Request for Services: Residential Services-Complex Needs 

Partners Health Management (Partners) is seeking to identify organizations interested in and qualified to become enrolled/are enrolled as approved network providers through Partners credentialing process to offer residential services for patients with complex needs. 

Residential ServicesComplex Needs is a short-term residential treatment service focused on members with primary intellectual disabilities/developmental disabilities (I/DD) with co-occurring mental health diagnoses or significant behavioral challenges. The members being served through Residential Services – Complex Needs will benefit most by a multi-disciplinary approach with staff who are trained to treat I/DD, mental health and severe behaviors. 

This service is available to children and adults, ages 10 and older diagnosed with I/DD and co-occurring mental health diagnosis(es). 

Residential Services – Complex Needs will be delivered by practitioners employed by mental health or substance abuse provider organizations that:  

  • Meet the provider qualification policies, procedures, and standards established by NC Medicaid;  
  • Meet the provider qualification policies, procedures, and standards established by the Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMHDDSAS); and  
  • Fulfill the requirements of 10A NCAC 27G. 

At a minimum, providers are required to have access to qualified professionals, licensed clinical staff, psychologists and medication prescribers within their own agencies. Based on the member’s individual needs, other services (such as Nursing Services, Occupational Therapy and Physical Therapy) also may be utilized as adjuncts to treatment. 

Please refer to the Partners Residential Complex Needs In Lieu of Service Definition, available at for all treatment elements, core concepts, criteria and requirements that are to be met. 

If your agency is currently contracted with Partners and would like to be considered for provision of this service, please complete the Provider Change Form located at and submit to your account specialist, or 

Registration of Interest #1020-001: NC Medicaid Children and Youth Services, Burke and Rutherford Counties

This Registration of Interest will be used to identify appropriately qualified organizations providing will be used to identify any MH/SU Providers interested in and qualified to participate in trauma initiatives in Burke and Rutherford counties. Partners is specifically seeking mental health provider agencies and/or Department of Social Services agencies with clinical teams willing to have their clinical staff (up to five clinicians and one clinical team lead) trained and certified, as well as, maintain certification in order to participate in the project. Certification is awarded by Benchmarks after the designated clinical team leader and clinical team complete the required three-day training and demonstrate competence in the required modalities. Each clinical team will be trained in the use of the assessment, the impact of trauma, how to utilize the standardized measures and the Trauma-intensive Comprehensive Clinical Assessment (TiCCA) template. Clinicians that demonstrate proficiency through North Carolina’s Child Treatment Program (NC CTP) rostering or through their professional license will be exempt from some aspects of clinical training. Clinical team leaders will receive additional training in facilitative administration including operational components. Completion of the training, in addition to ongoing fidelity monitoring, will deem a clinician as certified.

Please refer to the Submission Information for the complete ROI and associated forms.

Responses to Registration of Interest #1020-001 Due December 31, 2020 by 5:00 PM

Please note that issuance of an ROI, RFI or RFP does not guarantee a financial award, nor does it indicate a commitment on the part of the issuer to pursue further contractual relationship.

Please follow the directions below in order to successfully submit your ROI:

Request for Proposals #1120-001: NC Medicaid Residential Service for Children (ages 9-12) with Complex Needs

Partners is initiating a Request for Proposals (RFP) to identify current network providers interested in and qualified to provide NC Medicaid Residential Services for Children (Ages 9-21) with Complex Needs in accordance with the guidelines below:

A. One (4 bed) .5600 B Licensed Group Home:

  1. This group home would be co-ed and serve children, ages 9-21, with dual diagnoses of intellectual/developmental disabilities (I/DD) and mental health (MH) or substance use disorder (SUD). Diagnosis can include Autism Spectrum Disorder (ASD). Clinical Coverage Policy 8-D2 would be followed. Funding sources include regular Medicaid B under an In-Lieu-Of Service Definition. The location must be within Partners’ catchment area and the home must be open for services on or before January 4, 2021. There may be potential for more than one home for which this RFP will be used at a later date.
  2. This service includes provision to children eligible under the criteria for Children with Complex Needs. Eligibility criteria includes the following:
    a. Medicaid eligible children ages 9 and under 21; and
    b. Who have been diagnosed with a developmental disability (including I/DD and/or ASD) and a mental health disorder; and
    c. Who are at risk of not being able to return to or maintain placement in a community setting; and
    d. Has a history of mental health and intellectual and/or developmental disabilities diagnoses or treatment AND one or more of the following risk factors will include the following:
    • The child is exhibiting behaviors that are a danger to self or others at this time; and/or
    • Has been expelled or is at risk of expulsion from school due to disruptive or dangerous behaviors; and/or
    • Has experienced incidents for crisis such as frequent emergency department visits, out of home placements, involvement with criminal justice system, or involuntary commitments.

If you are interested in being considered for provision of these services with Partners, you or a representative from your agency must register and attend the virtual Mandatory Provider Meeting to be held on Friday, October 30, 2020, from 2:00-3:30 PM via Zoom.

Click here to register for the Mandatory Provider Meeting (Bidders’ Roundtable Discussion). Registration will close on Thursday, October 29, 2020 at 5:00 p.m.

RFP #1120-001 Timeline:

  • Mandatory Provider Meeting, Bidders’ Roundtable Discussion: October 30, 2020, 2-3:30 p.m. (Click here to register)
  • RFP #1120-001 Release Date: November 6, 2020
  • RFP #1120-001 Submission Deadline: November 30, 2020

Please direct all questions to Lisa Jordan,

Files associated with this RFP:

Submission Process: Electronically submit the Provider Narrative with Attestation, the Budget Form and any additional documentation to Lisa Jordan,, by 5 p.m., Nov. 30, 2020.

Questions: Email Lisa Jordan at