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Provider Alert

Provider Alert: Utilization Management Update: State-funded Withdrawal Management Services

Issued: April 29, 2024 Beginning May 1, 2024, Partners Health Management will add several State-funded substance use withdrawal management services to its behavioral health benefit array. What is happening? Effective May 1, 2024, Partners will add the following State-funded substance use withdrawal management services to its behavioral health benefit array: Ambulatory Withdrawal Management without Extended

Provider Alert – UM Update: Peer Support Services H0038

Issued: April 15, 2024 Partners Health Management is reviewing the utilization rates for Peer Support Services (PSS) H0038 to ensure network adequacy standards are met and to avoid over utilization. PSS is managed by Partners Utilization Management department (UM). What is happening? Partners is reviewing utilization rates for Peer Support Services H0038 to ensure network

Provider Alert: ProviderCONNECT Update: UM Service Authorization Decision Letters

Issued: April 12, 2024 Beginning Monday, April 15, 2024, providers who sign in to ProviderCONNECT will be able to view or download authorization decision letters in ProAuth. This update provides a seamless process that will allow providers to view approval, unable to process and adverse decision letters inside the ProAuth platform. ProAuth is accessed under