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Hurricane Helene News

Provider Alert: Guidance for Providers on Service Flexibilities

Issued: November 5, 2024 Partners Health Management is providing clarification for providers and/or Tailored Care Managers regarding specific service flexibilities. You can view the list of flexibilities for behavioral health and for physical health on Partners' Provider Knowledge Base. This alert is a follow up to an alert issued on Oct. 14, 2024, by Partners,

Hurricane Helene Behavioral Health Flexibilities

Category Flexibility / Change Description Partners UM Guidance 1915(i) 1915(i) Individual and Transitional Support: Service may be provided by two-way, real-time audio and video as well as telephonically. Providers may use GT and KX modifiers. No authorization required at this time. 1915(i) 1915(i) Supported Employment for Individuals with Intellectual and developmental disabilities, service may be

Hurricane Helene Physical Health Flexibilities

Category Flexibility / Change Description Partners UM Guidance Durable Medical Equipment (DME) All temporary DME prior authorization and quantity limit waivers for PA. Prior authorization waived for DME requests. DME DMEPOS coverage for HCPCS A4928, surgical mask, per 20. Prior authorization waived for DME requests. Obstetrical Services Maternal Support Services: Home Visit for Newborn Care

Provider Alert: Assistance for Providers Experiencing Disruptions Due to Hurricane Helene

Issued: October 4, 2024 Partners Health Management is aware that some providers may be experiencing service disruptions due to the impact of Hurricane Helene. To assist these providers, Partners has created tools to report and track service and financial disruptions. Providers can notify Partners of service disruptions to members via the Temporary Disruption to Service

Provider Alert: NCDHHS Announces Temporary Medicaid Flexibilities Due to Hurricane Helene

Issued: October 2, 2024 The North Carolina Department of Health and Human Services has issued extension of temporary flexibilities for Medicaid services through Oct. 15, 2024. The flexibilities began Sept. 26 and were originally set to expire on Oct. 2, 2024. The flexibilities went into effect following an executive order by Governor Roy Cooper declaring