Alliance Health

Alliance Health, a local government-owned managed care organization based in Morrisville, North Carolina, operates as a federal grant recipient focused on behavioral health, housing, and social services for vulnerable populations. The organization receives 87% of its federal funding through sub-grants from state intermediaries — primarily the North Carolina Department of Health and Human Services — rather than as a direct prime grantee, and holds direct HUD Continuum of Care Program awards ($271,255 in August 2026, extending through July 2027) for permanent supportive housing, rapid rehousing, transitional housing, and homeless management information systems.

Alliance Health's federal footprint is dominated by SAMHSA (Substance Abuse and Mental Health Services Administration) pass-through funding from North Carolina DHHS. The top three customer funding sources by award count account for 96% of recent awards: SAMHSA awards (41 and 40 awards in two separate roll-ups, reflecting multiple sub-grant tranches), followed by 23 additional SAMHSA awards, and 15 HUD Continuum of Care Program awards through the Assistant Secretary for Community Planning and Development. Three awards flow through the Centers for Medicare and Medicaid Services. Alliance Health also receives sub-grant allocations through the North Carolina Department of Health and Human Services under Mental Health Block Grant (MHBG), Substance Use Prevention, Treatment and Recovery Services Block Grant (SUPTRS and variants including SUBG and ARPA supplements), State Opioid Response (SOR) funds, Promoting Integration of Primary and Behavioral Healthcare (PIPBHC) grants, and other SAMHSA initiatives addressing substance use disorder, opioid overdose prevention, and transition-age youth mental health.

Representative recent work includes $271,255 in direct HUD Continuum of Care funding (August 2026), structured as a project grant supporting housing assistance and homelessness services through July 31, 2027; $161,632 in HUD COC project grants (December 2024 and October 2023 cycles); and numerous one-time sub-grant allocations from North Carolina DHHS for high-fidelity wraparound services for children and youth, naloxone distribution and opioid overdose prevention, clinical assessment and problem sexual behavior treatment, forensic assertive community treatment teams, community-based capacity restoration programming, substance use disorder treatment and recovery services, and first-episode psychosis intervention pilots. Alliance Health also functions as a sub-recipient administering pass-through funding to contracted behavioral health providers including Pat's Place Child Advocacy Center, Wake Encompass, Insight Human Services, Anuvia Prevention and Recovery Center, and the Center for Child and Family Health.

Activity has scaled substantially — from three awards in 2022 to 45 in 2024 — with 31 awards in 2025 and 14 through August 2026. The portfolio spans 127 total awards (prime and sub combined) obligating $87.6 million across the period. Only one award reaches ultimate completion inside the next twenty-four months, presenting minimal recompete exposure in the near term. The vendor profile reflects a regional managed care and social services delivery role anchored to state Medicaid and behavioral health block-grant administration rather than federal contracting competition; approximately 87% of the federal footprint routes through state intermediaries, positioning Alliance Health as an operational arm of North Carolina's behavioral health and housing services infrastructure rather than a direct federal contractor.