Provider Alert

Provider Alert: NC Medicaid Announces Temporary Flexibilities Due to Tropical Storm Debby

August 8, 2024August 8, 2024
Provider Alert (category)

Issued: August, 8 2024 On Aug. 6, 2024, NC Medicaid announced it will reimburse providers for medically necessary drugs and services, and equipment and supplies, provided during the Tropical Storm Debby emergency without prior approval. The temporary flexibilities will run through Aug. 20, 2024. For details on the flexibilities, read provider bulletin NC Medicaid Temporary

Provider Alert: Update for EVV Personal Care Services Providers

July 12, 2024April 7, 2025
Provider Alert (category), Provider News (category)

Issued: July 12, 2024 Partners Health Management is continuing to load all members and authorizations for personal care services (PCS-99509) in the HHAeXchange EVV vendor portal. Providers should be able to see members in HHAeXchange by July 17. If you are a contracted Tailored Plan provider with Partners and unable to see your members in

Some Providers May Experience Issues Accessing ProAuth

July 2, 2024July 2, 2024
Provider Alert (category), Provider News (category)

Issued: July 2, 2024 This provider alert is to let providers know that you may experience issues accessing ProAuth. Partners Health Management is aware of the issue and is working to resolve it as quickly as possible. What is happening? Some providers may experience issues accessing ProAuth. What do providers need to do? If providers

Some Rides to Appointments Cannot be Scheduled

July 2, 2024
Provider Alert (category), Provider News (category)

Issued: July 2, 2024 This provider alert outlines the trips that are not covered under Non-Emergency Medical Transportation (NEMT), the transportation benefit in the Tailored Plan. What is happening? Some rides are not covered under Non-Emergency Medical Transportation (NEMT). This provider alert serves as notice to providers of the types of trips that are not

Provider Alert: Attention EVV Personal Care Services Providers

June 28, 2024June 28, 2024
Provider Alert (category), Provider News (category)

Issued: June 28, 2024 Partners Health Management is aware that providers of personal care services (PCS) are unable to see their associated members in the EVV vendor portal, HHAeXchange. Partners is actively working to load all members and authorizations for personal care services for EVV into the HHAeXchange portal as quickly as possible. We understand

Provider Alert: 270/271 Processing Status Update

June 28, 2024June 4, 2025
Provider Alert (category), Physical Health (category), Provider News (category)

Issued: June 28, 2024 Partners Health Management has implemented the ability to complete 270/271 processing. The 270 transaction is used to request eligibility and benefit information for medical and behavioral lines of business; the 271 transaction is used to respond with information for the specified member. What is happening? Partners has implemented the ability to

Provider Alert: 1915(b)(3) transition to 1915(i)

June 28, 2024
Provider Alert (category)

Issued: June 28, 2024 On June 26, 2024, Partners Health Management received notice from the NC Department of Health and Human Services (NCDHHS) with guidance on transitioning NC Medicaid Direct and Tailored Plan members from 1915(b)(3) services to 1915(i) services. This alert provides details on the transition pathways from 1915(b)3) to 1915(i) based on the

Reminder: Important Information for State-Funded and Tailored Plan Providers

June 27, 2024June 27, 2024
Provider Alert (category)

Issued: June 28, 2024 Reminder: Partners Health Management is providing this reminder to providers about submitting professional and institutional claims when the Tailored Plan goes live Monday, July 1, 2024. Partners Health Management is providing clarifying information on how providers should submit some claims when Tailored Plan goes live on July 1, 2024. This

Provider Alert: Important Claims Information for State-Funded and Tailored Plan Providers

June 21, 2024June 21, 2024
Provider Alert (category), Provider News (category)

Issued: June 21, 2024 Partners Health Management is providing clarifying information on how providers should submit some claims when Tailored Plan goes live on July 1, 2024. This provider alert provides information on submitting professional and institutional claims. What is happening? Partners is clarifying how providers should submit professional and institutional claims on or before

Provider Alert: Duplicate Payment Checkwrite

June 19, 2024June 26, 2024
Provider Alert (category), Provider News (category), Uncategorized (category)

Issued: June 19, 2024 Partners Health Management identified claims that were paid twice on the June 18, 2024, checkwrite. Recoupments for overpayments will begin on the July 2, 2024, checkwrite. Please contact ClaimsDepartment@PartnersBHM.org if you have questions.