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Provider Alert

Medicare Crossover Claims

Issued: June 10, 2025 Partners Health Management is now processing Medicare Crossover claim files received from NCTracks for dual-eligible members (Medicare and Medicaid coverage) in our coverage area. What do providers need to do? Providers with dual-eligible members will only need to directly submit claims when the following applies: Medicaid requires a different billing format

UPDATE: Cancellation of Upcoming 1915(i) HCBS Training

Issued: May 27, 2025 Partners Health Management is postponing the previously announced training for the 1915(i) Home and Community Based Services Final Rule. The training was announced via provider alert on May 19, 2025, and was to occur on June 5 at 2 p.m. The training will be rescheduled at a later date. Please contact

Provider Alert: ProviderCONNECT User Registration Errors

Issued: May 1, 2025 During an audit of the ProviderCONNECT General Users and Local Administrator (back-up) registrations, Partners Health Management discovered errors that caused many users to be unable to log in to the portal. These registrations were created by the practice organization’s local administrators and revealed that many registrations were entered incorrectly. Local administrators

Provider Alert: Deadlines for Fiscal Year-End

Issued: April 29, 2024 Please note the following deadlines for fiscal year-end: All invoices for State Allocations (i.e. TCL and TBI) are due by Monday, June 2. Invoices for Federal Allocations, for expenses incurred through May 31, are due by Monday, June 2. All other invoices for FY25 are due by Monday, July 7. (This

Provider Communication Bulletin #163

In This Bulletin: RFP: Facility-Based Crisis Services for Children and Adolescents Providers Needed for Court-Ordered Evaluations Update on PCP Selection and Member Assignment Supportive Housing Training Series IRIS Incident Reporting Reminders Claims Information QM Updates UM Updates Recent Provider Alerts Training Resource and Collaborative (TRAC) Community Training PDF Version > RFP: Facility-Based Crisis Services for