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Provider Alert

RFP #0918-008; ISP Coalition Meeting

Issued:  September 5, 2018 Request for Proposals (RFP) #0918-008 Residential Treatment Level III-Problem Sexual Behavior Partners Behavioral Health Management (Partners) is initiating this RFP to identify appropriately qualified organizations for the provision of Residential Treatment Level III services with a specialty for problem sexual behavior.  The location for services is within Partners catchment area.   The organization

Upcoming Trainings

Issued:  August 31, 2018 Delivery of Therapeutic Foster Care (Mandatory training for providers delivering Therapeutic Foster Care services) In an effort to improve the network and referral system of Therapeutic Foster Care services within our community, Partners Behavioral Health Management is requiring all contracted providers to complete a mandatory training that will teach attendees how

RFI: Residential Level II Mental Health/Substance Use

Issued:  August 22, 2018 Request for Information Announcement – Residential Level II Mental Health/Substance Use Partners is initiating a Request for Information (RFI) to identify appropriately qualified organizations for the provision of Residential Treatment Level II services with a target population of males between the ages of 10-15 years.  The location for services is Burke

Claims Processing Correction; NC Provider Council Conference

Issued:  August 20, 2018 Claims Processing Correction On July 11, 2018, Partners released a Provider Alert regarding issues with the processing of professional claims including Coordination of Benefits when the 157 (Adjustment due to COB Allowable Amount) adjustment reason was added. AlphaMCS has corrected this claims processing issue, and corrections should be reflected on the

DHHS Stakeholder Call; Assistance with NC Tracks

Issued:  August 9, 2018 TODAY - DHHS Stakeholder Call: Upcoming Issuance of the Request for Proposal for Prepaid Health Plans in Medicaid Managed Care On August 8, NC Tracks issued a message from Dave Richard, DHHS Deputy Secretary for Medical Assistance, inviting Medicaid Providers to join North Carolina DHHS Secretary Mandy Cohen, M.D., for an

DD Residential Service Provider Meeting

Issued:  August 8, 2018 Dual Diagnosis Residential Service Provider Meeting to be held August 13 Partners is holding a meeting on Monday, August 13, 2018 from 10:00 -11:30 a.m. for all organizations that responded to ROI #0718-004 Dual Diagnosis Residential Services.  As listed in ROI # 0718-004 Dual Diagnosis Residential Services, “Once interest in provision of

AlphaMCS 2.06 Build; Credentialing Expiration

Issued:  July 24, 2018 AlphaMCS 2.06 Build Scheduled for Wednesday, July 25, 2018, 5 p.m.-9 p.m. The next AlphaMCS build is scheduled to occur this Wednesday, July 25, 2018.  The system will be unavailable from 5 p.m.-9 p.m.  All users are asked to make sure that you are logged out of the AlphaMCS system before

Reminder: NC Tracks Enrollment Verification

Issued:  July 13, 2018 As communicated in a Provider Alert dated August 24, 2017 and Provider Communication Bulletin #70, Partners is required to ensure that all provider information loaded in AlphaMCS matches the information loaded in NC Tracks for the purpose of claims processing.  This includes individual clinicians as well as provider agencies and hospitals. 

Community Navigator and Person Centered Planning Webinars

Issued:  July 12, 2018 The North Carolina Division of Medical Assistance and the Division of Mental Health, Developmental Disabilities, and Substance Abuse, and the LME/MCOs Services will offer afternoon webinars on the Community Navigator’s role in Person Centered Planning.  Each webinar will offer an overview of the person centered process and piloted Individual Service Plan

Issues with Claims Processing

Issued: July 11, 2018 Alpha identified an issue with the processing of professional claims that included Coordination of Benefits when the 157 (Adjustment due to COB Allowable Amount) adjustment reason was added. The description and adjudication order was not taken into consideration in the adjudication process, causing the claims to process incorrectly. Alpha identified the