New Provider Resources
Partners welcomes all of our new providers! Here are a few resources that may be helpful to you through the transition.
- Partners uses AlphaMCS for managed care operations. Providers new to the Partners’ network will need to be set up in AlphaMCS prior to submitting new authorizations or claims. Visit https://providers.partnersbhm.org/alphamcs-zixmail-sign/.
- To obtain an AlphaMCS login, please call Partners’ Information Technology Service Desk at 704-842-6431.
- AlphaMCS Self-Directed Training is available at https://providers.partnersbhm.org/transitioning-to-alphamcs/ and the AlphaMCS Portal University (http://www.alphacm.net/portaluniversity/).
- Have questions about claims? You may reach our Claims Department by emailing claimsdepartment@partnersbhm.org or call 704-842-6486.
- The Provider Orientation Packet and Operations Manual outline information about all operations. Visit https://providers.partnersbhm.org/orientation-packet-provider-operations-manual/ to access the packet and manual.
If you are not able to find a resource, as always, please reach out to your Provider Network Account Specialist, call 1-877-864-1454. option 4, option 1, or email us at pas@partnersbhm.org.
Update: Cardinal/Partners Service Crosswalk
Partners Utilization Management (UM) has updated the Cardinal/Partners Service Code Crosswalk previously announced in Provider Communication Bulletin #120. The Cardinal/Partners Service Code Crosswalk was developed to assist providers with the seamless transition of services for members in Cabarrus, Stanly and Union counties. We encourage providers to use the updated crosswalk as a resource when requesting Service Authorization Requests (SAR) and/or submitting claims to Partners as of Sept. 1, 2021.
The updated Service Code Crosswalk is available at https://providers.partnersbhm.org/cardinal-partners-service-code-crosswalk/ and accessible from the Quick Nav section on the Partners Provider Knowledge Base, https://providers.partnersbhm.org.
Service Update: T1019 U4 TS-Individual Supports-Community Only
T1019 U4 TS-Individual Supports–Community Only has been added to Partners service array effective Aug. 30, 2021. Providers who were already contracted to provide Individual Supports will have this additional code added to contracts with no action required by the provider. Providers offering Individual Supports entirely outside the home may use T1019 U4 TS and continue to submit claims for this service directly to Partners. This service code is excluded from EVV requirements. This code will follow the same authorization requirements as T1019 U4 Individual Supports.
Service Update: Research Based-Behavioral Health Treatment (RB-BHT)
The Partners Benefit Grid (https://providers.partnersbhm.org/benefit-grids/) has been updated for Research Based-Behavioral Health Treatment RB-BHT effective Sept. 1, 2021.
Service frequency guidelines for 97151, 97153, 97154, 97155, 97156 and 97157 have increased. 97153GT has been added for telehealth.
If you would like to add 97153GT to your contract, please submit the Provider Change Form (https://providers.partnersbhm.org/provider-enrollment-credentialing/) to the credentialing team at credentialingteam@partnersbhm.org or call 704-842-6483.
NC-SNAP Training
Provider agencies delivering intellectual and developmental disabilities (I/DD) services are responsible for the completion of the NC Support Needs Assessment Profile (NC-SNAP). Partners does not complete NC-SNAPs on behalf of provider agencies.
Provider agencies should have a certified NC-SNAP examiner on staff. If your agency does not have a certified NC-SNAP examiner on staff, Partners encourages you to work with other agencies to get NC-SNAPs completed annually as required.
Please refer to the Partners Provider Training Catalog for instructions on how to obtain NC-SNAP Certification training: https://www.partnerstraining.org/provider-training-catalog/
Reminders
- An NC-SNAP is required for individuals with intellectual and/or developmental disabilities receiving services funded by State funds (IPRS), (b)(3) or residing in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID) unless the member has completed a Supports Intensity Scale assessment.
- An NC-SNAP is valid for one year. Authorization periods must be covered by a valid NC-SNAP. A gap in NC-SNAP coverage dates could result in recoupment of claims.
- A NC-SNAP update must be completed if the member is transferred to another I/DD service provider, is discharged, or will no longer receive any I/DD services (including transitioning to non-I/DD services). An update is done by completing the NC-SNAP Summary Report and Supplemental Information form (cover page), marking the change in DD Support Status, and indicating the changes on the form.
- Providers must submit SNAPs for entry into the State NC-SNAP database AND upload to AlphaMCS to be in compliance.
- Completed NC-SNAPs and updates must be emailed to Laura Reisinger or faxed to 704-884-2690; Attention: Laura Reisinger and Roxann Revels.
- Completed NC-SNAPs (all pages) and NC-SNAP updates must be uploaded into the AlphaMCS Patient Maintenance Documents section.
If you have questions, please contact Laura Reisinger by email at lreisinger@partnersbhm.org, by phone at 704-884-2645, or fax to 704-884-2690.
Autism Services Learning Collaborative
Our next Autism Services Learning Collaborative will be held on Sept. 29,2021 at 11 a.m. Please register and send any questions or topics for discussion through at https://attendee.gotowebinar.com/register/1516617278565990669.
We ask that you please send at least one representative from your agency to attend the collaborative. Representation from our RB-BHT service providers will ensure success of this collaborative. We hope to see you there!
Providers can find additional training and collaborative opportunities at https://www.partnersbhm.org/event-calendar/.