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Welcome Providers

Details: The Alliance Provider Helpdesk is available to answer provider questions about authorization, billing, claims, enrollment and credentialing, ACS, or other issues. Call (919) 651-8500 Monday-Friday from 8:30am-5:15pm.

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› Url: https://www.alliancehealthplan.org/providers/ Go Now

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Alliance Provider Portal

Details: Behavioral healthcare professionals are available in the Access and Information Center to take your call 24 hours a day. Reach them at (800) 510-9132.

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› Url: https://www.alliancehealthplan.org/providers/alliance-provider-portal/ Go Now

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ACS Provider Portal Login and Resources

Details: ACS allows providers to view appointments, submit patient claims and treatment plans, check on authorizations, and more. Access ACS Provider Portal. ACS support is available from the Alliance Provider Helpdesk at (919) 651-8500 Monday-Friday, 8:30am to 5:15pm.

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› Url: https://www.alliancehealthplan.org/providers/acs-provider-portal-login-and-resources/ Go Now

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Alliance Clinical Guidelines

Details: Integrated Mental Health Treatment Guidelines: UNC-Chapel Hill/ Piedmont Behavioral Health (2006) Note that intellectual disability is the preferred term over mental retardation. Refer to AACAP 2014 guidelines regarding ABA. ASD: 299: Assessment and Treatment of Children and Adolescents With Autism Spectrum Disorder: AACAP (2014) Trauma

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› Url: https://www.alliancehealthplan.org/alliance-clinical-guidelines/ Go Now

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Practitioner Search Tool Review

Details: To review this information please go to the Alliance Health website and click on the “Find a Provider” tab to do a search on “Clinicians” or click on this link. Once the review has been completed licensed practitioners can return this form with updated information to the Provider Network Helpdesk at [email protected]alliancehealthplan.org .

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› Url: https://www.alliancehealthplan.org/provider-news/practitioner-search-tool-review/ Go Now

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Credentialing and Enrollment

Details: Alliance Health’s name and address should be listed as the Certificate Holder. Submit a current LP roster (if applicable). Submit an annualized budget, and most recent certified audit or the most recent Board approved financial statement. For Profit entities to submit a CFO statement of financial capacity.

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› Url: https://www.alliancehealthplan.org/providers/credentialing-enrollment/ Go Now

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Credentialing Attestation been credentialed and enrolled

Details: Health Can Center 01/01/2023 urac ACCREDITED Health Network Expires 01/01/2023 urac Health Management Expires o '101/2023 Alliance Health All Offices: (919) 651-8401 AllianceHealthPlan.org . Author: Kyle Held Created Date: 8/26/2021 8:07:28 PM Title:

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› Url: https://www.alliancehealthplan.org/wp-content/uploads/Onsite-Visit-Attestation.pdf Go Now

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New Provider Orientation

Details: The following information serves as your new provider orientation. It is provided as an introduction to Alliance Health and your interactions with Alliance as a network provider. Please review the information at the following links for an overview of important functions, expectations and other provider resources.

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› Url: https://www.alliancehealthplan.org/providers/new-provider-orientation/ Go Now

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Alternative Reimbursement Models

Details: population health, reducing the costs of health care and improving individual member outcomes • Supports provider engagement and payer/provider collaboration • Rewards provider performance on agreed upon measures of quality and utilization SDOH Environmental factors that influence a population’s health and functioning (e.g., socio-economic

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› Url: https://www.alliancehealthplan.org/wp-content/uploads/Value-Based-Reimbursement.pdf Go Now

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Upcoming Events – Alliance Health

Details: National Health Education Week (October 18-22) is focused on increasing national awareness of major public health issues and promoting a better understanding of the role of health education. This training will include information about the services offered by Stedman-Wade Health Services in Cumberland County. Register for the training.

› Verified 6 days ago

› Url: https://www.alliancehealthplan.org/calendar/category/topics/health-wellness/ Go Now

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Medical and Pharmacy Information

Details: Behavioral Health Clinical Edits – Pediatrics and Adults. Opioid Related. Opioid Dependence Therapy Agents; New Check for Opioid Drug Interaction (October 2018) NC Medicaid has an edit in NCTracks pharmacy claim processing to provide a further check for opioid and benzodiazepine interactions. This allows identification of a drug interaction

› Verified 8 days ago

› Url: https://www.alliancehealthplan.org/providers/medical-and-pharmacy-information/ Go Now

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Mental Health Recovery Services

Details: Mental health disorders are quite common and affect nearly 1 in 5 adults in the United States. These health disorders involve changes in emotion, thinking or behavior (or a combination of these). Mental health disorders can cause problems in functioning in social, work, or family activities.

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› Url: https://www.alliancehealthplan.org/consumers-families/mental-health-recovery-services/ Go Now

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Substance Use Disorder Recovery Services

Details: Health – overcoming or managing one’s disease(s) or symptoms and making informed, healthy choices that support physical and emotional well-being Home – having a stable and safe place to live Purpose – conducting meaningful daily activities and having the independence, income, and resources to participate in …

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› Url: https://www.alliancehealthplan.org/consumers-families/substance-use-disorder-recovery-services/ Go Now

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Alliance Health Launches Web-Based Behavioral Health

Details: Alliance Health Launches Web-Based Behavioral Health Screening Tool. (Morrisville, NC) – Alliance Health has launched an online screening tool to help people determine if they or someone they care about should connect with a behavioral health professional. The easy-to-take screening is completely anonymous and confidential, and provides quick

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Out-of-Network Authorizations

Details: Alliance Health makes every effort to first link consumers with network providers, but will consider enrolling an out-of-network provider or amending a currently contracted provider’s contract if a network provider is not available or accessible to the enrollee.

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› Url: https://www.alliancehealthplan.org/providers/network-requests/ Go Now

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Alliance Health Receives NCQA Accreditation

Details: Alliance Health, the Medicaid Managed Care Organization (MCO) for Cumberland, Durham, Johnston, and Wake counties in North Carolina, has earned Full Medicaid Managed Behavioral Health Organization (MBHO) Accreditation with a Long-Term Services and Supports (LTSS) Distinction from the National Committee for Quality Assurance (NCQA).

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› Url: https://www.alliancehealthplan.org/general-news-announcements/alliance-health-receives-ncqa-accreditation/ Go Now

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Extension of Temporary COVID Rates

Details: Extension of Temporary COVID Rates. October 14, 2021/in Provider News /by Brandon Alexander. Alliance has extended the existing temporary Medicaid and State COVID rates through December 31, 2021. Rates are currently adjusted within our Alliance Claims System (ACS). Providers should continue to submit claims as usual.

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› Url: https://www.alliancehealthplan.org/provider-news/extension-of-temporary-covid-rates/ Go Now

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Alliance Health Anticipated Positions

Details: Integrated Health Consultant (10+) LTS Program Manager (1) Manager (3) Program Managers (1) Supervisors (10+) MEDICAL MANAGEMENT Associate Medical Director (2) QUALITY MANAGEMENT Grievance-Appeals Analyst (2) Quality Assurance Analyst (1) UTILIZATION MANAGEMENT Director – Physical Health UM (1) Supervisor – UM LTSS (1) Supervisor – UM

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› Url: https://www.alliancehealthplan.org/about-alliance/careers/alliance-health-available-positions/ Go Now

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Careers at Alliance

Details: Alliance Health is an Equal Opportunity Employer. Questions can be submitted to the Human Resources Department. However, please do not call or email to check the status of a job application. Instead, check the job search tool using the blue link button below.

› Verified 8 days ago

› Url: https://www.alliancehealthplan.org/about-alliance/careers/ Go Now

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Alliance Claims System 01.07.01 Build Complete

Details: You can call the Alliance Access and Information Center toll-free 24 hours a day. Provider HelpDesk. (919) 651-8500. Representatives are available 8:30am-5:15pm Monday-Friday to answer provider questions about authorization, billing, claims, enrollment and credentialing, the Alpha Provider Portal or other issues.

› Verified 7 days ago

› Url: https://www.alliancehealthplan.org/provider-news/alliance-claims-system-01-07-01-build-scheduled/ Go Now

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TBI Landing Page New

Details: Alliance Health is the managed care organization for publicly-funded behavioral healthcare services for the people of Durham, Wake, Cumberland and Johnston counties. For more information or to make a referral call our Alliance Health Access and Information Line. Ask to speak with someone about TBI services. Limited funding can result in waiting

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Alliance Claims System 01.0700 Build Complete

Details: Behavioral healthcare professionals are available in the Access and Information Center to take your call 24 hours a day. Reach them at (800) 510-9132.

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› Url: https://www.alliancehealthplan.org/provider-news/alliance-claims-system-01-0700-build-complete/ Go Now

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Changes for July 1, 2021 Updated

Details: ALLIANCE HEALTH B3 SERVICE RATES Procedure Code Modifier Service Description Billing Unit Rate H2011 HI U4 Primary Crisis Response 15 minutes $ 8.14 H2015 U1 U4 Community Networking - Classes/conferences H2015 HQ U4 Community Networking - Group 15 minutes $ 2.98 H2015 U4 Community Networking 15 minutes $ 5.35

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› Url: https://www.alliancehealthplan.org/wp-content/uploads/Medicaid-Rates-FY22.pdf Go Now

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Upcoming Events – Alliance Health

Details: Adult Mental Health First Aid teaches people how to recognize signs of mental health or substance use challenges in adults ages 18 and older, how to offer and provide initial help, […] November 2021 Thu 4 . View details. November 4 @ 12:30 pm - 6:00 pm. Adult Mental Health First Aid

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› Url: https://www.alliancehealthplan.org/calendar/category/topics/mental-health-first-aid-mhfa/ Go Now

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October Provider Meet and Greet

Details: Behavioral healthcare professionals are available in the Access and Information Center to take your call 24 hours a day. Reach them at (800) 510-9132.

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› Url: https://www.alliancehealthplan.org/provider-news/october-provider-meet-and-greet/ Go Now

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Impact on Our Community

Details: The social drivers of health are the conditions in which people are born, grow, work, live and age and the wider set of forces and systems shaping the conditions of daily life. These include factors like socioeconomic status, education, neighborhood and physical environment, employment, and social support networks, as well as access to health care.

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› Url: https://www.alliancehealthplan.org/community/impact/ Go Now

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All Provider Meeting

Details: Behavioral healthcare professionals are available in the Access and Information Center to take your call 24 hours a day. Reach them at (800) 510-9132.

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Accreditation Reminder

Details: Behavioral healthcare professionals are available in the Access and Information Center to take your call 24 hours a day. Reach them at (800) 510-9132.

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› Url: https://www.alliancehealthplan.org/provider-news/accreditation-reminder/ Go Now

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UM Information and Resources

Details: Alliance Health authorizes an array of Medicaid and non-Medicaid (State-funded) services for individuals with mental illness, substance use disorders, and intellectual and developmental disabilities who reside in Durham, Wake, Cumberland and Johnston counties. For access to specific authorization information, benefit plans and other resources

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Information for Licensed Independent

Details: Medicaid and Health Choice Outpatient Behavioral Health Services Clinical Coverage Policy No. 8C Provided by Direct-Enrolled Providers (amended date October 1, 2015 or the latest version DHHS Review Tools for LIPs – Once you download and open the tool, look along the tabs at the bottom, click on the guidelines tab and download both the Review

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› Url: https://www.alliancehealthplan.org/providers/guidance-resources-licensed-independent-practitioners-lips/ Go Now

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Medicaid Transformation

Details: Medicaid Transformation - Alliance Health. In 2015, the NC General Assembly enacted legislation directing DHHS to transition Medicaid and NC Health Choice from fee-for-service to managed care. Under managed care, the State contracts with insurance companies, which are paid a predetermined set rate per enrolled person to provide all services.

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› Url: https://www.alliancehealthplan.org/providers/medicaid-transformation/ Go Now

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Adult Mental Health First Aid

Details: Alliance Health is now pleased to offer Mental Health First Aid virtually. This virtual learning experience includes two hours of self-paced learning followed by five and a half hours of virtual live instruction. Each class is limited to 20 participants. There is a $23.95 fee for attending the training.

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› Url: https://www.alliancehealthplan.org/calendar/adult-mental-health-first-aid-2/ Go Now

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Finance Documents

Details: Behavioral healthcare professionals are available in the Access and Information Center to take your call 24 hours a day. Reach them at (800) 510-9132.

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› Url: https://www.alliancehealthplan.org/about-alliance/finance-documents/ Go Now

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Glossary of Common Terms and Acronyms

Details: Alliance Health, as do all NC Managed Care Organizations (MCOs), functions as a Prepaid Inpatient Health Plan (PIHP) through which all mental health, substance use and developmental disabilities services are managed and authorized for Medicaid participants in the Durham, Wake, Cumberland, and Johnston counties.

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Our Mission, Vision and Values

Details: Our Mission, Vision and Values - Alliance Health. Our mission is to improve the health and well-being of the people we serve by ensuring highly effective, community-based support and care. Our vision is to be a leader in transforming the delivery of whole person care in North Carolina’s public sector.

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Beginning on April 2, 2020, all Alliance Board meetings as

Details: The Alliance Health Board of Directors (Board) per North Carolina General Statutes 122C is responsible for comprehensive planning, budgeting, implementing and monitoring of community based mental health, developmental disabilities and substance abuse services to meet the needs of

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Mental Health First Aid

Details: Mental Health First Aid is a public education program that introduces participants to risk factors and warning signs and symptoms of mental illness and also teaches the common thoughts, feelings, behaviors and physical signs and symptoms of specific illnesses, like depression, anxiety, psychosis and substance use disorders. This course teaches you how to offer initial help in a mental health

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Mental Health Recovery Services and Supports

Details: Mental health disorders are quite common and affect nearly 1 in 5 adults in the United States. These health disorders involve changes in emotion, thinking or behavior (or a combination of these). Mental health disorders can cause problems in functioning in social, work, or family activities. The good news is these disorders are treatable and you

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New Housing and Tenancy Support Academy

Details: by Lisa Brockmeier. Please join Alliance Health and UNC Center for Excellence in Community Mental Health for a twice monthly meeting to discuss all things housing and tenancy supports. The meetings will be held on the second and fourth Thursdays of every month from 2–3:30 pm. The first session is Thursday, October 14, 2-3:30 pm.

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› Url: https://www.alliancehealthplan.org/provider-news/new-housing-and-tenancy-support-academy/ Go Now

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Notice of Privacy Practices

Details: Health Oversight Activities – We may disclose your health information to health, regulatory and/or oversight agencies during the course of audits, investigations, inspections, licensure, and other proceedings related to oversight of the health care system. For example, health information may be reviewed by investigators, auditors, accountants

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› Url: https://www.alliancehealthplan.org/consumers-families/consumer-rights/notice-of-privacy-practices/ Go Now

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September Better At Home Supportive Housing Trainings and

Details: Housing is an important social driver of health and argumentatively the leverage point for all other whole-person interventions. Yet the complex systems of housing, homelessness, and healthcare can be difficult to navigate. Our Better At Home campaign aims to help increase provider competency surrounding community living and tenancy supports

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Upcoming Events – Alliance Health

Details: Behavioral healthcare professionals are available in the Access and Information Center to take your call 24 hours a day. Reach them at (800) 510-9132.

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› Url: https://www.alliancehealthplan.org/organizer/manuel-hyman/ Go Now

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Upcoming Events – Alliance Health

Details: National Health Education Week (October 18-22) is focused on increasing national awareness of major public health issues and promoting a better understanding of the role of health education. This training will include information about the services offered by Stedman-Wade Health Services in Cumberland County. Register for the training.

› Verified 8 days ago

› Url: https://www.alliancehealthplan.org/organizer/debra-kinney/ Go Now

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