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Provider Alert

Provider Alert: New Authorizations for Medicaid Direct Starting April 1 now in ProAuth

Issued: September 25, 2023 As of September 21, 2023, Partners has transferred Medicaid B and Medicaid C authorizations from Alpha+ to ProAuth. New authorizations were created with NC Medicaid Direct B or NC Medicaid Direct C eligibility starting April 1, 2023, through the original approved end date. What is happening? Partners has transferred Medicaid B and

Provider Alert: IPRS / (b)(3) Funding

Issued: September 21, 2023 Until a state budget is in place, Partners Health Management will not know what funding will be available for IPRS/(b)(3) services. What is happening? Requests for IPRS/(b)(3) funding will be reviewed and tentatively approved based upon need and current utilization of provider contracted funding. Partners cannot guarantee funding or add to

Provider Alert: Partners Utilization Management Update: Prior Authorization Process

Issued: September 7, 2023 On March 30, 2023, Utilization Management (UM) notified providers that Partners would authorize service dates only through the end of the NC Medicaid Direct eligibility period, September 30, 2023. In a Provider Alert (https://legacy.providers.partnersbhm.org/updates-to-partners-prior-authorization-process/), Partners stated that authorizations for the remainder of the request period and units starting October 1, 2023,