Partners Health Management - Provider Knowledge Base - Partners Provider Knowledge Base

NC Medicaid Direct is Live Today, April 1, 2023

Training Resource and Collaborative
Partners Website
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Frequently Asked Questions

Training Resource and Collaborative
Partners Website
Calendar
Contact
Frequently Asked Questions

Provider Alert: (b)(3) Deinstitutionalization Services Moving to NC Innovations Waiver - March 31, 2023

Provider Communication Bulletin #138 - March 16, 2023

Access to Care and Utilization Management(8)

Universal Child Residential Placement Application
Partners State-funded Service Request & Waiting List Form
Access to Care, Member Eligibility and Enrollment
Utilization Management
Hospitals Working with Partners
Referrals to Specialty Treatment
Service Authorization Requests

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

Tailored Plan(4)

Resources & Training for Tailored Plan Tobacco Free Initiative
Tailored Plan Good Faith Contracting Efforts Policy
Partners’ Medicaid Provider Contract Templates
Partners Health Management Area Authority/BH/IDD Tailored Plan Contract

Provider News(20)

Provider Alert: (b)(3) Deinstitutionalization Services Moving to NC Innovations Waiver
Provider Alert: Updates to Partners’ Prior Authorization Process
Provider Alert: Claims Information Related to NC Medicaid Direct Launch on April 1
Provider Alert: Partners Implementing NC Medicaid Direct Flexibilities
Provider Alert: Clarification of Prior Authorization for Medicaid and State-funded Psychosocial Rehabilitation
Provider Alert: ProviderCONNECT and MemberCONNECT are Back Online
Provider Alert: ProviderCONNECT and MemberCONNECT Experiencing Outages

Provider Tools(9)

Identifying a Local Administrator
Transitioning to Alpha+
Provider Enrollment & Maintenance
Alpha+, ZixMail and Billing Set Up
Cultural Competency
Provider Monitoring
Provider Contracting

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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Provider Network Contacts
Provider Operations Manual
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Partners NC Systems of Care Expansion
Communication Bulletins Archive
Alerts Archive
AuntBertha
Pyx Health

Communication Bulletins

Provider Communication Bulletin #138
March 16, 2023 3:24 pm
Provider Communication Bulletin #137
January 19, 2023 4:11 pm
Provider Communication Bulletin #136
December 15, 2022 3:43 pm

Provider Alerts

Provider Alert: (b)(3) Deinstitutionalization Services Moving to NC Innovations Waiver
Provider Alert: Updates to Partners’ Prior Authorization Process
Provider Alert: Claims Information Related to NC Medicaid Direct Launch on April 1

Accreditation

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Frequently Asked Questions

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