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Provider Alert

Partners Begins Reprocessing Claims Impacted by Revised NCDHHS Fee Schedules

Issued: February 26, 2026 Partners Health Management is notifying providers that claims impacted by the North Carolina Department of Health and Human Services' revised fee schedules will be reprocessed beginning Friday, Feb. 27, 2026. Providers were notified of the revised fee schedules in a Provider Alert issued on Jan. 22, 2026: https://legacy.providers.partnersbhm.org/ncdhhs-issues-revised-fee-schedules/. What is happening?

Clarification of Qualified Professional Requirements

Issued: February 26, 2026 Partners Health Management has received feedback from providers regarding the need for clarification on Qualified Professional (QP) requirements, particularly for individuals who hold certification as a Certified Alcohol and Drug Counselor (CADC), Certified Alcohol and Drug Counselor-Registered (CADC-R), or Certified Alcohol and Drug Counselor-Intern (CADC-I). What is happening? QPs must meet

Physical Health Prior Authorization Requirement Reminder and Updates

Issued: February 19, 2026 Effective Feb. 1, 2026 Partners Health Management is providing a reminder and an update to providers regarding updates to physical health prior authorization (PA) requirements that took effect on Feb. 1, 2026. Carolina Complete Health (CCH) administers Physical Health utilization management on behalf of Partners. These updates reflect ongoing efforts to