Access to Care, Member Eligibility and Enrollment

Access to Care Partners’ Access to Care Department 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 an Access to Care representative. […]

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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

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 substantiated in the request for authorization.

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