finance

Authorization Duration and Limits Information Icon

Adult Mental Health/Substance Use
Supervised Living Low (YP710)

  • Initial authorization up to 6 months

Supervised Living Moderate (YP720)

  • Initial: 90 days
  • Concurrent: 180 days

Service Codes & Descriptions

  • YP710 - Supervised Living Low
  • YP720 - Supervised Living Moderate

Full Service Definition

<a target="_blank" href="https://www.ncdhhs.gov/documents/files/state-funded-mhddsas-service-definitions-2003-2019-12-15-19/download">Download PDF</a>