LME/MCO Disengagement

On November 5, 2020, the Orange County Board of County Commissioners (BOCC) approved moving forward with disengaging from its current LME/MCO, to Alliance Health. North Carolina law authorizes and prescribes the process through which a county may disengage from one LME/MCO and realign with another. This Disengagement Plan is a description of Orange County’s realignment from Cardinal Innovations Healthcare (Cardinal) to Alliance Health. Alliance Health is a Local Management Entity/Managed Care Organization (LME/MCO), a local political subdivision of the state that currently manages mental health, traumatic brain injury, substance use and intellectual/developmental disability services for residents in Durham, Wake, Cumberland and Johnston counties. Members of the Alliance Health Plan are insured by Medicaid or are uninsured. 

Currently, our behavioral health services are managed by Cardinal. However, the BOCC has considered our preference for an LME/MCO, and we believe the most effective system for our citizens and community would connect Orange County with the other counties in the Research Triangle, namely Durham and Wake counties. Alliance Health shares Orange County’s goal and priority of ensuring a community network of basic human services and infrastructure that maintains, protects, and promotes the well-being of all county residents. It is in consideration of this goal that the Orange County BOCC chose to pursue a relationship with Alliance Health to manage its Medicaid, State, County and other publicly funded behavioral health services for our residents. Orange County is pursuing this relationship with Alliance with the intention of completing the transition prior to Alliance’s launch as a Tailored Plan (if awarded a contract) as part of North Carolina’s Medicaid Transformation. 

Our primary focus is to carry out this process with transparency, commitment to our community, and the involvement of those who will be impacted by the change. This plan outlines the process for Orange County’s disengagement from Cardinal and its realignment with Alliance. Alliance has committed to working collaboratively with Orange County, Cardinal, and other applicable stakeholders to ensure a smooth transition for those involved. Orange County has every confidence and expectation that Cardinal will work collaboratively and cooperatively throughout the transition process. 

  • Click here to read the entire plan.

Public Comment

Residents are encouraged to submit public comments for up to 60 days. Comments can be sent to countymanager@orangecountync.gov or submitted using our online form.
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