Alliance Health has programs and services to help members stay healthy. These programs can help you manage health problems, find care, and get support during changes in your life. Programs are based on your needs, what you qualify for, and what you prefer. If you are not sure which program is right for you, Alliance Health can help explain your choices.
Available Programs
Tailored Care Management
Tailored Care Management helps some NC Medicaid members coordinate their care. This may include members with intellectual or developmental disabilities, serious mental illness, substance use disorders, traumatic brain injury, or waiver services. A care team works with you, your providers, and people who are important to you. The team can help you connect with medical care, behavioral health care, pharmacy help, social supports, and community resources.
Chronic Condition and Behavioral Health Support
Alliance Health offers support for members with long-term physical or behavioral health needs. Staff can help you understand your condition, follow your care plan, take medicine safely, set up preventive care, and find providers or community resources. Support may be available for diabetes, asthma, high blood pressure, depression, anxiety, schizophrenia, bipolar disorder, and other health needs.
Tobacco Cessation
If you use tobacco and want to quit, Alliance Health can connect you with help. This may include education, counseling, and other resources. Tailored Plan members may be able to use Quit For Life programs. Some programs are made for members with behavioral health needs and for pregnant members.
Opioid Misuse Prevention and Substance Use Support
Alliance Health helps members who are affected by opioid use or other substance use concerns. Support may include prevention, safer-use education, treatment, and recovery help. Members may get information about naloxone, medication lock boxes, treatment options, and substance use disorder services. Some Tailored Plan members may also get help with transportation to treatment visits.
Maternity Management
Pregnant members may get support during pregnancy and after the baby is born. Alliance Health helps find members who may need maternity care management. Pregnant members with higher health risks may be connected with their Local Health Department for extra support.
Transition of Care
Transition of Care support helps members move safely from one care setting to another. For example, it can help when you leave a hospital or facility and go home. Alliance Health can help with discharge planning, follow-up visits, medicine questions, care coordination, and services you may need after a hospital stay or other change in care.
Early and Periodic Screening, Diagnostic and Treatment
Early and Periodic Screening, Diagnostic and Treatment is also called EPSDT. It is a Medicaid benefit for members under age 21. EPSDT helps children and teens get checkups, screenings, dental care, vision and hearing services, mental health care, developmental services, and treatment for health needs found during screenings.
Complex Case Management
Complex Case Management gives extra support to some members with many or serious health needs. This may include members with several long-term illnesses, serious mental health needs, high risk of falls, many emergency room visits, or other complex needs. A care manager works with you and your providers. They can help complete assessments, make a care plan, solve problems, and coordinate services.
How to Get Help
Members, caregivers, and providers can ask about Alliance Health programs at any time. You can contact Alliance Health Member and Recipient Services, talk with your care manager, or ask your provider for help. They can help connect you to programs that may fit your needs. Some programs have eligibility rules. Members can choose whether to take part in many care management services.
