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Provider News

This section provides quick access to operational information and the latest news affecting the Partners’ Provider Network

Provider Communication Bulletin #179

In This Bulletin: Vaya Partners Merger Updates 2026 Perceptions of Care Survey Physical Health Updates Pharmacy Updates GCQI Seeks MSHU Co-Chair NC-TOPPS Updates TEACCH Training Opportunities Claims Information IRIS Incident Reporting Reminders Clinical Coverage Policies Recent Provider Alerts Training Resource and Collaborative (TRAC) Community Training PDF Version> Vaya Partners Merger Updates Provider Merger Information Sessions

Provider Communication Bulletin #178

In This Bulletin: Physical Health Updates Current Service Needs IRIS Incident Reporting Reminders CURESZ Clinical Resource Claims Information Clinical Coverage Policies Recent Provider Alerts Training Resource and Collaborative (TRAC) Community Training PDF Version> Physical Health Updates The Partners Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan collaborates with Carolina Complete Health (CCH) to support physical health

Provider Communication Bulletin #176

In this bulletin: Emergency Slot Requests Site Change Process Physical Health Updates Rights and Responsibilities TCM Contact Updates Opioid Training Opportunity Psychotropic Deprescribing Current Service Needs Kudos Corner Updates Claims Information Clinical Coverage Policies IRIS Incident Reporting Reminders Recent Provider Alerts Training Resource and Collaborative (TRAC) Community Training PDF Version > Emergency Slot Requests The

Provider Communication Bulletin #175

In this bulletin: Physical Health Provider Updates Xifaxan Update Current Service Needs Pop Health Survey NC-TOPPS Survey Claims Information Clinical Coverage Policies IRIS Incident Reporting Reminders Recent Provider Alerts Training Resource and Collaborative (TRAC) Community Training PDF Version > Physical Health Provider Updates Partners’ Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan collaborates with Carolina Complete

Provider Communication Bulletin #174

In This Bulletin: Partners Holiday Closure HCBS Mandatory Training Physical Health Provider Updates TBI Funding Deadline FEP Survey NC-TOPPS Survey GCQI Recruitment Intensive Care Management I/DD Patient Support Claims Information Clinical Coverage Policies IRIS Incident Reporting Reminders Recent Provider Alerts Training Resource and Collaborative (TRAC) Community Training PDF Version > Partners Holiday Closure Partners Health

Provider Communication Bulletin #172

In This Bulletin: Partners Office Closure NC Medicaid Reinstates GLP-1 Coverage Preferred PDL ADHD Medications JCPC Youth Services RFP UM Updates Current Service Needs Clinical Coverage Policies IRIS Incident Reporting Reminders Claims Information Recent Provider Alerts Training Resource and Collaborative (TRAC) Community Training PDF Version > Partners Office Closure Partners Health Management offices will be

Provider Alert: Physical Health Prior Authorization Requirement Updates Effective Feb. 1, 2026

Issued: January 14, 2026 Partners Health Management is providing a reminder to providers regarding updates to prior authorization (PA) requirements for physical health that will take effect on Feb. 1, 2026. Carolina Complete Health (CCH) administers Physical Health utilization management on behalf of Partners. These updates reflect ongoing efforts to enhance consistency, minimize unnecessary administrative burdens

Provider Alert: Process for Reversing Oct. 1, 2025, Fee Schedule Cuts

Issued: December 23, 2025 As previously communicated in a Provider Alert dated Dec. 22, 2025, Partners shared information from the North Carolina Department of Health and Human Services (NCDHHS) regarding the reversal of Medicaid reimbursement rate reductions. In a follow-up communication, the Tailored Plans (all four local management entities/managed care organizations [LME/MCOs]) and Standard Plans

Provider Alert: Update: Reversal of Medicaid Reimbursement Rate Reductions

Issued: December 22, 2025 The North Carolina Department of Health and Human Services announced on Dec. 10, 2025, the reversal of Medicaid reimbursement rate reductions for NC Medicaid Direct and NC Medicaid Managed Care that took effect Oct. 1, 2025. This announcement applies to: The 3%-10% Medicaid rate reductions that took effect Oct. 1, 2025,