Alpha Portal

Yes, Alliance is committed to maintaining the provider rates previously paid by Sandhills Center. Providers serving Harnett members will continue to receive the same Medicaid rates that were in place prior to consolidation with Alliance Health.

For services provided to members who have transitioned from Sandhills, providers should follow specific rules. Prior to consolidation go-live on February 1, 2024, all LME/MCOs will continue to process their own claims and encounters. For claims submitted after consolidation go-live with a date of service prior to consolidation go-live, providers will continue to submit claims through LME/MCO legacy systems. For claims with a date of service on or after consolidation go-live, providers will submit their claims to the LME/MCO that the member is assigned to for coverage.

If the practitioner is already enrolled in NCTracks, you do not need to submit additional information. Alliance uses daily files from the NCTracks system to auto-populate practitioner provider association and other data needed for billing. Ensure that your NCTracks information is up to date.

Yes, some OTC products are covered, including nicotine replacement products, stomach acid reducers, non-sedating antihistamines, diabetes supplies, oral contraceptives, naloxone, and some laxatives, but all require a prescription or standing order from DHHS. OTC vitamins, cough and cold medications, analgesics, topicals, and other products are not covered.

Call or visit your local DSS office to report these changes. Also, notify Alliance Member and Recipient Services at 800-510-9132 Monday through Saturday, 7 a.m. to 6:00 p.m.

You can go to ncmedicaidplans.gov, use the 'chat' tool on the website, or call NCDHHS at 833-870-5500 (TTY: 711 or RelayNC.com) from 7:00 a.m. to 5:00 p.m., Monday through Saturday. You can also call Alliance Member Recipient Services at 800-510-9132 (Relay 711 or toll-free 800-735-2962, Option 1) Monday through Saturday, 7:00 a.m. to 6:00 p.m.

Yes, if you are on the Innovations waiver or TBI waiver, you will receive TCM. You can choose your current care coordinator as your TCM provider or choose a different TCM provider. You can call Alliance Member and Recipient Services at 800-510-9132 to choose a TCM provider or one will be assigned to you.