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​NCDHHS Approves County’s Request to Realign with Alliance Health

Mecklenburg County, NC – The North Carolina Department of Health and Human Services (NCDHHS) has approved Mecklenburg County’s request to realign with Alliance Health as the Local Management Entity/Managed Care Organization (LME/MCO) for Mecklenburg County. Alliance will assume responsibility as LME/MCO for Mecklenburg County by Dec. 15, 2021, according to a timetable established by NCDHHS.
On June 1, 2021, the Mecklenburg Board of County Commissioners (BOCC) voted unanimously (with one abstention) to disengage from Cardinal Innovations Healthcare and realign with Alliance Health. This vote came after many years of efforts by Mecklenburg County staff and community stakeholders to address systemic issues related to Cardinal’s oversight of behavioral health services.
LME/MCOs manage behavioral health (including mental health and substance use disorder) and intellectual/developmental disability (I/DD) services for residents who are insured by Medicaid or who have no health insurance. Alliance currently manages these services for residents in Durham, Wake, Cumberland and Johnston counties. Orange County will also be transitioning from Cardinal to Alliance.
Alliance prioritizes a system of care approach to build on the strengths of individuals, forge community partnerships, improve access to services, and understand the story of the people and families it serves in a more complete way. 
“Mecklenburg County is excited to begin our new partnership with Alliance Health,” said Dena R. Diorio, Mecklenburg County Manager. “Alliance’s commitment to building a community-based system of care, expanding our provider network, and investing in the crisis-service continuum, aligns with Mecklenburg County’s goal of ensuring a strong publicly-funded behavioral health system for our residents. I also believe the partnership will create a greater sense of trust, transparency and collaboration between our community and our LME/MCO.”
“Alliance Health is excited about the opportunity to manage healthcare services and supports for residents of Mecklenburg County who are enrolled in Medicaid or uninsured,” said Lynne Nelson, Alliance Board Chair. “We look forward to developing the same strong community partnerships that Alliance fosters in our current counties. This collaboration is essential to addressing the many factors that impact the health and quality of life of our members and their families.”
It is the intent of both the County and Alliance to ensure a seamless transition and prevent any disruption in services for community members and providers. More information about this transition is available at and
For more information on Alliance Health contact Doug Fuller or visit

Media Contact: Tanisha Anderson, Public Information Specialist, 980-219-0495 or