Skip to content

Provider Alert

Provider Alert: Invoices for Non-UCR Federal and State Allocations Due June 5

Issued: June 2, 2023 This is a reminder that invoices for Non-UCR Federal and State Allocations are due Monday, June 5. What is happening? Providers must submit invoices for all State Funded Reimbursement through the invoice process by the following dates:  Invoices for State Allocations are due by Monday, June 5 Invoices for Federal Allocations

Provider Alert: Local Administrators Must Set Up General Users in ProviderCONNECT

Issued: May 25, 2023 Partners secure provider portal, ProviderCONNECT, is your one-stop shop and primary resource for operational information. Through ProviderCONNECT, you can request authorizations, file claims, review member-specific information, find helpful resources and access training. Providers in the Partners Provider Network are asked to identify a Local Administrator for their organization to serve as

Provider Alert: ILOS Changes Effective April 1, 2023

Issued: April 5, 2023 Effective April 1, 2023, Partners Health Management’s In Lieu of Service (ILOS) were discontinued or transitioned to Partners’ Behavioral Health I/DD Tailored Plan (Tailored Plan) and/or NC Medicaid Direct. What is happening? Partners In Lieu of Services were discontinued or transitioned to the Tailored Plan and/or NC Medicaid Direct. When is

Provider Alert: (b)(3) Deinstitutionalization Services Moving to NC Innovations Waiver

Issued: March 31, 2023 What is happening: The Centers for Medicare & Medicaid Services (CMS) has approved an amendment to the NC Innovations Waiver to add additional waiver slots to transition the 1915 (b)(3) Deinstitutionalization services (NC Innovations-look alike services) into the NC Innovations Waiver effective April 1, 2023. How is this impacting members? Members

Provider Alert: Updates to Partners’ Prior Authorization Process

Issued: March 30, 2023 Effective April 1, 2023, Partners Medicaid benefit plan will transition to NC Medicaid Direct. The Tailored Plan eligibility start date has changed to October 1, 2023. What is happening: Partners is authorizing service dates only through the end of the current NC Medicaid Direct eligibility period, September 30, 2023. When is this happening: The