Provider Alert

Issued:  Sept. 2, 2020 Offering in-person visits? Virtual appointments? Let Access to Care know. There are a lot of changes during this complicated time, and Partners Access to Care wants to help you, the provider, by sharing the right information with members when scheduling appointments. This can be done very easily and quickly through the

Issued:  August 27, 2020 Update: FL Codes On July 1, 2020, Partners released Provider Alert COVID-19 #29 Utilization Management Update for COVID-19 Flexibilities Update providing instruction on the use of Innovations FL modifier codes. This alert is an update regarding the usage of those codes. It has come to our attention that these codes are receiving

Issued:  August 24, 2020 Listening Session with Child Residential and Therapeutic Foster Care Providers, LME-MCOs, and DMHDDSAS The Division of Mental Health/Developmental Disabilities/Substance Abuse Services, in conjunction with North Carolina’s Local Management Entities-Managed Care Organizations, would like to hear the challenges and successes that the state’s Child Residential and Therapeutic Foster Care providers have encountered

Issued:  August 21, 2020 The completion of Client Perception of Care Surveys has been extended to September 14, 2020. If your organization was selected to complete survey, please make sure that you complete the number of surveys requested for the specific populations [Adult, Youth, Child and Family]. If you are able to complete more client

Issued:  August 6, 2020 LME-MCO Joint Communication Bulletin #370 – 42 CFR Part 2 The NC Department of Health and Human Services (DHHS) released LME-MCO Joint Communication Bulletin # J370 on August 4, 2020. This JCB announces modifications to 42 CFR Part 2 that are effective Aug. 14, 2020. According to SAMHSA, the intent of

Issued:  July 23, 2020 2020 Perception of Care Survey The 2020 Perception of Care Survey will be administered August 1-31, 2020, and because of the COVID-19 pandemic, will be conducted differently than in previous years. Within the next week, Mental Health and Substance Use Disorder providers selected to participate in the survey will receive the

Issued:  July 17, 2020 Time-limited Rate Increases As part of the Partners Service Stability Program, we are implementing and continuing time-limited rate increases for the following Medicaid services as outlined below. The temporary increase will be retroactive to July 1, 2020. Providers who would like to take advantage of the retroactive rate will need to

Issued:  July 10, 2020 As part of the Partners Service Stability Program, we are implementing and continuing time-limited rate increases for the following Medicaid services as outlined below. The temporary increase will be retroactive to July 1, 2020. Providers who would like to take advantage of the retroactive rate will need to submit a replacement

On June 18, 2020, Partners released Provider Communication Bulletin #106 regarding service authorization request (SAR) flexibilities. This communication provides additional guidance on submission of SARs using CR and GT CR modifiers and also provides revised tables to replace the tables from Provider Communication Bulletin #106: Initial Requests Only: Medical Necessity Review Concurrent/Reauthorization Only: Notification SAR

Issued: June, 26, 2020 To assist providers during the COVID-19 crisis, Partners' Eligibility & Enrollments department temporarily extended the deadline for enrollments to be submitted and processed from seven calendar days to 14 calendar days. This extension will end effective July 1, 2020. Beginning July 1, Eligibility & Enrollment will require all enrollments to be