Provider Alert

Issued: July 11, 2026 Partners Health Management has updated the In Lieu of Service (ILOS) definition for Child Focused Assertive Community Treatment (Child ACT). The updated definition is effective March 31, 2026. What is Happening? The Child ACT ILOS definition has been revised to reflect clinical, operational, and service delivery updates. Child ACT continues to

Issued: July 8, 2026 Partners Health Management would like to inform our provider network of an important change resulting from the recently approved North Carolina state budget (S.L. 2026-41). As part of the enacted budget provisions, Research-Based Behavioral Health Treatment (RB-BHT) Services and Peer Support Services (PSS) will transition to closed network services. This means

Issued: July 1, 2026 In preparation for the upcoming merger with Vaya Health (Vaya), Partners Health Management (Partners) will hold three information sessions for providers in July. The sessions will be held from 12-1 p.m. on July 13, 20 and 27. Registration links for each session are listed in this alert. Additionally, Vaya and Partners

Issued: June 18, 2026 All Partners websites and associated links are fully restored and operational. Both MemberCONNECT and ProviderCONNECT are online and functioning as expected. Work is ongoing to identify and resolve any remaining issues, primarily related to isolated missing links. All previously reported missing links have been corrected and verified as working as designed.

Issued: June 5, 2026 The North Carolina Department of Health and Human Services (NCDHHS) has reversed their decision to discontinue modifiers U1-U6 for Long Term Community Supports (LTCS), effective July 1, 2026. This decision nullifies the May 1, 2026, Provider Alert from Partners Health Management (Partners). This pertains to both NC Medicaid Direct (MD) beneficiaries and Tailored Plan (TP) members.    All

Issued: June 2, 2026 Partners Health Management is currently experiencing a system issue which is impacting authorization processing. What is happening? Partners is experiencing a system issue that is impacting authorization processing. This also impacts claims processing. What do providers need to do? Providers do not need to do anything at this time. Our teams

Issued: May 22, 2026 Vaya Health and Partners Health Management have announced plans to merge and form Vaya Partners, effective Oct. 1, 2026. This merger of two LME/MCOs reflects a shared commitment to strengthening North Carolina’s public system of integrated healthcare for individuals receiving behavioral health, intellectual and developmental disability (I/DD), and traumatic brain injury

Issued: May 11, 2026 Partners comprehensively reviews our rates for services on a regular basis.  As part of that comprehensive review, Partners will adjust rates for the following services with dates of service beginning July 1, 2026. What is happening? Partners conducts regular, comprehensive reviews of service utilization, cost trends, and reimbursement rates to ensure

Issued: May 7, 2026 Partners Health Management is issuing this alert to notify providers of the Non-UCR invoice submission deadlines for fiscal year-end. Each year, the North Carolina Department of Health and Human Services (NCDHHS) implements an early cutoff for Non-UCR State Special Categorical Funds. For FY 26, the state’s deadline is Thursday, June 4.

Issued: May 1, 2026 The North Carolina Department of Health and Human Services (NCDHHS) will discontinue modifiers U1-U6 for Long Term Community Supports (LTCS), effective July 1, 2026. Partners Health Management (Partners) is issuing this alert to ensure providers know about the change which pertains to both NC Medicaid Direct (MD) beneficiaries and Tailored Plan