A provider publication issued on August 1, 2017 detailed services that could NOT be covered should a consumer have a certain type of Medicaid coverage. Alliance is opening State services back up for one of the populations. The original memo stated that consumers with MAFDN, Medicaid Family Planning, and MQBBN/MQBEN/MQBQN, Qualified Medicare Beneficiary, in which Medicaid only pays for the Part B premium only, would NOT be covered by State services. Effective immediately, State services will be covered for individuals with MAFDN Medicaid coverage. This is in effect from October 17, 2017 forward. Retro-authorizations will not be granted. MQBBN/MQBEN/MQBQN, Qualified Medicare Beneficiary, in which Medicaid only pays for the Part B premium only, is still NOT eligible for State funds.
Access and Information Center:
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.