Issued: Sept. 26, 2019

Attention Innovations Providers:  T2025 Specialized Consultation Services

Claims that are processed on November 1, 2019, or later, For T2025-Specialized Consultation Services will no longer be processed as Clinician Based.  Claims should be submitted using the Agency NPI as the Rendering NPI number.  According to the service definition:

Specialized Consultation Services provide expertise, training and technical assistance in a specialty area (psychology, behavior intervention, speech therapy, therapeutic recreation, augmentative communication, assistive technology equipment, occupational therapy, physical therapy, nutrition, and other licensed professionals who possess experience with individuals with Intellectual / Developmental Disabilities) to assist family members, support staff and other natural supports in assisting individuals with developmental disabilities.

Partners has made this change in order for our members to gain access to the professionals available to provide this support.  Clinicians providing this service under the Agency NPI are still required to be credentialed prior to the delivery of services.

Providers with questions may contact Partners’ Claims Department by emailing claimsdepartment@partnersbhm.org or by calling 704-842-6486.

Peer Support Service Definition Webinars

Providers delivering Peer Support are encouraged to join NC DHHS for a webinar on the Peer Support Service Definition:

Date and Time:  Monday, September 30 from 1 p.m.-2 p.m.
Event number:  663 598 115
Event password:  0930
Event address for attendeeshttps://dsohf.webex.com/dsohf/onstage/g.php?MTID=eeca61b5d33d1939ac441f4c395181b29

At least 30 minutes before the starting time:

  1. Go to https://dsohf.webex.com/dsohf/onstage/g.php?d=663598115&t=h
  2. Log in to your host account if you have not yet done so.
  3. On the Event Information page that appears, click “Start Now”.

Audio conference information
Please call the toll-free number 1-888-273-3658 and use the access code 2490768#

NC Medicaid PHP Provider Contracting Deadline is November 15, 2019

Providers are reminded of the Department of Health and Human Services’ November 15, 2019 deadline for providers to contract with the Prepaid Health Plans (PHPs).  View the questions and answers document. As noted in the document, providers should direct contracting questions to the PHPs directly.  If you have questions about its content, please contact Brian Kabisa at Brian.Kabisa_ACN@dhhs.nc.gov