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Provider Communication Bulletin

Provider Bulletin #95

Division of Health Benefits/LME-MCO Transition of Care Updates Proposed Peer Support Policy Rutherford County Transition Annual Submission of Quality Improvement Projects Claims Information Request for Qualifications: Surry County Professional Substance Use Disorder Intervention Team Social Determinants of Health Partners Training Academy Alerts and LME/MCO Joint Communication Bulletins Training, Announcements and Reminders Download and Print Division

Provider Bulletin #94

Enrollment Requests Submitted by Contracted Providers Appointment Scheduling Rutherford Transition Updates: Member Communication, NC-TOPPS, Utilization Management Claims Information: Explanation of Benefits Requests for Coordination of Benefits Claims, Denied Claims, Number of Days to Process and Pay All Claims, Top Five Medicaid Claim Denials, Reminder of Checkwrite Cutoff Dates Extended Questions about Incidents and IRIS? Here’s

Provider Bulletin #93

Partners’ Provider Council: 2019 Charter Feedback Requested Partners’ June Provider Webinar 2019 Perception of Care Survey Reminder IRIS Upgrade Postponed to May 31 In Lieu of Service—Outpatient Plus Partners’ Provider Integrated Care Initiative Join Partners and NC MedAssist in #DispensingHope Claims Information Exception to Benefit Plan Limits for Inpatient Services Partners Training Academy Disability and

Provider Bulletin #92

2019 Perception of Care Survey Partners Welcomes Rutherford: Meet and Greet Technical Extension of North Carolina’s 1915 (b) Waiver and Concurrent 1915 (c) Innovations Waiver NC HealthConnex Updates Claims Information Provider Monitoring? Program Integrity? What’s the Difference? Utilization Management Updates Partners Training Academy Opioid Lunch & Learn Series System of Care Training Independent Living Nutrition

Provider Bulletin #91

NC Innovations Provider Changes: Out-of-State Services Requests Benefit Plan End Date Reminder for Adults and Children Timely Submission of IRIS Incident Reports Request for Proposals, Comprehensive Substance Use Services Claims Information What’s in Your Compliance Toolbox? Partners Hosts Forum for Rutherford County Providers Partners Training Academy Upcoming Events Opioid Lunch & Learn Series System of

Provider Bulletin #90

Partners Welcomes Rutherford County: Community Open House Partners Consumer Survey Partners Gaps and Needs Survey Now Open Partners’ March Provider Webinar DHHS Announces Selection of Prepaid Inpatient Health Plans Retroactive Medicaid Service Authorization Requests No Balance Billing of Medicaid Patients Mandatory Provider Meeting for RFP 0419-003 (High Fidelity Wraparound) Mandatory Provider Meeting for RFP 0319-002

Provider Bulletin #89

Partners’ March Provider Webinar Clinical Practice Guidelines Benefit Grids Claims Information 2019 Point in Time Count Partners Training Academy Upcoming Events State News Alerts and LME/MCO Joint Communication Bulletins Training, Announcements and Reminders Download and Print Partners March Provider Webinar Partners will host its next Provider Webinar on Wednesday, March 13 from 1 p.m.-3 p.m.

Provider Bulletin #88

Holiday and Inclement Weather Appointment Scheduling Inclement Weather Reminders DHHS Review Tool for LIPs/Group Practices and Agencies Billing Outpatient Services Only Updated NCTRACKS List of Providers Due for Re-verification Jan - June 2019 Now Available Autism Services Learning Collaborative Integrated Care Survey Claims Information 2019 Checkwrite Schedule Benefit Grid Updates Don’t Let Improper Use of

Provider Bulletin #87

Partners December Provider Webinar Provider Compliance Survey 1115 Waiver Timeline Provider Credentialing Health Information Exchange/NC Tracks Updates 2019 Checkwrite Schedule Claims Information National Hunger and Homelessness Awareness Week Partners Training Academy Opportunities Additional Training Alerts and LME/MCO Joint Communication Bulletins Announcements and Reminders Download and Print Partners December Provider Webinar Partners will host its next

Provider Bulletin #86

Partners December Provider Webinar Appointment Scheduling Important Information Regarding Reporting Deaths the NC Incident Response Improvement System (IRIS) Utilization Management Updates TCLI Referral Screening Verification Process (RSVP) Claims Information Clinical Documentation Partners Training Academy Opportunities Additional Training Alerts and LME/MCO Joint Communication Bulletins Announcements and Reminders Download and Print Partners December Provider Webinar Partners will