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Q&As
- Is Alliance maintaining the same provider rates previously paid by Sandhills Center?
- How will claims and encounters be handled?
- Do I need to notify Alliance to link a practitioner to my agency/practice?
- Would Medicaid cover over-the-counter medications?
- What if my address or phone number changes?
- What is the NC Medicaid Ombudsman and how can I reach them?
- How can I ask questions about the Tailored Plan?
- Will I receive Tailored Care Management (TCM) if I am on the Innovations or Traumatic Brain Injury (TBI) Waiver?
- What does Tailored Care Management (TCM) provide?
- How do I suggest an edit or report inaccurate information on the provider directory?
- Can you give us an update on what you are hearing from the State about the last round of CMA Applications? We haven’t heard anything back from them since submitting our application 9/30/21.
- If we want to serve additional Alliance counties outside of our office location, will Alliance allow us to serve members in those areas for Tailored Care Management?
- Will members under the Standard Plans be able to receive care management?
- Who should we contact regarding updates that need to be made to NCQA documentation?
- Since providers of Innovations Waiver services cannot provide care management for those members, how can we estimate how many Innovations Waiver members Alliance will be assigning to CMAs/AMH+’s?
- How will individual’s choices work with member assignment?
- If a CMA works with multiple Tailored Plans and another TP uses a different training option, will Alliance honor that?
- If I enroll in NCTracks will I automatically be enrolled in the Alliance network?
- What will be the effective date of the clinician in ACS?
- What if I live outside the counties served by Alliance Health?
- How do I enroll in the Alliance Health Plan?
- What do I do if I’m interested in learning more about the TBI Waiver program and applying for it?
- What services are available through the TBI Waiver program?
- What is Alliance Health?
- Who may be eligible for the TBI Waiver program?
- What is the TBI Waiver program?
- How do I contact my Alliance Health care manager?
- If I’m caring for my loved one full-time, could I be eligible to become a direct support employee?
- What is the Innovations Waiver Waitlist?
- What is the NC Innovations Waiver?
- In providing medication management, is a CCA required recommending medication management?
- How do I confirm if I’m eligible to receive services through Alliance Health?
- How do I check the status of my application for the NC Innovations Waiver?
- What documents do you need to make the ISP approval process more streamlined? My last ISP took 7 days for approval?
- My understanding from the TBI training was that the TBI screening is only required for agencies completing a CCA. Can you clarify?
- Can UM provide clarification and/or documentation about the authorization guidelines/benchmark documents that are utilized to make decisions on services that are requested in the plan?
- How do I report suspected fraud, waste or abuse?
- How can I review meeting minutes from the Alliance Health Board of Directors?
- What constitutes an expedited request?
- How do we get members on the Innovations Waiver Waitlist for Innovations or state-funded IDD services? What are the criteria for each?
- What does Alliance Health help me provide to patients?
- What place of service should I select? Should I leave it as Pharmacy?
- How do I update a diagnosis for a consumer and who do I contact if I am having trouble with this?
- How do I see if an authorization is in the system?
- Should I use the UB04 or the CMS 1500?
- Who do I need to contact if I need to update a site address for my agency?
- How do I add a practitioner?
- Who do I contact if any of my NPI numbers are not correct?
- My agency would like to submit 837s. How do I do that?
- What do I do if I can’t see my ACS screens very well?
- Who do I contact if I need a log in for the Alliance Claims System portal or if I need my password reset?
- What time is the daily cutoff for claims to be submitted?
- How do I request claims research?
- If a provider is not enrolled with the clients Primary Insurance Panel, will Medicaid cover the services?
- Does an authorization guarantee a claims payment?
- How does an individual/guardian ask for a LME/MCO Level Appeal?
- Can the requests be submitted over the phone?
- How much time does an individual/guardian have to ask for a LME/MCO Level Appeal?
- Does an enrollment need to be submitted for Medicaid consumers?
- Does an enrollment guarantee a claims payment?
- Can a provider file the appeal?
- What is the timeline for the LME/MCO Level Appeal?
- What if the individual needs the LME/MCO Level Appeal to be processed faster?
- What if the request for expedited review is denied?
- Will services be authorized during the appeal process?
- What does the NC START Program do?
- Who is eligible for the NC START program?
- What appeal or grievance rights are provided for B3 services?
- What if the individual/guardian disagrees with the LME/MCO Level Appeal decision?
- What happens if the individual loses the appeal?
- How do I refer an eligible individual to NC START?
- What items will cause my application to be rejected?
- What is the difference between the NC START Clinical Teams and established/upcoming Mobile Crisis Management Teams and First Responder?
- How do I appeal a notification of provider action by Alliance?
- What is Medicaid fraud?
- What is Medicaid abuse?
Document Library
- June 2026 Agenda
- CCP-105, Medical Necessity
- AH ILOS: Behavioral Health Crisis Assessment and Intervention (BHUC)
- Spring CM Collaborative Recap
- Alliance Health Home Health EVV Office Hours April 15, 2026
- Intensive Support - High Utilizers
- Spring CM Collaborative: Event Flow
- Intervene Early - Early Intervention
- Prevent Avoidable ED Visits
- Fact Sheet: What to Know About The TBI Waiver Program
- May 2026 Agenda
- December 2025 Minutes
- Minds Matter Presentation
- 1915i Plan Template
- 1915i Care Plan Update
- 1915(i) Community Transition Costs Budget Completion Guidance Instructions
- EVV Office Hours Presentation-March 18, 2026
- TCLV Risk Mitigation Form Packet
- April 2026 Agenda
- All Provider Meeting March 2026 Presentation
- FY26 Budget Recommended for Approval
- ModivCare Tips for Success
- Forensic Assertive Community Treatment Program (FACT)
- Billing in HHA
- EVV Quick Tips
- HHAeXchange ALL Service Code Job Aid
- March 2026 Agenda
- Adult Pocket Guide for HEDIS (MY2026)
- Pediatric Pocket Guide for HEDIS (MY2026)
- Adult Measures Practitioner Clinical Guide for HEDIS (MY2026)
- Pediatric Measures Practitioner Clinical Guide for HEDIS (MY2026)
- Pharmacy Measures Practitioner Clinical Guide for HEDIS (MY2026)
- Behavioral Health Measures Practitioner Clinical Guide for HEDIS (MY2026)
- Claims Research Spreadsheet
- Metformin for the Prevention of Antipsychotic-Induced Weight Gain: Guideline Development and Consensus Validation
- TCM Providers Contracted with Alliance
- Provider Quick Reference Guide
- Frequently Asked Questions About RB-BHT Authorization Requests
- January 2026 All Provider Q and A
- February 2026 Agenda
- All Provider Meeting January 2026
- RFA: North Carolina Child Welfare Trauma-Informed Assessment (NC CWTIA)
- CQI Project-Improving FUH-7 Member Follow-Up Using the PDSA Cycle
- AH SOW: Problem Sexual Behavior - Clinical Assessment for Youth (PSB-CAY)
- AH SOW: Assertive Community Treatment with Medication Assisted Treatment (ACT with MAT
- Forensic Assertive Community Treatment (FACT) Patient Referral Form
- Research-Based Behavioral Health Treatment (RB-BHT) Cover Sheet
- FY25 Audited Financial Statements
- Prior Authorization Table
- Tips for Engaging Members to Increase Continuous Engagement
- Pre-Visit Planning
- All CFAC Meeting Meeting Minutes August 2025
- All CFAC Meeting Meeting Minutes September 2025
- All CFAC Meeting Meeting Minutes October 2025
- PPT Timely Post-Hospital Follow-Up: A CQI PDSA
- PPT Care From the Inside Out: Lessons That Work
- HIPAA Request for Transmission of PHI by Unsecure Means (Spanish)
- November 2025 Minutes
- Daily Team Huddles
- Emergency Department (ED) Visits
- HEDIS® Pre-Visit Planning Checklist
- October 2025 Minutes
- Behavioral Health Alliance Provider Advisory Council (BH-APAC) Nomination Form
- Medicaid Rates Revised FY26 - May 2026
- September 2025 Minutes
- FY2025 Innovations Direct Care Worker Wage Increase Report Form
- NC Association of Public Community Health Plans - Rate Adjustment Letter
- August 2025 Minutes
- Home Health EVV Office Hours Presentation
- All Provider Meeting September 2025
- June 2025 Minutes
- Medicaid Rebase Letter to the NCGA
- Provider Communication: Important Update on Medicaid Rate Changes
- INTEGRATE: international guidelines for the algorithmic treatment of schizophrenia
- Frequently Asked Questions for Personal Care Services Providers
- Clozapine Care Guide
- Clozapine Consensus Guidelines
- May 2025 Minutes
- April 2025 Minutes
- AAPP Clozapine Toolkit
- Alliance All CFAC Meeting Minutes April 2025
- Alliance All CFAC Meeting Minutes May 2025
- FY 26 Calendar for Board and Board Committee Meetings
- Personal Care Services(PCS) Provider Training
- Health Care Fraud Bulletin: False Claims Act
- Tobacco Cessation Treatment for Uninsured
- PCS Quality Improvement Attestation Form and Instructions
- 278 Companion Guide– Health Care Services Review
- 275 Companion Guide – Additional Information to Support a Health Care Claim or Encounter
- RFA: 100-2025 Questions and Answers
- RFA: 100-2025 FACT PowerPoint Presentation
- Medicaid PCS Provider Workflow
- Health Care Fraud Bulletin: Medical Assistance Provider Fraud
- RFA: 100-2025 Forensic Assertive Community Treatment
- RFA 100-2025: Forensic Assertive Community Treatment - FY26 Budget Form
- RFA 100-2025: Forensic Assertive Community Treatment - FY25 Budget Form
- SUD Pharmacotherapy Access for Uninsured
- Pediatric Pocket Guide for HEDIS (MY2025)
- Adult Pocket Guide for HEDIS (MY2025)
- Integrated Network Directory
- Waiver Request for Letter of Support Form
- TCM Data and Data Sources
- Alliance Home Health EVV Crosswalk
- Reimbursement guidelines
- March 2025 All Provider Meeting Question and Answers
- March 2025 All Provider Meeting Presentation
- 1915i Waiver Notification of Relative/Legal Guardian as Direct Support Employee
- February 2025 Minutes
- IFDS Employer of Record Model Presentation
- CFAC Advocacy and Information Guide
- January 2025 All Provider Meeting Questions and Answers
- Medicaid Rates FY25
- PCS Congregate Care Settings Update
- All CFAC Meeting Minutes February 2025
- All CFAC Meeting Minutes January 2025
- CCP-104, Non-Emergency Medical Transportation
- Request For Personal Care Services (PCS) Assessment
- Individual and Family Directed Services (IFDS)- Agency with Choice model
- Nurse Advice Line (NAL)
- Adult Measure Practitioner Clinical Guide for HEDIS (MY2025)
- Behavioral Health Measures Practitioner Clinical Guide for HEDIS (MY2025)
- Pediatric Measures Practitioner Clinical Guide for HEDIS (MY2025)
- Pharmacy Measures Practitioner Clinical Guide for HEDIS (MY2025)
- Human Rights Committee Agenda February 13, 2025
- All Provider Meeting Presentation January 2025
- NC Innovations Individual and Family Directed Services Manual
- CCP-103, Out-of-Network Services
- Client Update Guidelines
- Member Prescription Drug Claim Form
- PCS Training Attestation Form
- Request for a Letter of Support for Residential Services Form
- NC-TOPPS Guidelines for Contracted Providers
- Preventing Drug Use Among Children
- CFAC Annual Report
- EPSDT Short-term Increase Request Form-NC Medicaid
- EPSDT Short-term Increase Request Form Instructions
- PCS Provider Huddle - PCS Claims Review and NC Tracks Eligibility
- Pharmacy Lock-In Program
- Alliance Provider Onboarding Training UM Slides
- All Provider Meeting Presentation September 2024
- CCP-102, Non-Covered Benefits
- NC Innovations Individual Budget
- 276/277 Companion Guide
- Alliance Health TBI Waiver Harnett County Brief
- CCP-101, Benefit Exhaustion
- Alliance Health Value Added Services Overview–Spanish
- Alliance Health Medical Specialty Solutions Services and Musculoskeletal Management Program Provider Education Webinars
- Health Care Fraud Bulletin Anti-Kickback Statute
- Member Portal User Guide
- Non-Medicaid Revised FY26 - May 2026
- Personal Care Services FAQ
- Jiva Provider Portal Questions and Answers
- Jiva Provider Portal User Guide-Behavioral Health Outpatient (OP)
- Jiva Provider Portal User Guide-Behavioral Health Inpatient (IP)
- Jiva Provider Portal User Guide-Physical Health Inpatient (IP)
- Jiva Provider Portal User Guide-Physical Health Outpatient (OP)
- Home Health EVV Lunch & Learn June 28th
- Payment Plan Request Form
- Jiva Provider Portal Service Agreement Packet-Physical Health
- Jiva Provider Portal Service Agreement-Behavioral Health
- Jiva Provider Portal Service Agreement-Additional Signup-Behavioral Health
- Attachment A-Additional Sign-up-Physical Health
- Jiva Service Agreement Instructions-Physical Health
- Jiva Provider Portal Service Agreement-Physical Health
- Procedure Code Lookup Tool Job Aid
- Prior Authorization Request Form
- All Provider Meeting June 26, 2024
- Utilization Management Program Description
- Youth Advisory Committee Application
- Innovations Waiver and Process Flyer-SPANISH
- Innovations Waiver and Process Flyer
- Resource Guide for PLEs
- 1915(i) Assessment
- HEDIS® Follow-Up After Hospitalization for Mental Illness (FUH)
- Alliance Health - A Mission-Driven Health Plan. A Collaborative Partner.
- 270-271 Health Care Eligibility Benefit Inquiry and Response Companion Guide
- Relative as Provider (RAP) Guidelines
- ICF/IID In-Reach and Transition Services
- Four Rs for Fighting Health Care Fraud
- HEDIS® Follow-Up After Emergency Department Visit for Mental Illness (FUM)
- Instruction on Creating a Digital ID for a Signature in Adobe Acrobat
- JIVA Provider Portal Service Agreement-Additional Signup
- JIVA Provider Portal Service Agreement
- Jiva Provider Portal Service Agreement Instructions
- KnowledgePoint Quick Reference Guide
- Health Care Fraud Bulletin Obtaining Property by False Pretenses
- TBI Waiver–Freedom of Choice
- CCP-100, Experimental Services
- All Provider Meeting Presentation March 2024
- 2024 State-Funded Waitlist Implementation Q&A
- State Funded Waitlist Implementation and Provider Education
- Essential Elements for Assessments: Assistive Technology, Home Modifications and Vehicle Modifications
- HCBS Change Form
- How can I get NC Traumatic Brain Injury Waiver Services?
- Health Care Fraud Bulletin NC Identity Theft
- Patient Risk List
- Eating Disorders Treatment Guide 2023
- AH SOW: Mobile Outreach Response Engagement Stabilization (MORES)
- Alliance Health Value Added Services Overview
- HEDIS® Follow-Up After Emergency Department Visit for Mental Illness
- Medicaid Direct Tailored Care Management Provider Claims Billing Guidance
- All Provider Meeting Presentation October 2023
- Consumer and Family Advisory Committee (CFAC) Member Application
- Health Care Fraud Bulletin: Anti-Kickback Statute
- NC Innovations Waiver (Freedom of Choice) Form
- Innovations Submission Document Checklist
- DSS Innovations Request Letter
- Limits on Sets of Services
- Budget Basics-Resource Guide for Innovations and TBI Care Managers
- Health Care Fraud Bulletin: Conspiracy
- AH ASD Comp. Screening and Community Connections YA377 TP MD
- AH ASD Hospital Discharge Transition Service YA346 TP MD
- AH ILOS Alternative Service Definition BH Crisis Assessment and Intervention T2016 U5 4.22.23
- AH ILOS Family Centered Treatment
- AH ILOS In Home Therapy Services
- AH ILOS Transitional Youth Services (TYS)
- Hardship Payment Request Form
- Alliance Health Tailored Plan/PIHP Provider Manual
- Provider Request for Appeal Deadline Extension
- AH SOW: Transition Management Services (TMS)
- AH SOW: Specialized Peer Support
- AH SOW: IPS Supported Employment Multiple Codes
- AH ILOS: Long Term Community Supports (LTCS)
- Health Care Fraud Bulletin NC False Claims Act
- HEDIS® Diabetes Monitoring for People with Diabetes and Schizophrenia (SMD)
- Alliance Health Behavioral Health Crisis Alerts
- Behavioral Health Inpatient Admission Notification for CMAs/AMH+s
- Children With Complex Needs
- HEDIS® Cervical Cancer Screening (CCS) Measure
- Member Contact and Documentation Requirements for Tailored Care Management
- Alliance Health Tailored Plan and Medicaid Direct Provider Contract Amendment
- Alliance Health Medicaid Direct Provider Contract Template
- PCP Change Request Form
- UM PA Pass-through Q&A
- Mental Health and Substance Use Services Client Perceptions of Care
- Health Care Bulletin: Medical Assistance Provider Fraud
- HEDIS® Hemoglobin A1c Control for Patients with Diabetes (HBD)
- Immunizations for Adolescents (IMA)
- Chlamydia Screening in Women (CHL)
- Functions/Responsibilities of Transitional Care Management, Part II: In-Reach and Transition
- Transitions for Members in State Facilities
- Conflict-Free Care Management
- Functions/Responsibilities of Transitional Care Management, Part III: Diversion from Institutional Settings
- 2026 Checkwrite Schedule
- Care Management Opt Out/Change Provider Form
- Daily Team Huddle Template
- Subcontractor Identification Form
- Paper Claim Submission Request
- Checklist for Child Medical Evaluation (CME)
- Abortion Statement
- Consent for Sterilization
- Consent for Sterilization Spanish
- Hysterectomy Statement
- CNCC Pregnancy Home Risk Screening
- Hysterectomy Statement Spanish
- Comparison of NC Medicaid Standard Plan, Medicaid Direct and Tailored Plan
- Universal Child and Adolescent Residential Placement Referral Form
- Alliance Transition of Care Warm Handoff Summary
- Warm Handoffs from Alliance to Provider-Led Tailored Care Management
- Risk Stratification
- AH SOW: Medicaid Problem Sexual Behavior – Cognitive Behavioral Therapy
- Joint Communication Bulletin J430
- Manual para miembros de Local Management Entity/Managed Care Organization (LME/MCO) de NC Medicaid Direct
- NC Medicaid Direct Member Handbook
- AH SOW: Comprehensive Trauma Informed Assessment 90791-TI
- Health Care Fraud Bulletin: Stark Law
- Functions/Responsibilities of Transitional Care Management, Part I
- Alliance Clinical Coverage Policy 9 - Outpatient Pharmacy 7-15-24
- 300 SEC_No 300.05_TEAR OSMOLARITY TESTING 08102022.pdf
- 300 SEC_No 300.04_VISUAL FIELD TESTING 08102022.pdf
- 300 SEC_No 300.03_VEP TESTING 08102022.pdf
- 200 SEC_No 200.02_MNCL and FITTING 08102022.pdf
- 100 SEC_No 100.01_ROUTINE EYE and EM CODING 08102022.pdf
- Alliance Health Provider Maintenance Tutorial
- IFDS Provider Training
- Documentation for Care Management
- TP CM Engagement Workflow with Acuity Timeline
- Alliance CMA/AMH+ Learning Collaborative Q&A
- 90–Day Post Discharge Transition Plan
- Step-By-Step Guide to Working with Members as a CMA/AMH+
- Tips for Engaging Members in Tailored Care Management
- Warm Handoffs and Transitions for Services Excluded from Tailored Care Management
- Child and Adolescent Well-Care Visits
- Verification of Education and Experience for Tailored Care Management Staff
- CMS approved TBI Waiver
- Manual de exención de Innovations para miembros del plan personalizado de salud conductual y capacidades intelectuales/del desarrollo de NC Medicaid Managed Care
- Manual para afiliados del programa de exención por TBI de salud conductual e intelectual/discapacidades del desarrollo de NC Medicaid Managed Care
- Manual para beneficiarios de servicios financiados por el estado del plan personalizado de salud conductual y discapacidades intelectuales/del desarrollo
- Manual para miembros del plan personalizado de salud conductual y discapacidades intelectuales/del desarrollo de NC Medicaid Managed Care
- Tailored Plan Traumatic Brain Injury Waiver Member Handbook
- Tailored Plan State-funded Services Recipient Handbook
- Tailored Plan Innovations Waiver Member Handbook
- Tailored Plan Member Handbook
- Verification of Education and Experience
- NC Child and Family Improvement Initiative News Release
- TP State Funded Provider Contract Template
- Tailored Plan Medicaid Provider Contract Template
- Health Care Fraud Bulletin: Conspiracy
- Transitional Therapeutic Foster Care
- Provider Portal Access Guide
- DMH BP Eligibility Criteria
- AH SOW: TCL Assertive Engagement
- Alliance Budget Form for Non-UCR contracts
- AH SOW: Enhanced Residential Services for Children with Complex Needs- Children with I/DD and co-occurring MH diagnosis
- Staff, Caseload, and Financial Modeling Tools
- Non-UCR Invoice Process Training
- Healthcare Fraud Bulletin: Obtaining Property by False Pretenses
- ASD AH Peer Support Transition YA344
- AH SOW: Trauma Focused Cognitive Behavioral Therapy (TF-CBT)
- Non-UCR Process Training
- AH SOW: (Sex Offender Specific Evaluations) 90791 U3 SE
- ILOS AH Enhanced Crisis Response H2011 U5 U1
- AH ILOS Residential Services for Individuals with Complex Needs
- ILOS Child ACT
- Provider Cultural Competency Plan Toolkit
- 1915(i) Community Transition Costs Budget Checklist + Instructions
- Clozapine Patient Assistance Guide
- Enrollment and Client Update Overview
- Care Management Platform Options
- Healthcare Fraud Bulletin: Identify Theft
- Invoice and Travel Expense Reimbursement Requirement
- HHAeX LME EDI Provider Notification
- Attachment A-1 Health System Medicaid Contract Services Effective 12/1/2021
- Opioid Use Disorder: Interventions for Community Pharmacists
- Treating Patients with TBI - SAMHSA
- IRS Form W-9
- Diversion Law Fact Sheet
- Board Membership Application
- TCLI Household Composition and Income Summary
- Agency Attestation Statement
- Portal User Linked to Multiple Providers
- Tips To Help You Take Your Medicine as Prescribed
- Antipsychotic Medications and Metabolic Syndrome Handout
- Provider Payment Election Form
- Provider Self Audit Submission Instructions
- Addendum to Services Form-TBI
- ILOS AH Rapid Response S5145 22 Z3
- TCLI Certification of Informed Housing Choice
- Transition to Community Living Request For Lease Form
- TCL State Waiver Request Form
- ACS Provider Portal Handbook
- Alliance 2021 Provider Satisfaction Survey Report
- Claims and Enrollment Guide Fiscal Year 2025-2026
- QuitlineNC eReferral Portal Guide
- JCB J395 Electronic Visit Verification Guidance
- Alliance Health EVV Service Matrix and Crosswalk
- Adult Flex Funds Request Form
- Child Flex Funds Request Form
- Healthcare Fraud Bulletin: Fraudulent Application by Provider
- Non-UCR Invoice Template
- AH SOW: Intensive In-Home Services
- AH SOW: Intensive Alternative Family Treatment® (IAFT®)
- ILOS AH High Fidelity Wraparound
- AH SOW: One Time Transitional Costs
- AH SOW: Community Support Team (CST)
- AH SOW: Assertive Community Treatment Team (ACTT)
- IRIS Updates Medicaid Transformation
- ACS System Requirements
- ACS Provider Portal Access Request
- ACS Claim Adjudication Codes
- Crossover to NC Medicaid Managed Care Standard Plan LME MCO Provider Education
- Consent to Share Confidential Health Information
- WCHHS Mental Health Formulary
- Durham County Indigent Pharmacy Program Formulary
- EHR and/or Data Analytic Vendor Selection
- How to Clear your Internet Browser Cookies and Cache
- 2026 Poverty Guidelines Chart
- Enrollment Guidelines
- Hospital Transition Team
- 2021 Child Medicaid ECHO Report
- 2021 Adult Medicaid ECHO Report
- Alliance Health Residency Verification Attestation Form
- Medication Adherence for Providers
- Enhanced Pharmacy Services
- Point of Care Labs
- HEDIS SAA
- HEDIS SSD
- HEDIS APM
- Medication Synchronization
- Population Health
- NC Section 8 Housing Choice Voucher Training Jan 2020 Part 4
- NC Section 8 Housing Choice Voucher Training Jan 2020 Part 3
- NC Section 8 Housing Choice Voucher Training Jan 2020 Part 2
- NC Section 8 Housing Choice Voucher Training Jan 2020 Part 1
- Seven Day Follow Up After Discharge
- Metabolic Monitoring Point of Care Testing
- Practice Transformation Framework
- Member and Recipient Services
- Warm Handoff
- Unmet Health Related Needs
- Tips for Success Follow Up After Discharge
- Team Based Care
- Open Access
- Monitoring for Metabolic Risk Factors
- Medication Reconciliation
- Long Acting Antipsychotic Medications
- Integrated Care Management
- Health and Safety for People Receiving Antipsychotic Therapy
- Clozapine
- Adherence to Antipsychotic Medications for Individuals with Schizophrenia
- AH SOW: TBI Enhanced Residential Support FY21
- NC START Access Information
- Alcohol Awareness
- Suicide Prevention Overview
- IDD Orientation
- Mental Health Awareness
- Reconsideration Consent to Release Information
- Provider Request for Appeal of an Action Form
- PSH Habitability Checklist
- Out of State Travel Notification Form
- TBI waiver Provider Documentation Training
- Plan of Correction Training
- Alliance Health Vendor Setup Packet
- AH SOW: Enhanced Respite Care Individual
- AH SOW: Enhanced Day Supports T2021 22 Z1
- AH SOW: Enhanced Rate Residential Supports Level 4
- AH SOW: Enhanced Community Living and Supports T2013 TF 22 or b3 T2013 TF U4 22
- Provider Self-Audit Templates
- Innovations Verification of Relative as Provider Form
- Healthcare Fraud Bulletin: Anti-Kickback Statute
- NC Innovations Waiver Overview
- FEMA Family Emergency Plan (Spanish)
- AH ILOS Short Term Residential Stabilization
- OSHEL ACAP Nomination
- Health Care Fraud Bulletin: NC False Claims Act
- SMH Screening Tools
- MH-SUD CC Referral Criteria and Process
- Cultural Competency Plan Training
- Provider Maintenance-Referral Module
- Incident Report Training
- Comprehensive Provider Application Request
- Temporary Disruption of Service Delivery Form
- ACAP Nomination Dave Curro
- Inpatient Out of Network SAR
- Suicide Adult Risk Guideline Assessment
- Emergency Relocation Form
- Member Transfer Tracking Form
- Solicitud para la transmisión de información médica protegida por medios no seguros
- Trading Partner Agreement (TPA) and Connectivity Form
- HIPAA Request for Alternative Means of Communication
- Record Storage Log (Medicaid)
- Record Storage Log (State)
- HIPAA Request to Review-Amend Record
- HIPAA Request for Restrictions on Use and Disclosure
- HIPAA Request for Accounting of Disclosure
- IVC Designated Facilities
- SOC Flex Funds Request Form
- Brain Injury Foundations Factsheet
- IDD Eligibility for State-Funded Services
- Innovations Incident Reporting for Failure to Provide Back-Up Staffing
- Notice of Change Form
- AH SOW: Parent-Child Interaction Therapy (PCIT)
- Level of Care Eligibility Determination Tool
- 837 Professional Companion Guide
- 837 Institutional Companion Guide
- Genetic Syndrome Websites
- State Plan Amendment for Research Based Behavioral Health Treatment for Autism Spectrum Disorder
- Customer Service Form in Spanish
- Consent for Assessment, Treatment and or Other Services
- APAC Operational Agreement
- Consumer Rights
- Consent to Request Personal and Medical Information
- AACAP Practice Parameters for the Assessment and Treatment of Children and Adolescents with Bipolar Disorder
- AACAP Practice Parameters for the Assessment and Treatment of Children and Adolescents with Oppositional Defiant Disorder
- Diversion Law Exception Worksheet
- Record Destruction Log
- LME Consumer Admission and Discharge Form
- Guidelines for Implementing Core Rules
Benefit Plan Service Details
- Non Medicaid: Medically Monitored Intensive Inpatient Services (formerly Medically Monitored Community Residential Treatment CRT)
- Non Medicaid: Clinically Managed Residential Services
- Non Medicaid: Substance Abuse Intensive Outpatient Program (SAIOP)
- Non Medicaid: Substance Abuse Comprehensive Outpatient Treatment (SACOT)
- Non Medicaid: Opioid Maintenance Therapy (OMT)
- Non Medicaid: Dialectical Behavior Therpay (DBT)
- Non-Medicaid: Multisystemic Therapy (MST)
- Non Medicaid: Transitions to Community Living (TCL) and Transition Management Services (TMS)
- Non-Medicaid: Assertive Community Treatment Team (ACTT)
- Non Medicaid: Community Living and Support (CLS)
- Non Medicaid: Psychosocial Rehabilitation (PSR)
- Non Medicaid: Facility Based Crisis (FBC)
- Non-Medicaid: Community Support Team (CST)
- Non-Medicaid: Adult Developmental Vocational Program (ADVP)
- Non Medicaid: Residential Supports and Supported Living Periodic
- Non Medicaid: Outpatient Behavioral Health Assessment
- Non Medicaid: Clinically Managed Residential Withdrawal Management Services (formerly Social Setting Detox)
- Non Medicaid: Medically Monitored Inpatient Withdrawal Management Services (formerly Non-Hospital Medical Detoxification)
- Non Medicaid: Clinically Managed Low-Intensity Residential Treatment Services (formerly Halfway House)
- Non Medicaid: Peer Support and Peer Support Transition
- Non-Medicaid: Child and Adolescent Day Treatment
- Non Medicaid: Psychological Testing
- Non Medicaid: Outpatient Therapy (OPT)
- Non Medicaid: Outpatient Group Therapy
- Non Medicaid: Medication Administration (96372)
- Non Medicaid: Hospital Discharge Transition Service
- Non Medicaid: Evaluation and Management (E and M)
- Non Medicaid: Comprehensive Screening and Community Connections
- Non Medicaid: Inpatient Hospitalization (YP820)
- Non Medicaid: Inpatient Hospitalization (YP821, including 3 Way Bed)
- Non Medicaid: Intensive In Home (IIH)
- Non Medicaid: Mobile Crisis Management
- Non Medicaid: Behavioral Plan Development
- Non Medicaid: Supported Employment
- Non-Medicaid: Respite (Individual and Group)
- Non Medicaid: Day Supports
- Non-Medicaid: Assertive Engagement
- Non Medicaid: Supervised Living Low and Moderate
- Non Medicaid: Group Living Moderate
- Non Medicaid: Group Living High
- Non Medicaid: Group Living Low
Trainings
- Exención por lesión cerebral traumática de Carolina del Norte: Descripción general
- Presentación Esencial de Tailored Care Management (Gestión de cuidados personalizados)
- Tailored Care Management Essentials
- Respira Tranquilo de NC: Liberarse del tabaco
- Hablando de la salud mental en los jóvenes
- Hablemos de la salud mental en adultos
- Preguntar, persuadir y referir (PPR)
- Elementos esenciales de Medicaid
- Recargar y Reiniciar: Pasos simples para integrar el autocuidado en tu rutina
- Conozca el plan de salud
- Herramientas para ayudar a alguien en crisis
- Alimentación saludable dentro de un presupuesto: coma bien, gaste menos
- Hablar sobre el trauma
- Discussing Mental Health in Youth
- Discussing Mental Health in Adults
- Self-Care
- Respiratory Disease Management
- Keeping Your Heart Healthy: Cardiovascular Disease Management
- Conceptos básicos sobre la diabetes: cómo vivir y controlar su diabetes
- Mantener su corazón saludable: Manejando su Enfermedad Cardiovascular
- Manejo de enfermedades respiratorias
- Primeros Auxilios de Salud Mental de Adultos para las Comunidades Hispanohablantes
- Mental Health First Aid for Corrections Professionals
- Mental Health First Aid for Higher Education
- Mental Health First Aid for Fire and EMS
- Mental Health First Aid for Military, Veterans, and their Families
- Mental Health First Aid for Older Adults
- Mental Health First Aid for Public Safety
- Mental Health First Aid for Rural Communities
- Youth Mental Health First Aid
- Youth Mental Health First Aid for Tribal Communities and Indigenous Peoples
- Adult Mental Health First Aid
- Medicaid Essentials
- North Carolina's Traumatic Brain Injury Waiver: An Overview
- Let's Talk Trauma: Understanding the past to build the future
- Breathe Easy NC: Becoming Tobacco Free
- Diabetes Basics: Living With and Managing Your Diabetes
- Meet the Health Plan
- Healthy Eating on a Budget: Eat Well, Spend Less
- QPR – Question, Persuade, and Refer
- Stewards of Children®
- Better at Home Supportive Housing Trainings
- System of Care
- Introduction to Child and Family Teams
- Tools for Helping Someone in Crisis
Series
- Network Development Services Committeee
- Claims One-on-One Technical Assistance
- Alliance Advisory Provider Council (BH/IDD/TBI)
- An Introduction to Transition to Community Living (TCL)
- Claims Technical Assistance
- Finance Committee
- Quality Management Committee
- Network Development/Services Committee
- Alliance Health Board of Directors Meeting
- Human Rights Committee
- Executive Committee
- Durham and Orange County CFAC
