Alliance Health policy updates
Track new and updated Alliance Health policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Transcranial Doppler Studies | Alliance Health | Clinical | Neurology/Neurosurgery | Modified | Jan 1, 2025 |
| NC Medicaid Children's Developmental Service Agencies (CDSAs) | Alliance Health | Clinical | Pediatrics/Neonatology | Modified | Jan 1, 2025 |
| Cell & Gene Therapies | Alliance Health | Clinical | Pharmacy & Specialty Drugs | Modified | Jan 1, 2025 |
| Geropsychiatric Nursing Facility Services (Clinical Coverage Policy 2B-2) | Alliance Health | Clinical | Post-Acute & Facility Care | Modified | Jan 1, 2025 |
| Community Support Team (CST) | Alliance Health | Clinical | Psychiatry/Behavioral Health | Modified | Jan 1, 2025 |
| Facility-Based Crisis Service for Children and Adolescents | Alliance Health | Clinical | Psychiatry/Behavioral Health | Modified | Jan 1, 2025 |
| NC Medicaid 1915(i) Individual Placement & Support (IPS) for Mental Health & Substance Use | Alliance Health | Clinical | Psychiatry/Behavioral Health | Modified | Jan 1, 2025 |
| Mental Health/Substance Abuse Targeted Case Management (MH/SA TCM) | Alliance Health | Clinical | Psychiatry/Behavioral Health | Modified | Jan 1, 2025 |
| Opioid Treatment Program Service | Alliance Health | Clinical | Psychiatry/Behavioral Health | Modified | Jan 1, 2025 |
| Psychiatric Residential Treatment Facilities (PRTF) services for youth | Alliance Health | Clinical | Psychiatry/Behavioral Health | Modified | Jan 1, 2025 |
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OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
OpenPayer by Trek Health — Policy intelligence for billing and revenue cycle teams.
Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.