Provider News Archives - Partners Health Management

Provider Alert: Invoices for Non-UCR Federal and State Allocations Due June 5

Issued: June 2, 2023 This is a reminder that invoices for Non-UCR Federal and State Allocations are due Monday, June 5. What is happening? Providers must submit invoices for all State Funded Reimbursement through the invoice process by the following dates: Invoices for State Allocations are due by Monday, June 5 Invoices for Federal Allocations [...]

Provider Alert: Change in How Providers Access ProAuth

Issued: June 1, 2023 Partners has upgraded how providers access the ProAuth platform to submit prior authorization requests. ProAuth can now be accessed under Quick Links in ProviderCONNECT. The direct link to ProAuth makes it easier to submit authorization requests and reduces the risk that a provider could inadvertently access information for members they do […]

Provider Communication Bulletin #140

In This Bulletin: Nasal Spray Narcan® Kits Available for Our Providers WS/FCS Seeks Mental Health Service Providers Program Integrity’s Role in Healthcare Claims Information UM Updates State News and Updates Training Resource and Collaborative (TRAC) Community Training Additional Events and Training PDF Version > Nasal Spray Narcan® Kits Available for Our Providers Partners has a [...]

Provider Communication Bulletin #139

In This Bulletin: Quality Management Updates for Nursing Delegations, DSPs New ProAuth Demonstration Video Available On-Demand Updates to Partners’ Prior Authorization Process Claims Information UM Updates State News and Updates Training Resource and Collaborative (TRAC) Community Training Additional Events and Training PDF Version > Quality Management Updates for Nursing Delegations, DSPs Nursing Delegation Quarterly Reviews [...]

Provider Alert: ILOS Changes – Updated April 6, 2023

Issued: April 6, 2023 Effective April 1, 2023, Partners Health Management’s In Lieu of Service (ILOS) were transitioned to the NC Medicaid Direct health plan or discontinued. As previously noted in a provider alert on February 23 and a follow up on April 5, Partners received communication from the N.C. Department of Health and Human [...]

Provider Alert: ILOS Changes Effective April 1, 2023

Issued: April 5, 2023 Effective April 1, 2023, Partners Health Management’s In Lieu of Service (ILOS) were discontinued or transitioned to Partners’ Behavioral Health I/DD Tailored Plan (Tailored Plan) and/or NC Medicaid Direct. What is happening? Partners In Lieu of Services were discontinued or transitioned to the Tailored Plan and/or NC Medicaid Direct. When is [...]

Provider Alert: Partners to Hold Virtual Session on ProAuth

Issued: April 4, 2023 What is happening? Partners will hold a virtual meeting on Thursday, April 6, from 10:30 a.m. to noon to answer providers’ questions about our new system for authorizations, ProAuth. When is this happening? Date: Thursday, April 6, 2023 Time: 10:30 a.m. to noon Why is this happening? Partners launched its ProAuth platform [...]

Provider Alert: NC Medicaid Direct Launched April 1, 2023

Issued: April 3, 2023 Effective April 1, 2023, Partners began operating a NC Medicaid Direct Health Plan. NC Medicaid Direct is North Carolina’s health care program for Medicaid beneficiaries who are not enrolled in a Standard or Tailored plan. NC Medicaid Direct includes care management by Community Care of North Carolina (CCNC) for physical health [...]

Provider Alert: (b)(3) Deinstitutionalization Services Moving to NC Innovations Waiver

Issued: March 31, 2023 What is happening: The Centers for Medicare & Medicaid Services (CMS) has approved an amendment to the NC Innovations Waiver to add additional waiver slots to transition the 1915 (b)(3) Deinstitutionalization services (NC Innovations-look alike services) into the NC Innovations Waiver effective April 1, 2023. How is this impacting members? Members [...]

Provider Alert: Updates to Partners’ Prior Authorization Process

Issued: March 30, 2023 Effective April 1, 2023, Partners Medicaid benefit plan will transition to NC Medicaid Direct. The Tailored Plan eligibility start date has changed to October 1, 2023. What is happening: Partners is authorizing service dates only through the end of the current NC Medicaid Direct eligibility period, September 30, 2023. When is this happening: The [...]