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Provider Alert

Provider Alert: Hurricane Helene Policy Flexibilities extended through December 31, 2024

Issued: October 14, 2024 The North Carolina Department of Health and Human Services (NCDHHS) is committed to North Carolina’s response to and recovery from Hurricane Helene. Flexibilities for both Medicaid and State-Funded services have been extended through Dec. 31, 2024. The Division of Mental Health, Developmental Disabilities and Substance Use Services (Division of MH/DD/SUS) is

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: Supported Employment (IPS-SE) Update: 1915(i) and 1915(b)(3) Supported Employment/NC Core Individual Placement and Support

Issued: October 3, 2024 CORRECTED: October 11, 2024 No prior authorization is required for 1915(i) and (b)(3) Medicaid NC CORE IPS-SE. What is happening? Prior authorization is not required for 1915(i) and 1915(b)(3) Medicaid NC CORE IPS-SE. This change is effective Oct. 1, 2024. Members receiving services under I/DD or TBI will continue to receive

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

Provider Alert: Extension of Tailored Plan Launch Flexibilities

September 25, 2024 The North Carolina Department of Health and Human Services has announced the extension of Tailored Plan launch flexibilities. The following flexibilities have been extended: Policy Flexibility Time Frame Relax Medical Prior Authorization requirements* July 1, 2024-Jan. 31, 2025 Relax Pharmacy Prior Approval requirements July 1, 2024-Jan. 31, 2025 Non-Participating Providers Paid at

Provider Alert: New Grant Initiative for Direct Support Professionals

Issued: Sept. 18, 2024 The North Carolina Division of Mental Health, Developmental Disabilities, and Substance Use Services is soliciting requests from providers to fund recruitment and retention initiatives that directly enhance overall direct support professionals (DSPs) job quality and job satisfaction. As part of Direct Support Professional (DSP) Recognition Week, DMH/DD/SUS has announced the DSP

Provider Alert: Reminder for Electronic Visit Verification Personal Care Services Providers

Issued: Aug. 22, 2024 Partners Health Management is reminding providers that only Personal Care Services (PCS) 99509 HA and 99509 HB are subject to Electronic Visit Verification (EVV) requirements. Partners utilized HHAeXchange (HHA) as the EVV vendor. Providers subject to EVV requirements must submit claims through EVV. What must providers do? Providers subject to EVV