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Provider Alert

Provider Alert: NCDHHS Delays Implementation of Tailored Plans until October 1, 2023

Issued: February 27, 2023 What is happening? The North Carolina Department of Health and Human Services (NCDHHS) is delaying implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans (Tailored Plans) until October 1, 2023. What does this mean for providers? The delayed start of Tailored Plans will allow more time

Provider Alert: ILOS Changes for Behavioral Health I/DD Tailored Plan and NC Medicaid Direct

Issued: February 23, 2023 Effective April 1, 2023, Partners Health Management’s In Lieu of Service (ILOS) will be transitioned to the Behavioral Health I/DD Tailored Plan (Tailored Plan) and/or NC Medicaid Direct or discontinued. On March 9, 2023, Partners will host a virtual information session for providers from 2 to 3 p.m. to share more

Provider Alert: Utilization Management: Prior Authorization for Medicaid and State-funded Psychosocial Rehabilitation

Issued: February 17, 2023 Utilization Management: Prior Authorization for Medicaid and State-funded Psychosocial Rehabilitation Effective February 22, 2023, the following changes will be made to the benefit limit for Psychosocial Rehabilitation (PSR). This applies to both initial and concurrent requests for PSR. Changes have been made to facilitate claims with the new system, TruCare. Partners Utilization

Provider Alert: PartnersACCESS Call Center Updates

Issued: February 14, 2023 PartnersACCESS Call Center Updates Partners is excited to announce new enhancements to our PartnersACCESS Call Center. This includes: An Interactive Voice Response System (IVR) with prompts to easily reach departments and topics at the touch of a button. Selections offered in English or Spanish. A new menu with options for Providers