Provider Alert

Issued: June 10, 2025 Partners Health Management is now processing Medicare Crossover claim files received from NCTracks for dual-eligible members (Medicare and Medicaid coverage) in our coverage area. What do providers need to do? Providers with dual-eligible members will only need to directly submit claims when the following applies: Medicaid requires a different billing format

Issued: June 9,2025 The proposed state budgets from the North Carolina House and Senate do not include funding to continue the Healthy Opportunities Pilot (HOP) services after June 30, 2025. Partners Health Management is notifying HOP agencies and recipients that services must stop by July 1, 2025. If funding is restored in the final state