Provider Communication Bulletin #149

In This Bulletin: Relative as Direct Support Employee (RADSE Update) Weekly State-Funded Services Waitlist Submission Requirement NC-TOPPS Information Claims Information Utilization Management Updates State News and Updates Training Resource and Collaborative (TRAC) Community Training Additional Events and Training Issued: February 16, 2024 PDF Version > Relative as Direct Support Employee (RADSE) Update As a result [...]
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Provider Alert: Attention Davidson County Providers: Rate Information

Issued: February 5, 2024 Partners Health Management will continue to pay claims for Davidson County members at the rate previously paid by Sandhills Center to ensure care continuity for members and provider stability. Beginning on Feb. 1, 2024, services for Partners’ new Davidson County members will be reimbursed at historical Sandhills Center rates. What is [...]
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Provider Alert: Using NPI to Bill for RB-BHT Services

Issued: January 29, 2024 NC Licensed Behavior Analysts are now able to use their NPI to bill as a licensed clinician for Research Based Behavioral Health Treatment (RB-BHT) 97151 or 97151GT once their NPI is loaded in NCTracks and the provider’s contract is updated.    What is happening?  NC Licensed Behavior Analysts can use their NPI [...]
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Provider Communication Bulletin #148

In This Bulletin: Davidson County Realignment Welcome Event NC IDD Health ECHO™ for Primary Care Providers Cleveland County Accepting Nominations for Governor's 2023 Volunteer Service Awards Unlicensed Alternative Family Living Home Provider Attestation Medicaid Proposed Clinical Coverage Policies Open for Public Comment Request for Applications: Bipartisan Safer Communities Act Claims Information Utilization Management Updates State [...]
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Provider Alert: Claims Information Not Downloading

Issued: January 11, 2024 Partners Health Management is aware providers are not receiving claims adjudication information in your download que. We are working to resolve this issue as soon as possible.   What is happening? Claims adjudication information is not downloading to the providers’ download que.   What do providers need to do? Providers do [...]
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Provider Alert: Innovations Direct Care Workers Rate Increase Communication

Issued: January 2, 2024 The NC General Assembly appropriated $176 million in state and federal recurring funding in the Current Operations Appropriations Act of 2023 (SL 2023-134, Section 9E.15) to raise NC Medicaid Innovations waiver services rates so that Innovations services providers can in turn raise the hourly wages of their Direct Care Workers (DCW). [...]
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Provider Communication Bulletin #147

In This Bulletin: Holiday Office Closures Davidson County Realignment Information Partners Recognized as a Healthy People 2030 Champion NC Innovations Waiver Appendix K Unwinding Update: December 2023 Updating NC-TOPPS Superuser Information New Weekly State-Funded Services Waitlist Submissions Form NC Innovations Waiver Terminations Update Claims Information Utilization Management Updates Partners Seeking Advisory Committee Members State News [...]
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