Provider Alert

Issued:  August 6, 2019 Partners is aware that 837 Provider files did not process on August 5, 2019. Please do not resubmit the files. AlphaMCS is in the process of resolving the issue.

Issued:  August 5, 2019 State-Funded Peer Support Services As noted in Joint Communication Bulletin #J332, State-Funded Peer Support Services (PSS) service definition, effective August 1, 2019, the State-Funded Peer Support Services (PSS) service definition is live and supersedes any existing alternative PSS service definitions. The following Y-codes in Partners’ current Benefit Plan end on July

Issued:  July 30, 2019 Initial Training for Local Certified Forensic Evaluators Partners is looking for additional forensic evaluators to cover Cleveland, Gaston, Iredell, Lincoln, Rutherford, Surry and Yadkin counties.  On average, an evaluator completes 40-60 evaluations per year. Free training will be offered on Friday, October 25, 2019, from 9 a.m.-4 p.m. at Central Regional

Issued:  July 23, 2019 Clarification to July 15, 2019 Alert—Management of Basic Outpatient Services On July 15, Partners issued a Provider Alert announcing that it will no longer manage (require authorization) Basic Outpatient Services as of July 10, 2019. The change is effective beginning with dates of service July 1, 2019.  This means that Partners'

Issued:  July 15, 2019 Partners to No Longer Manage Basic Outpatient Services Effective July 10, 2019, Partners will no longer manage any Basic Outpatient Services. Partners’ network providers no longer need to submit a Service Authorization Request (SAR) for Basic Outpatient Services after 26 visits. Partners will continue to monitor utilization trends of Basic Outpatient Services

Issued:  July 12, 2019 NC Medicaid Managed Care Open Enrollment Starts Monday, July 15 The following communication is shared on behalf of NC Medicaid The Medicaid Managed Care call center (833-870-5500) and website went live on June 28. Beneficiaries are already using both to learn more about managed care and enroll in a health plan.

Issued:  July 10, 2019 Upcoming Training: Provider Transition to Managed Care NC Medicaid will host the following Medicaid Managed Care Training Courses: Thursday, July 11, 2019 – MCT 110: Overview of Long-Term Services and Supports Populations Thursday, July 25, 2019 – MCT 111: Care Management for Long-Term Services and Supports Populations For more information or

Issued:  July 1, 2019 Providers are reminded that Partners communicates essential operation info through the Provider Communication Bulletin and Provider Alert. Click below to subscribe or update your subscription profile. Subscribe Locating a Rutherford Member in Partners’ AlphaMCS When searching for a Rutherford County member the first time in the Partners’ AlphaMCS database to create

Issued:  June 24, 2019 Attention All Providers Serving Rutherford County Members: Service Authorization Requests On July 1, NC Tracks will assign the Medicaid Eligibility for Rutherford members to Partners.  In addition, providers will need to begin enrolling all state-funded and enhanced Medicaid members as they show up for an appointment after June 30, 2019. The

Issued:  June 14, 2019 Partners will extend the checkwrite cutoff for both State and Medicaid for the next two weeks: For the week beginning Sunday, June 16, the checkwrite cutoff will be June 20, 2019 instead of June 18, 2019. For the week beginning Sunday, June 23, the checkwrite cutoff will be June 27, 2019