Provider Alert

Partners Health Management is issuing this Provider Alert to ensure providers are aware that the Incident Response Improvement System (IRIS) will be unavailable on Wednesday, March 11, 2026, from 6:30 a.m. to 10:30 a.m. to implement a system update. What is happening? The North Carolina Department of Health and Human Services (NCDHHS) has announced the

UM Update: Changes to Peer-to-Peer (P2P) Process   Effective April 1, 2026, Partners Health Management is renaming and revising its post-decision Peer-to-Peer (P2P) process to align with National Committee for Quality Assurance (NCQA) guidelines. The process will now be referred to as Post-Decision Discussions. The purpose of a Post-Decision Discussion is to have a collaborative

Issued: February 26, 2026 Partners Health Management is notifying providers that claims impacted by the North Carolina Department of Health and Human Services' revised fee schedules will be reprocessed beginning Friday, Feb. 27, 2026. Providers were notified of the revised fee schedules in a Provider Alert issued on Jan. 22, 2026: https://legacy.providers.partnersbhm.org/ncdhhs-issues-revised-fee-schedules/. What is happening?

Issued: February 26, 2026 Partners Health Management has received feedback from providers regarding the need for clarification on Qualified Professional (QP) requirements, particularly for individuals who hold certification as a Certified Alcohol and Drug Counselor (CADC), Certified Alcohol and Drug Counselor-Registered (CADC-R), or Certified Alcohol and Drug Counselor-Intern (CADC-I). What is happening? QPs must meet

Issued: February 19, 2026 Effective Feb. 1, 2026 Partners Health Management is providing a reminder and an update to providers regarding updates to physical health prior authorization (PA) requirements that took effect on Feb. 1, 2026. Carolina Complete Health (CCH) administers Physical Health utilization management on behalf of Partners. These updates reflect ongoing efforts to

Issued: January 30, 2026 Partners Health Management is aligning one of our legacy systems, Alpha+, with current security standards. This is part of our ongoing effort to strengthen system security while keeping provider workflows stable and uninterrupted. What is happening? Partners is updating Alpha+ to bring it into alignment with state security practices. This will

Issued: January 30, 2026 Partners Health Management’s Finance Department has migrated to a new accounting platform. What is happening? Partners’ Finance Department has moved to a new accounting platform. All claims payments for the checkwrite dated Feb. 3, 2026, were processed successfully in the new system and payments will be posted to your bank on