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Provider Alert

Provider Alert: DHSR Fax Service Interruption – April 23, 2025

Issued: April 16, 2025 Partners Health Management has learned that the Department of Health Service Regulation (DHSR) Complaint Intake and Health Care Personnel Investigations Sections will be relocating on Thursday, April 24, 2025. To support the move, fax lines and machines will be disconnected on Wednesday, April 23, 2025, and DHSR will be unable to

Provider Alert: Update: State-funded NC Core Individual Placement and Support – Supported Employment

Issued: April 14, 2025 On April 6, 2025, the North Carolina Department of Health and Human Services (NCDHHS) state ended the use of Z codes modifiers for State-funded NC Core Individual Placement and Support - Supported Employment (IPS-SE) services. This Provider Alert is to ensure Partners providers have knowledge of, and understand, the change. What

Provider Alert: Training for Youth Residential Providers

Issued: February 28, 2025 Partners Health Management will soon begin using the CCW database for residential referrals and placements. Rapid Resources for Families will offer an informational session for all youth residential providers to introduce the benefits of using the database and how this can make a positive impact on the youth placement and referral

Provider Alert: Remittance Emails Not Received

Issued: January 17, 2025 Partners Health Management is aware of an error that prevented some providers from receiving automated Medicaid Direct remittance emails. This affects only the EFT remittances for Medicaid Direct claims on the upcoming Jan. 22, 2025, checkwrite. The remittance information is available in Alpha+. If you have questions, please email ClaimsDepartment@PartnersBHM.org.

Provider Alert: Guidance on Beneficiaries Enrolled in Medicaid and ACA Marketplace Coverage

Issued: January 10, 2025 Partners Health Management is sharing guidance to providers for NC Medicaid beneficiaries enrolled in Marketplace coverage through HealthCare.gov. This information was shared by the North Carolina Department of Health and Human Services (NCDHHS) in a Medicaid Bulletin that addresses (1) information about beneficiaries enrolled in NC Medicaid and Affordable Care Act

UPDATED: Clarification of Clinical Coverage Policy and Hurricane Helene Flexibilities

Issued: December 31, 2024 This communication provides updates and further clarifications for providers and/or Tailored Care Managers regarding changes to Behavioral Health Clinical Coverage Policies (CCP), Tailored Plan flexibilities and Hurricane Helene flexibilities. What is happening? Partners Utilization Management Department is providing further clarification for providers and/or Tailored Care Managers regarding specific CCP changes as

Provider Alert: Guidance for Providers on Service Flexibilities

Issued: November 5, 2024 Partners Health Management is providing clarification for providers and/or Tailored Care Managers regarding specific service flexibilities. You can view the list of flexibilities for behavioral health and for physical health on Partners' Provider Knowledge Base. This alert is a follow up to an alert issued on Oct. 14, 2024, by Partners,

Provider Alert: IRIS Unavailable on Wednesday, Nov. 6

Issued: November 5, 2024 The North Carolina Department of Health and Human Services (NCDHHS) and the Division of Information Technology staff will be updating the IRIS System on Wednesday, Nov. 6, 2024, from 8 a.m. to 1 p.m. What is happening? The IRIS System will be unavailable from 8 a.m. to 1 p.m. on Wednesday,