Skip to content

Finance, Claims and Billing

NC Medicaid Rate Reductions

NC Medicaid Rate Reductions Overview In late September, the North Carolina Department of Health and Human Services Division of Health Benefits (NCDHHS DHB) announced NC Medicaid Rate Reductions effective Oct. 1, 2025. DHB implemented the cuts due to a shortfall in funding from the North Carolina General Assembly (NCGA). The reductions were necessary to maintain

Member Eligibility and Enrollment

Eligibility and Enrollment Overview Partners Health Management coordinates care for individuals with behavioral health, substance use disorders (SUD), intellectual/developmental disabilities (I/DD), traumatic brain injury (TBI) and related needs. Depending on eligibility and enrollment, services may be available through the Partners Tailored Plan, NC Medicaid Direct or State-funded programs. The Enrollment and Eligibility Department works with providers to

Finance Information

Finance and Program Integrity

The Finance department supports the Program Integrity team by reviewing financial reports, financial statements and accounting procedures. Both departments work collaboratively with providers to resolve and collect any finalized overpayments.

Finance Information

The Finance department works directly with both providers and vendors who conduct business with Partners Health Management. Detailed procedures and requirements are outlined in the Partners’ Provider Operations Manual.

2026 Checkwrite Schedule:

Download: 2026 Checkwrite Schedule (PDF)

Jan

Checkwrite Cycle Cutoff Date Checkwrite Date EFT Effective Date/RA Available Date
12/30/25 01/07/26 01/08/26 *Moved due to New Year’s Day
01/06/26 01/13/26 01/14/26
01/13/26 01/21/26 01/22/26 *Moved due to MLK Jr. Day
01/20/26 01/27/26 01/28/26

Feb

Checkwrite Cycle Cutoff Date Checkwrite Date EFT Effective Date/RA Available Date
01/27/26 02/03/26 02/04/26
02/03/26 02/10/26 02/11/26
02/10/26 02/18/26 02/19/26 *Moved due to President’s Day
02/17/26 02/24/26 02/25/26

Mar

Checkwrite Cycle Cutoff Date Checkwrite Date EFT Effective Date/RA Available Date
02/24/26 03/03/26 03/04/26
03/03/26 03/10/26 03/11/26
03/10/26 03/17/26 03/18/26
03/17/26 03/24/26 03/25/26
03/24/26 03/31/26 04/01/26

Apr

Checkwrite Cycle Cutoff Date Checkwrite Date EFT Effective Date/RA Available Date
03/31/26 04/07/26 04/08/26
04/07/26 04/14/26 04/15/26
04/14/26 04/21/26 04/22/26
04/21/26 04/28/26 04/29/26

May

Checkwrite Cycle Cutoff Date Checkwrite Date EFT Effective Date/RA Available Date
04/28/26 05/05/26 05/06/26
05/05/26 05/12/26 05/13/26
05/12/26 05/19/26 05/20/26
05/19/26 05/27/26 05/28/26 *Moved due to Memorial Day

June

Checkwrite Cycle Cutoff Date Checkwrite Date EFT Effective Date/RA Available Date
05/26/26 06/02/26 06/03/26
06/02/26 06/09/26 06/10/26
06/09/26 06/16/26 06/17/26
06/16/26 06/23/26 06/24/26
06/23/26 06/30/26 07/01/26

July

Checkwrite Cycle Cutoff Date Checkwrite Date EFT Effective Date/RA Available Date
06/30/26 07/08/26 07/09/26 *Moved due to Independence Day
07/07/26 07/14/26 07/15/26
07/14/26 07/21/26 07/22/26
07/21/26 07/28/26 07/29/26

Aug

Checkwrite Cycle Cutoff Date Checkwrite Date EFT Effective Date/RA Available Date
07/28/26 08/04/26 08/05/26
08/04/26 08/11/26 08/12/26
08/11/26 08/18/26 08/19/26
08/18/26 08/25/26 08/26/26

Sept

Checkwrite Cycle Cutoff Date Checkwrite Date EFT Effective Date/RA Available Date
08/25/26 09/01/26 09/02/26 *Moved due to Labor Day
09/01/26 09/09/26 09/10/26
09/08/26 09/15/26 09/16/26
09/15/26 09/22/26 09/23/26
09/22/26 09/29/26 09/30/26

Oct

Checkwrite Cycle Cutoff Date Checkwrite Date EFT Effective Date/RA Available Date
09/29/26 10/06/26 10/07/26
10/06/26 10/14/26 10/15/26 *Moved due to Columbus Day
10/13/26 10/20/26 10/21/26
10/20/26 10/27/26 10/28/26

Nov

Checkwrite Cycle Cutoff Date Checkwrite Date EFT Effective Date/RA Available Date
10/27/26 11/03/26 11/04/26
11/03/26 11/10/26 11/11/26
11/10/26 11/17/26 11/18/26
11/17/26 11/24/26 11/25/26

Dec

Checkwrite Cycle Cutoff Date Checkwrite Date EFT Effective Date/RA Available Date
11/24/26 12/01/26 12/02/26
12/01/26 12/08/26 12/09/26
12/08/26 12/15/26 12/16/26
12/15/26 12/22/26 12/23/26
No Checkwrite 12/29/26

Reporting Subrogation

Partners Health Management is required by state and federal regulations, including the Social Security Act and 42 C.F.R. § 433 Subpart D, to identify and recover third-party liability claims, including those related to subrogation.

Subrogation is applicable when a Medicaid beneficiary receives services due to an injury caused by a third party. Examples include:

  • Automobile accidents
  • Sports injuries
  • Workplace injuries
  • Defective products
  • Medical malpractice
  • Neglect or abuse

When such an incident occurs, the Medicaid program may seek to recover payments for related medical services. This is based on the beneficiary’s legal assignment of rights to Medicaid as a condition of eligibility under section 1912(a)(1)(A) of the Social Security Act.

  • Medicaid can only recover from the portion of a settlement or judgment specifically designated for medical expenses.

Reporting a Potential Subrogation Case

If you have a client or case that may be subject to subrogation, please contact the Partners Subrogation Team at: PartnersSubrogation@PartnersBHM.org.

To help us evaluate the case, please submit the following along with a completed Authorization for Use, Disclosure and Exchange of Protected Health Information form:

  • Member’s full name
  • Medicaid ID number
  • Payor (e.g., Partners Health Management)
  • Type and date of injury
The Finance Department works with both providers and vendors conducting business with Partners.

Claims and Rates Information

Claims and Rates Overview Partners Health Management offers guidance and resources to support timely, accurate claims processing and payment for providers. Use the sections below to access rate schedules, billing tools, claims submission requirements, reconsideration procedures and contact information. Rate Schedules Partners Rate Schedules effective July. 1, 2026 - September 30, 2026 Partners Rate Schedule