Access to Care, Member Enrollment and Eligibility

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) Hospital Inpatient Treatment Psychological Testing NC Innovations Level of Care NC Innovations Medical Assessment Psychological Testing Guidelines Partners recognizes the importance and value of psychological testing to address specific diagnostic questions necessary for an individual’s treatment that cannot be [...]
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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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