NC Medicaid Direct Launched April 1, 2023
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Partners Health Management – Provider Knowledge Base
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COVID-19 Provider Forms

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  • COVID-19 Provider Forms
  • Partners has developed various forms to providers to use to communicate information regarding COVID-19 operations.

    • COVID-19 Related Appendix K Reporting Form (.docx)
    • Service Stability Funding Request (web form) (This form replaces the Request for Exceptional Funding)
    • Temporary Service Disruption Form (.docx)
    • Retainer Payment Submission Form (.xlsx) (updated November 3, 2022)
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    • Frequently Asked Questions
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