To: Wake Providers
From: Kelly Goodfellow, CFO
Alliance Behavioral Healthcare
Date: June 18, 2012
RE: Medicaid Pass Through Billing
A New Multi-County Area Authority Merging The Durham Center and Wake LME
As you know, The Durham Center and Wake LME will be merging on July 1 to form Alliance
Behavioral Healthcare. The Durham Center has been working with Wake LME to ensure
continued processing of Medicaid pass through claims for therapeutic foster care (S5145) and
provisionally-licensed services (H codes). The following changes have been put in place:
As of 7/1/12 date of service (DOS), all ValueOptions authorizations that currently exist
under Wake’s Medicaid Provider Number (MPN) 3404931 will be changed to be authorized
under The Durham Center (now Alliance Behavioral Healthcare) number MPN 3404922.
As Alliance is a divested agency and is ATYPICAL with the Division of Medical
Assistance (DMA), we do not have an NPI number. You can only use the MPN 3404922.
All future authorization requests must be under Alliance’s number.
Claims that contain a DOS prior to 7/1/12 must still be processed under Wake’s MPN
3404931. Alliance is in the process of moving the administrative handing of these claims but
that will not change the current authorization that is in place. It will only change the entity
that pays you, the provider.
Alliance is working with DMA and CSC, the entity contracted to do provider enrollment
with DMA, to change the MPN information for The Durham Center and Wake LME to
Alliance’s information. This would change the tax ID, address and name. This will affect
how you bill your claim. As soon as we can confirm that the change has been made we will
notify the providers.
The Durham Center is currently the authorizing entity for Wake CAP services. We will be doing
an internal change of all Wake CAP authorizations to The Durham Center/Alliance CAP MPN
3408293 as of DOS 7/1/12. The same changes stated above apply.
If you have any questions, please do not hesitate to contact me at (919) 651-8437 or at
Kelly Goodfellow, CFO
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