Provider Alert

Issued: June 7, 2024 Partners Health Management has announced that Rachel Porter, Chief Administrative Officer, will assume the role of Deputy Chief Executive Officer, effective Aug. 1, 2024. Rachel brings over 25 years of experience in both public and private health care sectors to her new role as Deputy CEO for Partners. For the last

Issued: May 14, 2024 The Department is delaying some Medicaid clinical coverage policies (CCP) and State-funded Service Definitions for Substance Use Withdrawal Management Services until further notice. The CCPs and services were scheduled to begin May 1, 2024, but are being delayed to allow health plans and service providers to align with coverage requirements and

Issued: May 10, 2024 Partners Health Management has announced that Libby McCraw will assume the position of Chief Executive Officer, effective Aug. 1, 2024. McCraw, currently Partners Chief Operating Officer, will succeed Rhett Melton who has served as Partners’ CEO since 2012. Melton announced his retirement in April and will continue in his role as

Issued: May 6, 2024 On July 1, 2024, Partners Health Management will begin using a new state-wide Tailored Care Management monitoring tool. The tool was developed through a collaboration of the state’s four LME/MCOs (Alliance, Partners, Trillium and Vaya), the National Committee for Quality Assurance (NCQA) and the North Carolina Department of Health and Human

Issued: May 2, 2024 Partners Health Management has identified an issue with Electronic Visit Verification (EVV) 837 claim files being rejected and authorizations unable to load to the HHAeXchange homecare management software used for the EVV system. What is happening? Partners has identified an issue with EVV 837 claim files being rejected and authorizations unable

Issued: April 29, 2024 Beginning May 1, 2024, Partners Health Management will add several State-funded substance use withdrawal management services to its behavioral health benefit array. What is happening? Effective May 1, 2024, Partners will add the following State-funded substance use withdrawal management services to its behavioral health benefit array: Ambulatory Withdrawal Management without Extended

Issued: April 19, 2024 Partners Health Management is implementing a 15% rate increase for providers with approved State Funded claims. The increase is for claims that were approved and paid for dates of service from July 1, 2023-December 31, 2023. The increase will be through an invoice process described below.  What is happening? Partners is

Issued: April 12, 2024 Beginning Monday, April 15, 2024, providers who sign in to ProviderCONNECT will be able to view or download authorization decision letters in ProAuth. This update provides a seamless process that will allow providers to view approval, unable to process and adverse decision letters inside the ProAuth platform. ProAuth is accessed under