Universal Child Residential Placement Application

Building on the ongoing successes of the NC Child and Family Improvement Initiative, and with stakeholder feedback from a sample of residential providers, the LME/MCOs have created a standardized, statewide referral form (some providers may call it an application) for use by all Residential Providers and Therapeutic Foster Care (TFC) providers who contract with them. This […]

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Access to Care, Member Eligibility and Enrollment

PartnersACCESS PartnersACCESS is responsible for a 24-hour, seven days a week, 365-day-a-year behavioral health screening, triage, and referral service for citizens needing mental health, substance use, or intellectual and developmental disability services. All calls are answered live, in real-time, by a PartnersACCESS representative. Please note: The HOPE line is dedicated to assisting members in need [...]
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Utilization Management

The Utilization Management (UM) department ensures that individuals have equitable access to appropriate care across the Partners catchment area.

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Referrals to Specialty Treatment

Partners’ Utilization Management Department has separate referral processes for: Alcohol and Drug Abuse Treatment Centers (ADATC) Electro Convulsant Therapy (ECT) Hospital Inpatient Treatment Psychological Testing NC Innovations Level of Care NC Innovations Medical Assessment Alcohol and Drug Abuse Treatment Centers (ADATC) Partners’ Utilization Management has a referral process and forms for Alcohol and Drug Abuse [...]
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Service Authorization Requests

There are times when you may need to submit a SAR and ProAuth is not operational. During those times only, providers may use the Manual Service Authorization Form. Partners’ Utilization Management (UM) department’s function is to make authorization decisions by conducting initial, continuing care and retrospective reviews of services based on whether medical necessity is [...]
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