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Provider Alert

Provider Alert – IRIS Downtime: Monday, Dec. 1, 2025

Issued: November 26, 2025 Partners Health Management is issuing this Provider Alert to ensure providers are aware that the Incident Response Improvement System (IRIS) will be unavailable Monday, Dec. 1, 2025, from 5 a.m. to 9 a.m. to implement the Children and Family Specialty Plan. What is happening? IRIS will be unavailable from 5 a.m.

Provider Alert: Cloudflare Causing Outage for ProviderCONNECT and MemberCONNECT

Issued: November, 18 2025 Partners Health Management has learned that a Cloudflare is negatively impacting our portals, ProviderCONNECT and MemberCONNECT and ProAuth. This means providers cannot access the portals or submit authorization claims through the portals. We are actively working with our vendor to resolve this issue as quickly as possible and will keep you

Provider Alert: Utilization Management Update: Transitional Youth Services (TYS) In Lieu of Service

Issued: November 5, 2025 What is happening?   Effective Oct. 1, 2025, Partners Health Management launched a newly approved In Lieu of Service (ILOS) called Transitional Youth Services (TYS) for Tailored Plan members. This service, formerly known as Young Adults in Transition (YAT), was previously discontinued by the N.C. Department of Health and Human Services (NCDHHS).

Provider Alert: Utilization Management Update: Member Specific Rates (Enhanced Rate Requests)

Issued: Nov. 4, 2025 Effective Oct. 1, 2025, Partners Health Management implemented the NC Medicaid Rate Reductions changes made by the Division of Health Benefits (DHB). In conjunction with these changes, Partners has made updates to the criteria for new Member Specific Rate Requests (Enhanced Rate Requests). What is Happening? Effective Nov. 1, 2025, Partners