Provider Alert

Issued: April 29, 2026 Partners Health Management (Partners) is issuing this provider alert to notify Physical Health providers of upcoming utilization management (UM) vendor changes for Radiation Oncology, Cardiovascular Procedures and Genetic Testing. These changes apply to services rendered on or after May 1, 2026. What is changing? Effective May 1, 2026, Partners Health will

Partners Health Management is cancelling the planned downtime for our TruCare and ProAuth systems that was scheduled for today, Friday, April 17. We will reschedule the planned downtime and communicate that information to providers at a later time. If you have questions, please contact: IT-related questions: contact the Service Desk at 1-704-842-6431 General questions: PNRelations@Partnersbhm.org

Issued: April 15, 2026 Partners Health Management is issuing this notification of planned downtime for our TruCare and ProAuth systems. Both TruCare and ProAuth will be unavailable beginning Friday evening, April 17, at 7 p.m. as we perform a scheduled upgrade to TruCare version 25.1. The system is expected to remain offline through the weekend

Issued: April 13, 2026 Partners Health Management (Partners) is issuing this provider alert to notify Physical Health providers of updated prior authorization (PA) requirements for certain radiology and diagnostic cardiology services. The changes were effective April 1, 2026, and apply to services rendered on or after that date. What is happening? Effective April 1, 2026,

Issued: April 8, 2026 Partners Health Management is issuing this provider alert to Physical Health providers as a reminder of updated prior authorization (PA) requirements for definitive drug testing services. These changes are intended to ensure appropriate utilization of testing services and alignment with NC Medicaid and health plan clinical coverage policies. Providers are encouraged

Issued: April 7, 2026 Partners Health Management’s (Partners) will begin reviewing medical necessity criteria for Substance Abuse Intensive Outpatient Program (SAIOP) and ambulatory withdrawal management services as outlined in the appropriate clinical coverage policy. Partners Utilization Management (UM) Department has been administratively approving the following Medicaid services impacted by the Mental Health Parity and Addiction

Issued: April 6, 2026 Partners Health Management (Partners) comprehensively reviews our rates for services on a regular basis. As part of that comprehensive review, Partners will adjust rates for the following services with dates of service July 1, 2026, forward. What is happening? Partners has reviewed our service utilization and is making the decision to