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Provider Alert: COVID-19 Rates - Jan. 13, 2022

Provider Bulletin: Provider Communication Bulletin #124

Provider News(6)

Provider Webinars & Forums
Orientation Packet and Provider Operations Manual
Bulletins, Alerts, and Training
Request for Services
Community Behavioral Health Needs Analysis
Provider Council

Provider Tools(8)

Transitioning to AlphaMCS
Provider Credentialing and Enrollment
AlphaMCS, ZixMail and Billing Set Up
Cultural Competency
Provider Monitoring
Provider Contracting
Provider Disputes

Access to Care and Utilization Management(6)

Access to Care, Member Eligibility and Enrollment
Utilization Management
Hospitals Working with Partners
Referrals to Specialty Treatment
Service Authorization Requests
Clinical Criteria Check Sheets

Care Management(7)

Care Management Referral Form
Mental Health and Substance Use Disorders
Transitions to Community Living Initative
Intellectual and Developmental Disabilities
Registry of Unmet Needs
NC Innovations
Relative as Direct Support Employee

Finance, Claims and Billing(3)

Finance Documents and Forms
Claims and Rates Information
E-Verify

Clinical Tools(5)

Benefit Grids
Service Definitions
Clinical Practice Guidelines
EPSDT
Evidence-Based Practices

Quality Management and Corporate Compliance(7)

Quality Management and Global CQI
NC-TOPPS
Incident Reporting
Regulatory Compliance
Health Information Management
Program Integrity
Applicable Laws and Regulations for Regulatory Compliance

Additional Resources(8)

Electronic Visit Verification
Licensed Independent Practitioner Collaborative
IVC Designated Facilities
Consumer Relations, CFAC
File a Concern or Grievance
System of Care and Family Partners
Housing Resources

Quick Nav

Cardinal/Partners Service Code Crosswalk
State-funded Service Eligibility and Enrollment Information for providers serving members affected by County Realignment
Utilization Management Information for providers serving members affected by County Realignment
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AuntBertha
Pyx Health

Communication Bulletins

Provider Communication Bulletin #124
December 15, 2021 9:59 pm
Provider Communication Bulletin #123
November 17, 2021 8:40 pm
Provider Communication Bulletin #122
October 20, 2021 6:39 pm

Provider Alerts

Provider Alert: COVID-19 Rates
Partners Provider Alert: Time-Limited Rate Increases Extended
Provider Alert: Special Checkwrite Issued for December 8-13, 2021

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