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Provider Alert

ICF-IID Rate Increase; Medicaid Plan Public Comment: DMHDDSAS Training

July 1, 2016 Rate Increases -- Intermediate Care Facilities for Individuals with Intellectual Disabilities Partners continues to assess rates for services and follow through with our commitment to reinvest funding into services for those you serve. Effective with date of service of July 15, 2016, Partners will increase the daily rate for community-based (non-State Operated

Additional IPRS-State Funded Services Checkwrite Scheduled

Updated June 24, 2016 Additional IPRS-State Funded Services Checkwrite Scheduled Partners will have an additional checkwrite for IPRS claims only. The cutoff for claims submission is 5 p.m., Friday, June 24, 2016, with a pay date to providers on Wednesday, June 29. Please be aware that the Remittance Advice (RAs) for this checkwrite will not

AlphaMCS Site Adjudication Edit in Effect July 1, 2016

June 17, 2016 AlphaMCS Site Adjudication Edit in Effect July 1, 2016 If authorization site and claim site do not match, claim will deny In Provider Communication Bulletin #40 (January 29, 2015), providers were asked to make sure that authorization sites and claim sites match. Partners has continued to pay providers for the claims, despite

Fiscal Year 2016-17 State Funded IPRS Contract Information

June 9, 2016 Fiscal Year 2016-17 IPRS-State Funded Contract Information Partners Behavioral Health Management (Partners) has been preparing Fiscal Year 2016-17 provider contracts for IPRS-State Funded services.  This is a very challenging task, since the amount of IPRS-State funding has not changed in the last three fiscal years.  However, we are continually faced with a

Downtime Notification from AlphaMCS

May 20, 2016 Downtime Notification from AlphaMCS Partners has been informed by Mediware that AlphaMCS and AlphaFlex will be down tomorrow, May 21, 2016 from 6 p.m.-12 a.m. to complete a critical upgrade to the backup process. Partners will send another email when we receive word that the upgrade has been completed. We apologize for

Records Loaded In AlphaMCS

May 13, 2016 Records Loaded in AlphaMCS All Medicare records from the FULL Global Eligibility File and the first incremental file have been loaded.  The remaining incremental files should be loaded by the end of the day. Please let Partners know if you have any problems with Claims and SARS due to eligibility not being in the

CANS Clarification; AlphaMCS Document Removal and More

May 13, 2016 Clarification of the designated CANS training module The title of the designated training module on the CANS training website has been changed from SF CANS 0-5 to CANS 0-4--this is still the correct training module.  Only the title was changed, not the content. Clarification of the age requirement: A CANS assessment is

Medicaid Insurance Layers in AlphaMCS

May 13, 2016 ATTENTION PROVIDERS While trying to process the full Global Eligibility File last night, Mediware has removed all of the Medicaid B layers in the AlphaMCS system. Any process in AlphaMCS that depends on the Medicaid Eligibility layers being there will be impacted by this issue, such as preventing providers from entering service authorization requests,

Survey; Service Gap Analysis; NCHIMBH Meeting

May 10, 2016 Partners Training Academy Provider Survey As the training season for fiscal year ending 2015 nears its end, Partners Training Academy is looking to continue offering relevant training for providers and improve the event planning process. PTA relies on our provider network, as a vital partner in our community's behavioral well-being, to provide