North Carolina State Health Plan
Note: Topics to the left do not apply to State Health Plan. All links for additional State Health Plan information are identified below as you scroll down this page.
The ValueOptions North Carolina Service Center (NCSC) in Research Triangle Park has been part of the mental health and substance abuse services delivery system in North Carolina since 1992.
ValueOptions is a clinically focused company driven by the premise that delivering rather than denying care is the key to both optimal clinical outcomes and cost-effective care.
Since its inception, ValueOptions has provided utilization management services based on our belief that the most effective treatment is that which is appropriate to the needs of the person being served, easily accessible, provided by competent practitioners, and conducive to family involvement where possible. Treatment should be based upon best practices in the behavioral health care industry.
North Carolina Teachers' and State Employees' Comprehensive Major Medical Plan
(State Health Plan)
Beginning in August 1992, then Preferred Health Care, entered into an agreement with the State Health Plan to provide utilization review services for over 200,000 of the state's employees.Our employees manage admission and concurrent stays for all mental health and substance abuse admissions for inpatient, residential treatment centers, partial hospital programs, and intensive outpatient treatment (structured outpatient programs), and outpatient treatment for both mental health and substance abuse after the first 26 unmanaged visits each fiscal year (July 1 - June 30). Since that time ValueOptions has rebid on this contract and subsequently, in 1997, was awarded the contract for 8 years with 2 optional renewal years.
ValueOptions is moving to a new location. Effective February 26, 2007 the new fax numbers for the State Comprehensive Major Medical Plan (CMMP) and PPO are as follows:
- 919-379-9040 for ITR submissions
- 919-379-9045 for ORF submissions
Clinical Criteria |
Medical Policy |
Inpatient |
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Residential Treatment Centers |
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Partial Hospital Program |
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Intensive Outpatient Program |
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Outpatient Treatment |