Issued: April 6, 2023
Effective April 1, 2023, Partners Health Management’s In Lieu of Service (ILOS) were transitioned to the NC Medicaid Direct health plan or discontinued.
As previously noted in a provider alert on February 23 and a follow up on April 5, Partners received communication from the N.C. Department of Health and Human Services (NCDHHS) regarding the changes below to allow for consistency across plans.
What is happening?
On April 1, 2023, Partners In Lieu of Services were transitioned to NC Medicaid Direct or discontinued.
When is this happening?
It was effective April 1, 2023.
What do providers need to do?
Providers will need to review the crosswalk by clicking here to see which services were transitioned or discontinued. (Be sure to review the crosswalk dated April 6, 2023, as additional edits have been made.)
Providers who provide ILOS that are sunsetting March 31, 2023, must work with the treatment team to determine a plan to transition the member to the most appropriate service effective April 1, 2023.
What if providers have questions?
If you have authorization-related questions, contact Utilization Management at UMQuestions@PartnersBHM.org.
If you have provider-related questions, contact Provider Network at PAS@PartnersBHM.org.