Alliance Health is the managed care organization for public behavioral healthcare services in your local area. We assist our members to find apartments with property owners throughout Wake, Durham, Johnston, and Cumberland counties. Our team coordinates highly effective, community-based support to improve peoples’ health and well-being. We manage diverse partnerships with qualified local providers to help residents thrive in housing.


Alliance believes that access to decent, safe, affordable housing and caring supportive services provides critical stability for individuals and families. Working collaboratively with its public, private and nonprofit partners, Alliance is committed to a focus on effective, efficient solutions to increase quality, affordable housing capacity and options for persons with behavioral health issues.

We administer the Transition to Community Living Voucher as part of a statewide rental assistance program called the Transition to Community Living Initiative (TCLI). The voucher provides a rental subsidy to access quality affordable housing to members in our four-county region. Alliance members choose their own apartments and neighborhoods.

What is Transitions to Community Living (TCL)?

The Transitions to Community Living initiative has its roots in the 1999 Supreme Court ruling relating to Title II of the Americans with Disabilities Act (ADA), also known as the Olmstead decision, which prohibited the unjustified segregation of individuals with disabilities. The U.S. Department of Justice (DOJ) found many individuals with SPMI in North Carolina were living in adult care homes and state psychiatric facilities – living situations which violated the requirements under the Olmstead decision.

This means:

  • Individual choice is valued and supported
  • Individuals should be given the option to live in the least restrictive setting
  • An individuals community of choice should support integration and not limit access to neighborhood resources

Our role at Alliance is to inform eligible individuals about the opportunities available provided by the Olmstead Settlement Agreement between the state of North Carolina and the United States Department of Justice and initiate the transition process. A Transition Coordinator will then work them to identify and secure housing.

Alliance will help the individual will initial housing setup and move-in costs. Addtionally, ongoing rental assistance and continued tenancy support services will be provided. Alliance will assist the individual in finding and helping keep employment. Access to healthcare services will also be provided.

Referral Screening Verifcation Process (RSVP)

RSVP will replace ACH Pre-Admission Screening and Resident Review.

Under Medicaid clinical policy, all Medicaid beneficiaries who are referred to or seeking admission to Adult Care Homes licensed under NC General Statute (G.S.) 131D-2.4 must be screened through the Referral Screening Verification Process (RSVP) to determine whether the individual has SMI or SPMI. Adult Care Home providers licensed under G.S. 131D-2.4 will not receive prior approval to bill for State Plan Personal Care Services without verification of a referral screening ID.

LME/MCOs or their contracted entities will be responsible for completing the screening verification process. The referral will be sent to the LME/MCO’s for verification of whether an individual has an SMI or SPMI as well as verification of the individuals Medicaid/financial eligibility in order to determine eligibility for TCLI.

Our Work With Landlords

Alliance partners with landlords and property managers across the region to help ensure that sufficient housing is available for the individuals who participate in our housing programs. Learn more about risk mitigation measures we offer and other landlord resources.


Alliance Staff Contacts

Aimee Izawa
Adult Services Program Manager
(919) 651-8596

Alex Rubenstein
Housing Specialist/Landlord Contact
(919) 651-8628

Page last modified: September 25, 2020