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 […]
Category: Access to Care and Utilization Management
At Partners, we think of ourselves as an MCO…a Member Care Organization™.
The system of care we manage is shaped by the choices of our members and their families and designed to meet the unique needs of each of the communities we serve.
Members who need care and support can reach Partners through our Access to Care department. ACCESS manages a 24-hour crisis line and enrolls members with Partners.
Partners’ Utilization Management department authorizes the delivery of medically necessary services for our members.
Partners State-funded Service Request & Waiting List Form
Link to the Partners State-funded Service Request & Waiting List Form
Access to Care, Member Eligibility and Enrollment
Utilization Management
The Utilization Management (UM) department ensures that individuals have equitable access to appropriate care across the Partners catchment area.
Hospitals Working with Partners
Partners works with a number of hospitals to provide inpatient services for enrollees. This section contains information for hospital providers.
Referrals to Specialty Treatment
Service Authorization Requests
Clinical Criteria Check Sheets
Clinical Criteria Check Sheets are used by Partners’ Utilization Management department to approve service authorization requests.