alliance_health_nc policy updates
Track new and updated alliance_health_nc policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Medically Monitored Intensive Inpatient (ASAM Level 3.7) | Alliance Health Nc | Clinical | — | Modified | Jan 1, 2026 |
| NC Medicaid State Plan Personal Care Services (PCS) — In-Home Settings | Alliance Health Nc | Clinical | — | Modified | Jan 1, 2026 |
| Genetic testing — gene expression (coverage criteria) | Alliance Health Nc | Clinical | Genetic & Molecular Testing | Modified | Jan 1, 2026 |
| NC Medicaid Nursing Durable Medical Equipment and Supplies | Alliance Health Nc | Clinical | Durable Medical Equipment (DME) | Modified | May 1, 2025 |
| NC Medicaid Ambulatory Withdrawal Management Without Extended On‑Site Monitoring | Alliance Health Nc | Clinical | — | Modified | Jan 1, 2025 |
| NC Medicaid Community Alternatives Program for Children (CAP/C) | Alliance Health Nc | Clinical | — | Modified | Nov 15, 2024 |
| NC Medicaid Outpatient Pharmacy | Alliance Health Nc | Clinical | Pharmacy & Specialty Drugs | Modified | Jul 15, 2024 |
| NC Medicaid Innovations: Telehealth & Remote Monitoring | Alliance Health Nc | Clinical | Telehealth & Remote Monitoring | Modified | Apr 1, 2023 |
| §1915(c) HCBS Waiver Application — TBI Waiver | Alliance Health Nc | Administrative | — | Modified | May 1, 2018 |
| 300% of Poverty Guidelines | Alliance Health Nc | Administrative | — | Modified | — |
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.
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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.