Whole Person Integrated Care

What Providers Need to Know Integrating various types of health care—specifically physical and behavioral health care–has been examined for many years.  So, how is Whole Person Integrated Care, or WPIC, different from the current integrated care model? Whole Person Integrated Care (WPIC) is a new model that expands the concept of integrated care beyond the health [...]
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Benefit Grids

The following Benefit Grids outline service codes, service limits, level of care and documentation requirements needed for service authorization requests (SARs). They also outline requirements for unmanaged services. This page was updated on October 15, 2019.  Medicaid Benefit Grids Medicaid Adult Mental Health/Substance Use Services Benefit Grid Medicaid Child Mental Health/Substance Use Services Benefit Grid [...]
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Service Definitions

The official posting of mental health, substance use disorder, and intellectual and developmental disability service definitions are found within the various clinical coverage policies published by the NC Division of Medical Assistance.  These definitions are located on DMA’s Clinical Coverage Policy web page, which includes, but is not limited to, the following clinical coverage policies:

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CANS Training

Partners has chosen the Child and Adolescent Needs and Strengths (CANS) tool to be used by our providers and staff. Full implementation of the use of the CANS early childhood assessment tool began on May 1, 2016.

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Clinical Practice Guidelines

Partners has adopted Clinical Practice Guidelines from the American Psychiatric Association and the American Academy of Child and Adolescent Psychiatry.  Providers are responsible for following the Clinical Practice Guidelines adopted by Partners.

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EPSDT

Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) is a federal Medicaid requirement. The NC Division of Medical Assistance (DMA) is required to cover services, products, or procedures for Medicaid beneficiaries under 21 years of age if the service is medically necessary health care to correct or […]

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Evidence-Based Practices

Evidence-Based Practices are interventions, treatments, and programs that have proved effective in producing specific positive outcomes. These methods have been studied and are confirmed to produce positive changes in individuals.

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