In Lieu of Services Crosswalk Charts – updated April 6, 2023

Updated: April 6, 2023 Please reference the tables below for changes. Services with no changes for Tailored Plan effective October 1, 2023, or NC Medicaid Direct effective April 1, 2023 (Nothing needed from provider – no code changes) Current in Lieu of Service (ILOS) Name and Code Tailored Plan ILOS effective October 1, 2023 NC [...]
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(b)(3)DI to NC Innovations Waiver Service Code Crosswalk

(b)(3)DI Codes NC Innovations Codes H2011 U4 HI – (B3) IDD – Crisis Services – Primary Response H2011 HI – MOBILE CRISIS MANAGEMENT Innovations Rate H2015HQU4 (B3) Community Networking – Group H2015HQ Community Networking – Group H2015U1U4 (B3) Community Networking – Class and Conference H2015U1 – CN Class &Conference H2015U2U4 (B3) Community Networking – Transportation […]

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Provider Alert: Cutoff Extended for Nov. 15 Checkwrite

Issued: November 8, 2022 Partners will extend the Nov. 15, 2022, checkwrite. The new processing cutoff date will be Nov. 10, 2022 for both State and Medicaid claims. The Nov. 15 checkwrite will include claims processed from Nov. 2 through Nov. 10, 2022. If you have questions, please contact the Claims department by calling 704-842-6486 or emailing claimsdepartment@partnersbhm.org.
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Provider Communication Bulletin #134

In This Bulletin: RFP #1022-001 NC Medicaid Children and Youth Services (Cabarrus County) – TiCCA Providers Must Identify Local Administrator for Partners’ ProviderCONNECT Launch COVID-19 Boosters Available for 12 and Older Claims Information Clarification to July 6, 2022, Alert – Utilization Management COVID-19 Flexibilities Update State News and Updates Training Resource and Collaborative (TRAC) Community [...]
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Provider Alert: Member Eligibility Not Loading Properly in Alpha+

Issued: October 11, 2022 Partners has identified an issue with member eligibility not loading correctly in Alpha+. Not all members are impacted. The eligibility should be corrected Wednesday night. We will extend the check write cutoff until 5 p.m. on Thursday, Oct. 13, 2022, to allow additional time for claims submissions.
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Provider Alert: Tailored Plan Implementation Delayed Until April 1, 2023

Issued: September 29, 2022 What is happening? The North Carolina Department of Health and Human Services (NCDHHS) is delaying implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/ Developmental Disabilities Tailored Plans (Tailored Plans) until April 1, 2023. The decision is unanimously supported by the leadership of the state’s six LME/MCOs. The delayed [...]
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