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Provider Alert: In Lieu of Service (ILOS) Update: Youth ACT Renamed to Child ACT

Issued: December 2, 2025

Effective Jan. 20, 2026, Partners Health Management will implement updates to the In Lieu of Service (ILOS) previously known as Youth Assertive Community Treatment Team (ACTT). The service will now be referred to as Child Assertive Community Treatment (ACT), and several revisions have been made to align with statewide standardization efforts across North Carolina LME/MCOs.

What is Happening?

Effective Jan. 20, 2026, the Youth ACTT service definition will be renamed Child ACT to align with statewide standardization efforts across North Carolina LME/MCOs. The following changes will apply:

Service Updates

  • Age range revised: 10–18 years (previously 12–18).
  • Expanded expected outcomes and technical wording updates throughout the definition.
  • The code change is subtle, and the codes appear very similar, so we ask that providers please review carefully and remain mindful when submitting claims.
  • Code Crosswalk:
Youth ACTT Current Code Child ACT New Code Effective Jan. 20, 2026
H0040 HA U5 H0040 U5 HA
H0040 HA U5 EN-Encounters H0040 U5 HA EN-Encounters

Where can providers find additional information?

The updated service definition will be available on the Partners Provider Knowledge Base website: Child ACT ILOS Definition

What do providers need to do?

  • Review the Child ACT service definition in detail.
  • Ensure codes are updated on provider contracts.
  • Update internal staffing, training, and supervision procedures to meet the new requirements.
  • Ensure compliance by Jan. 20, 2026.

Who should providers contact with questions?

For questions, providers may contact:

Updated: