Providers who are fully accredited by an accrediting body (CQI, COA, CARF, The Joint Commission) no longer require a “routine” monitoring. However, the every two-year post-payment review will continue. As a result of this change some items were added to the post-payment review for ALL agencies (accredited and non-accredited) and licensed independent practitioners. Get more information.
We want to make it easy for you to get the services or information you need.
You can call the Alliance Access and Information Center toll-free 24 hours a day.
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.
Confidential Fraud and Abuse Line:
You are encouraged to report matters involving Medicaid fraud and abuse. If you want to report fraud or abuse, you can remain anonymous. Learn more.
Alliance maintains community offices in Durham, Wake, Cumberland and Johnston counties. Addresses and directions to the Alliance offices.