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NC Medicaid has changed the start date for Tailored Plans to October 1, 2023. Until then people will keep getting services the way they do now.

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State-funded Recipients

When people who are not insured by Medicaid, but instead receive state-funded services as part of the Alliance Health Tailored Plan, they are called “recipients” of the plan.

two babies and woman sitting on sofa while holding baby and watching on tablet

On April 1, 2022, Alliance Health will begin operating a Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan. When people are not insured by Medicaid but instead receive state-funded services as part of the Alliance Health Tailored Plan, they are called “recipients.” Limited state-funded services are for individuals who do not have insurance or are under-insured.

What is a Tailored Plan?

Tailored Plans are health plans that manage many kinds of care a person needs to be healthy. They are designed for:

  • People with significant behavioral health (mental health and substance use disorders) needs
  • People with intellectual/developmental disabilities (I/DDs)
  • People who are part of the Innovations and Traumatic Brain Injury (TBI) Waivers
  • Non-Medicaid behavioral health, intellectual/developmental disabilities and TBI services for uninsured and underinsured North Carolinians

What kinds of care are available to recipients through the Alliance Health Tailored Plan?

  • Behavioral health services including outpatient therapy, medication management, intensive outpatient substance use disorder treatment, and an array of community and in-home treatment services
  • Support and residential services for individuals with intellectual and developmental disabilities
  • Behavioral health crisis services with several being available 24 hours a day, 7 days a week
  • Community resources including housing, employment training and other supports that promote recovery

Who provides these services?

The services and supports available through the Alliance Tailored Plan are offered by a large and diverse network of physical and behavioral healthcare providers in communities across the counties we serve. Each one has earned a reputation for successfully serving people with Medicaid or who are uninsured.

Alliance works to be sure recipients have access to many kinds of effective and innovative care.

 

This page was last reviewed for accuracy on 02/06/2022