Issued: December 13, 2022
What is happening?
Beginning Jan. 9, 2023, Partners’ providers will use TruCare’s ProAuth platform for prior authorizations.
This means providers will no longer submit prior authorizations through Alpha+ effective at 5 p.m. on Jan. 6, 2023. They will begin submitting prior authorizations through ProAuth on Jan. 9, 2023.
Partners has posted on-demand webinar training for providers on TruCare’s ProAuth platform. Providers may register for and complete the training using this link: https://attendee.gotowebinar.com/register/5761252241289114201
When is this happening?
- ProAuth goes live on 9, 2023
- Training is available now and must be completed before 5 p.m. on Friday, Jan. 6, 2023.
Why is this happening?
As Partners moves toward operating a Tailored Plan, it is necessary to have a platform that incorporates behavioral and physical health authorization requests. ProAuth will allow Partners to support members’ integrated health needs.
What is the impact to providers?
Beginning Jan. 6 at 5 p.m., providers will no longer use Alpha+ to submit prior authorization requests. (Providers will continue to submit all behavioral health claims and State-funded claims through Alpha+).
Providers will access the ProAuth system through ProviderCONNECT, Partners’ secure provider portal as of Jan. 9, 2023 to submit prior authorizations.
What must providers do?
- Providers will need to complete ProAuth training.
- You can complete the training by:
Registering for and watching the on-demand webinar at: https://attendee.gotowebinar.com/register/5761252241289114201
*Please allow two hours for the training and be sure to complete the training prior to 5 p.m. on Jan. 6, 2023.
What if providers have open authorizations prior to Jan. 6, 2023?
If providers have open authorizations that were submitted to Alpha+ prior to 5 p.m. on Jan. 6, 2023, they will be completed in the Alpha+ system.
Providers with active authorizations that cross over this timeframe, no action is needed.
What if providers have questions?
Providers may submit questions via email at: ProAuth@PartnersBHM.org.
Providers may also call the Provider Support Line at 1-877-398-4145, Monday through Saturday, 7 a.m.-6 p.m.