Provider Alert

Issued: February 11, 2020 Partners Pilots Pyx Health Partners’ Member Engagement and Care Management Departments are piloting Pyx Health, a mobile app that helps members with their wellness journey. The app is designed to reduce loneliness and social isolation by connecting with members outside of traditional care settings Providers are encouraged to share information about

Issued: February 7, 2020  Partners asks all providers to reach out to their members to ensure their safety after the strong storms experienced yesterday.  While we understand that some of the counties in our catchment have issued a State of Emergency due to excessive rainfall and severe weather, many counties are continuing to monitor additional flooding and

Issued: February 4, 2020 AlphaMCS 2.15 Build The next AlphaMCS build is scheduled to occur this Wednesday, February 5, 2020. The system will be unavailable from 5 p.m.-9 p.m. Please make sure you are logged out of the AlphaMCS system prior to 5 p.m.  If you have questions, please contact Partners’ IT Service Desk at 704-842-6431.  Assertive Community Treatment

Issued:  January 31, 2020 [alert] March 2, 2020: Partners has published updated information regarding this topic. Click here for the provider alert. [/alert] Effective February 1, 2020, providers may begin submitting Service Authorization Requests (SARs) for Community Support Team (CST) under the Definitions List “Community Support Team” and Services Code List “All Services”.  SARs may be

Issued: January 7, 2020 Deadline Extended for ROI NC Medicaid Children and Youth Services (Surry and Yadkin Counties) The deadline for Registration of Interest #1219-001 “NC Medicaid Children and Youth Services (Surry and Yadkin Counties)” has been extended. Responses to this ROI are due by 5 p.m. on Friday, January 10, 2020. Learn more NC

Issued:  December 20, 2019 Attention Providers: Changes to OUD Treatment Services Payment Effective January 1, 2020 Partners has learned that effective January 1, 2020, Medicare will pay Opioid Treatment Programs (OTPs) through bundled payments for opioid use disorder (OUD) treatment services. These services include medication-assisted treatment (MAT), toxicology testing and counseling as authorized under Section

Issued:  December 12, 2019 Claims Department Fax Now Available Partners' Claims Department fax number (704-854-4203) is now available for providers. If you have any complications with the fax number or need assistance, please email claimsdepartment@partnersbhm.org. NC DHB Releases, Requests Comment on Tailored Care Management Provider Manual and Application Process The NC Division of Health Benefits

Issued:  December 10, 2019 AlphaMCS 2.14 Build The next AlphaMCS build is scheduled to occur on Wednesday, December 11, 2019.  The system will be unavailable from 5 p.m.-9 p.m.  Please make sure you are logged out of the AlphaMCS system prior to 5 p.m. Attention Community Support Team Providers:  Webinar Trainings The UNC Institute for

Issued:  December 6, 2019 Partners’ Claims Department fax number (704-854-4203) is not working at this time. Please email information to claimsdepartment@partnersbhm.org until further notice.

Issued: November 25, 2019 Revised Provider Operations Manual Partners has updated its Provider Operations Manual, located at https://legacy.providers.partnersbhm.org/orientation-packet-provider-operations-manual/. This manual outlines the requirements and responsibilities of those in Partners’ Provider Network. All providers should review and be familiar with this manual. Revised Manual Service Authorization Request Form Partners has revised the Manual Service Authorization Request