Alliance Health covers seven counties in North Carolina: Cumberland, Durham, Harnett, Johnston, Mecklenburg, Orange, and Wake.1NC DHHS. LME/MCO Directory2Alliance Health. About Alliance Health3NC DHHS Medicaid. Tailored Plans
The Seven Counties in Alliance’s Service Area
The counties span central and eastern North Carolina and include several of the state’s largest population centers.
- Cumberland County — Fayetteville and Fort Liberty. One of Alliance’s original service counties.
- Durham County — Durham and the surrounding area.
- Johnston County — Southeast of Raleigh.
- Wake County — Raleigh and the surrounding area. Alliance is headquartered in Morrisville.
- Mecklenburg County — Charlotte and the surrounding area. Mecklenburg transitioned to Alliance on December 1, 2021.4Alliance Health. County Realignment Update Transition Date Moved Up
- Orange County — Chapel Hill and Hillsborough. Orange also transitioned to Alliance on December 1, 2021.4Alliance Health. County Realignment Update Transition Date Moved Up
- Harnett County — The most recent addition, realigned from the former Sandhills Center effective February 1, 2024, when the state consolidated its behavioral health management entities from seven organizations down to four.5NC DHHS Medicaid. LME/MCO Consolidation Overview and FAQs for Providers
Assignment is automatic. A Medicaid recipient’s Tailored Plan is determined by the county that administers their Medicaid benefits, so someone enrolled through any of these seven counties is assigned to Alliance Health.3NC DHHS Medicaid. Tailored Plans Alliance is responsible for roughly 137,000 Medicaid-eligible individuals across the seven-county footprint.6PR Newswire. Alliance Health and Cityblock Partner to Bring Innovative Comprehensive Care to Tailored Plan Beneficiaries in North Carolina
Who Alliance Covers in Those Counties
Coverage falls into three groups. Tailored Plan members are Medicaid recipients who meet health criteria for complex needs. State-funded recipients are uninsured or underinsured residents who need behavioral health or disability services. Medicaid Direct beneficiaries receive behavioral health or disability-related care outside the Tailored Plan.7Alliance Health. Alliance Health Homepage
For the Tailored Plan, eligibility is driven by medical need rather than income. A person must be enrolled in NC Medicaid, and the state reviews whether they meet criteria that include serious mental illness, severe substance use disorders, intellectual or developmental disabilities, or traumatic brain injuries.3NC DHHS Medicaid. Tailored Plans Some populations are required to enroll in a Tailored Plan and cannot stay on a Standard Plan:8NC Medicaid Plans. Tailored Plan Services
- People receiving NC Innovations Waiver services
- People receiving Traumatic Brain Injury Waiver services
- People living in an Intermediate Care Facility for Individuals with Intellectual Disabilities
- People enrolled in the Transitions to Community Living program
- People receiving state-funded (non-Medicaid) behavioral health or disability services
Eligible individuals receive a letter from Alliance in the mail. Anyone who thinks they qualify can also submit a request through their provider or call the NC Medicaid Enrollment Broker at 1-833-870-5500.3NC DHHS Medicaid. Tailored Plans
What Coverage Includes
Tailored Plan members get integrated coverage combining physical health, prescription drugs, behavioral health, and specialized services in one plan. Several categories are available only through Tailored Plans:8NC Medicaid Plans. Tailored Plan Services
- NC Innovations Waiver and TBI Waiver services, which fund home and community-based supports. Alliance has expanded TBI Waiver coverage to Harnett County.9Alliance Health. Traumatic Brain Injury (TBI) Waiver Services
- Inpatient and outpatient behavioral health treatment, assertive community treatment, community support teams, multi-systemic therapy, psychiatric residential treatment, and psychosocial rehabilitation.
- Substance use treatment at varying intensity levels, opioid treatment programs, and withdrawal management.10Alliance Health. Clinical Coverage Policies
- I/DD and TBI supports, including 1915(i) home and community-based services such as supported employment, respite, and community living support.
- A Tailored Care Manager assigned to each member for scheduling, transportation, and coordinating care across providers.
- Free non-emergency medical transportation to Medicaid appointments.
Alliance also offers value-added services for eligible Medicaid members, including specialized health camps, GED and literacy classes, tobacco cessation help, and home supports like portable air conditioning units and HEPA filter vacuums.11Alliance Health. Tailored Plan Members
Finding a Provider or Getting Help
Residents in any of the seven counties can search for in-network providers through Alliance’s online directory, which filters by plan type, specialty, distance, language, and whether the provider is accepting new referrals.12Alliance Health. Provider Directory Search The directory distinguishes between services open to all members and those limited to Tailored Plan enrollees, such as physical health, pharmacy, vision, and durable medical equipment.13Alliance Health. Provider Directory
If you’re unsure of your plan type or the kind of provider you need, call Member and Recipient Services at 800-510-9132, Monday through Saturday from 7 a.m. to 6 p.m.13Alliance Health. Provider Directory
Crisis Support Across the Service Area
Alliance runs a 24/7 Behavioral Health Crisis Line at 877-223-4617 for anyone experiencing emotional distress or a mental health emergency.14Alliance Health. Emergency and Disaster Information For a life-threatening emergency, call 911.
Behavioral Health Urgent Care centers in the service area let people walk in for crisis care without going to a hospital emergency room:15Alliance Health. Crisis Services
- Wake Behavioral Health Urgent Care Center in Raleigh
- Durham Behavioral Health Urgent Care Center in Durham
- Smith Family Behavioral Health Urgent Care Center in Charlotte
- The Hope Center for Youth and Family Crisis in Fuquay-Varina (children and adolescents)
- Good Hope Hospital BHUC in Erwin (Harnett County), which opened in February 2025 through a partnership among Alliance Health, Daymark Recovery Services, Good Hope Hospital, and Harnett County government16Daymark Recovery Services. New Behavioral Health Urgent Care Now Open in Harnett County
Not the Same as Other “Alliance” Health Programs
Several unrelated organizations use the name Alliance. The Central California Alliance for Health is a Medi-Cal managed care plan covering five California counties.17Central California Alliance for Health. The Alliance Health Homepage Alliant Health Plans is a Georgia-based insurer offering individual and group coverage in Georgia and Tennessee.18Alliant Health Plans. About Us The DC Health Care Alliance is a locally funded program in the District of Columbia for uninsured adults who do not qualify for Medicaid.19DC DHCF. DC Health Care Alliance for Adults None of these are connected to Alliance Health in North Carolina.