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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: Supported Employment

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About

Coverage Information Icon

State

Diagnosis Group(s) Information Icon

Developmental Disability, Mental Health, Substance Use

Age Group(s) Information Icon

18-20, Adults 18+, Ages 16-18, Ages 16+, Child

Authorization

Submission Requirements Information Icon

IDD
Provider to have plan in record
Service Authorization Request (SAR)

Supported Employment Long Term Follow Up – Long Term Vocational (YA389)

  • SNAP Index A, B, C, D

Supported Employment Individual (YA390)

  • SNAP Index A, B

Supported Employment Group (YP640)

  • SNAP Index D

Behavioral Health – IPS

  • H2023 Z2 and H2023 Z6
  • Service Authorization Request (SAR)
  • Person Centered Plan (PCP)

Age 16+

Authorization Duration and Limits Information Icon

IDD
Supported Employment Long Term Follow Up – Long Term Vocational (YA389)

  • Johnston & Durham: 208 units/year
  • Wake: 144 units/year
  • Cumberland, Mecklenburg, Orange: 336 units/year Authorized annually

Supported Employment Individual (YA390)

  • Adults only
  • Up to 180 days
  • Up to 60 units/week (billing maximum up to 12 units/day)

Supported Employment Group (YP640)
Adults Only

  • Cumberland: Up to 180 days – up to 168 units/week (billing max up to 24 units/day)
  • Wake, Johnston, Durham: Up to 6 months – 10 hours/month

Behavioral Health – IPS

  • 1 unit for 90 days (H2023 Z2)
  • 2 units per month for 8 months (H2023 Z6)

 

SNAP Information Icon

A B C D
Green check Green check Green check Green check

Service Codes & Descriptions

  • YA389 - Supported Employment Long Term Voc. Support - IDD
  • YA390 - Supported Empoyment - IDD
  • YA 405 - Case Support-Special Situations-IDD Supported Employment Only
  • YP630 - Supported Employment - Individual
  • YP640 - Supported Employment -Group
  • YM645-DOJ Long Term Vocational Support
  • H2023 Z1- Supported Employment IPS-SE; Engagement (State/b3 )
  • H2023 Z1 GT- Supported Employment IPS-SE; Engagement
  • H2023 Z2- Supported Employment IPS-SE; Employment Prep (State/b3 )
  • H2023 Z2 GT-Supported Employment IPS-SE; Employment Prep (State/b3 )
  • H2023 Z3- Supported Employment IPS-SE; obtain employment (State/b3 )
  • H2023 Z4- Supported Employment IPS-SE; intensive on-job support (State/b3 )
  • H2023 Z4 GT- Supported Employment IPS-SE; intensive on-job support (State/b3 )
  • H2023 Z5- Supported Employment IPS-SE; 120 days on job (State/b3)
  • H2023 Z6- Supported Employment IPSSE; follow along supports (State/b3)
  • H2023 Z6 GT- Supported Employment IPSSE; follow along supports (State/b3)
  • H2023 Z7- Supported Employment IPSSE; Educational Adv (State/b3)
  • H2023 Z7 GT-Supported Employment IPSSE; Educational Adv (State/b3)
  • H2023 Z8- Supported Employment IPS-SE; Additional Voc Advancement (State/b3)
  • H2023 Z8 GT- Supported Employment IPS-SE; Additional Voc Advancement (State/b3)
  • H2023 Z9- Supported Employment IPSSE; Closure (State/b3)

Full Service Definition

<a target="_blank" href="https://www.ncdhhs.gov/state-funded-supported-employment-service-definition/download?attachment">Download PDF</a>
<a target="_blank" href="https://www.ncdhhs.gov/final-amended-state-funded-ips-service-definition-11123-0/download?attachment">Download PDF</a>