Current Service Needs

Providers are needed in the areas defined on this page. Providers are expected to meet all requirements. Interested providers who are enrolled in Partners’ Provider Network should complete the Provider Change Form. Interested providers who are NOT enrolled in Partners’ Provider Network and want to provide this service should submit the Request for Consideration Form. Please note that your [...]
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Identifying a Local Administrator

All providers in the Partners Health Management Provider Network must identify a Local Administrator for our provider portal, ProviderCONNECT. Your Local Administrator will serve as the point of contact with Partners for ProviderCONNECT, and will be responsible for setting up accounts for your staff who will need access to ProviderCONNECT. A Local Administrator form was [...]
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Transitioning to Alpha+

Partners utilizes Alpha+ for managed care operations. Self-Directed Training Alpha+ handbook with screenshots available for self-directed reference and training. This handbook will walk providers through the Alpha+ provider portal. http://providers.partnersbhm.org/wp-content/uploads/2016/07/Provider-Portal-Handbook.pdf Alpha+ Portal University: Training Guide provides general information, handbook and video tutorials. If you have not accessed Alpha+ yet, you can still gain some training [...]
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Benefits

Benefit GridsPre-Authorization Lookup Tool 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.  Behavioral Health Medicaid and State Benefit Grids (enable editing to use filters) Tailored Plan Physical Health Services that Require Prior Authorization Service [...]
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Provider Enrollment & Maintenance

In accordance with NC Department of Health and Human Services, Division of Health Benefits contract amendment #31 regarding credentialing of provider, Partners now accepts the provider enrollment information inside NCTracks for the purpose of enrolling and contracting with providers. Partners no longer requires initial credentialing or re-credentialing applications from providers including agencies, LIP’s and associated [...]
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Alpha+, Availity, ZixMail and Billing Setup

Alpha+ Partners uses Alpha+ for its Managed Care Operations. More details regarding Alpha+ are available in the Partners’ Provider Operations Manual and the links below. Access the Alpha+ Provider Portal Provider Portal Handbook Request Individual/Unique Alpha+ Logins Each staff member will need their unique Alpha+ Provider Portal login. To obtain an Alpha+ login or to [...]
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Provider Monitoring

Partners Health Management (Partners) is responsible for assuring the quality of services delivered by the Provider Network. Likewise, Partners is accountable to the Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMHDDSAS) and the Division of Health Benefits in the management of both state and Medicaid services. In addition to state requirements, Medicaid [...]
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Provider Contracting

The Contracts Unit handles all contracts with providers within the Partners’ Provider Network. Detailed information regarding various processes involving the departments is located in the Partners Provider Operations Manual.

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Provider Disputes

This provider dispute process is intended to be an informal reconsideration by Partners of its decision or action; however, Partners will allow providers to be represented by an attorney during the appeals process. Partners shall limit the issue on appeal in cases of suspension or withhold of provider payment to whether Partners had good cause [...]
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ACORN

Partners encourages its providers to use ACORN (A Collaborative Outcomes Resource Network) to measure consumer outcomes throughout treatment. What is ACORN? ACORN is a tool used in the evidence-based practice of “Outcomes Informed Care,” which consists of the routine use of consumer self-reporting, therapeutic alliance questionnaires and feedback to clinicians, for improved outcomes from the [...]
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