Provider Alert: Partners Announces Rachel Porter as Deputy CEO

Issued: June 7, 2024 Partners Health Management has announced that Rachel Porter, Chief Administrative Officer, will assume the role of Deputy Chief Executive Officer, effective Aug. 1, 2024. Rachel brings over 25 years of experience in both public and private health care sectors to her new role as Deputy CEO for Partners. For the last [...]
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Provider Communication Bulletin #152

In This Bulletin: Medicaid Claims Processing Partners Announces New CEO Recipient Explanation of Medical Benefits Surveys Tailored Plan Launch Policy Flexibilities Member and Family Education Videos Provider Tobacco Free Campuses ProviderCONNECT Updates Claims Information State News and Updates Training Resource and Collaborative (TRAC) Community Training Additional Events and Training PDF Version > Medicaid Claims Processing [...]
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Provider Alert: Substance Use Withdrawal Management Services

Issued: May 14, 2024 The Department is delaying some Medicaid clinical coverage policies (CCP) and State-funded Service Definitions for Substance Use Withdrawal Management Services until further notice. The CCPs and services were scheduled to begin May 1, 2024, but are being delayed to allow health plans and service providers to align with coverage requirements and [...]
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Partners Announces New CEO

Issued: May 10, 2024 Partners Health Management has announced that Libby McCraw will assume the position of Chief Executive Officer, effective Aug. 1, 2024. McCraw, currently Partners Chief Operating Officer, will succeed Rhett Melton who has served as Partners’ CEO since 2012. Melton announced his retirement in April and will continue in his role as [...]
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Quality Management Update: Tailored Care Management Monitoring

Issued: May 6, 2024 On July 1, 2024, Partners Health Management will begin using a new state-wide Tailored Care Management monitoring tool. The tool was developed through a collaboration of the state’s four LME/MCOs (Alliance, Partners, Trillium and Vaya), the National Committee for Quality Assurance (NCQA) and the North Carolina Department of Health and Human [...]
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Provider Alert: Issue with Electronic Visit Verification

Issued: May 2, 2024 Partners Health Management has identified an issue with Electronic Visit Verification (EVV) 837 claim files being rejected and authorizations unable to load to the HHAeXchange homecare management software used for the EVV system. What is happening? Partners has identified an issue with EVV 837 claim files being rejected and authorizations unable [...]
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Provider Alert: Utilization Management Update: State-funded Withdrawal Management Services

Issued: April 29, 2024 Beginning May 1, 2024, Partners Health Management will add several State-funded substance use withdrawal management services to its behavioral health benefit array. What is happening? Effective May 1, 2024, Partners will add the following State-funded substance use withdrawal management services to its behavioral health benefit array: Ambulatory Withdrawal Management without Extended [...]
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Provider Communication Bulletin #151

In This Bulletin: Medicaid Claims Processing 15% Retro Rate Increase to State Funds Current Service Providers Needed Primary Care Provider Choice Period Update NC Medicaid Managed Care Retroactive Disenrollments Eligibility Requirements for Trauma-Focused Cognitive Behavioral Therapy High Fidelity Wraparound (HFW) Update PartnersACCESS Provider Services Line for Tailored Plan Launch ProviderCONNECT Updates Introducing the NC-TOPPS Corner [...]
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Provider Alert: Rate Increase for State Funded Claims

Issued: April 19, 2024 Partners Health Management is implementing a 15% rate increase for providers with approved State Funded claims. The increase is for claims that were approved and paid for dates of service from July 1, 2023-December 31, 2023. The increase will be through an invoice process described below.  What is happening? Partners is [...]
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