Provider News

Issued: June 9,2025 The proposed state budgets from the North Carolina House and Senate do not include funding to continue the Healthy Opportunities Pilot (HOP) services after June 30, 2025. Partners Health Management is notifying HOP agencies and recipients that services must stop by July 1, 2025. If funding is restored in the final state

Issued: May 19, 2025 Effective June 1, 2025, Partners Health Management is implementing a more structured process for Planned Restrictive Intervention (PRI). What does this mean for providers? This means that providers must have a Planned Restrictive Intervention Plan (PRIP) in place for members who experience four or more restrictive interventions (RI) within 30 days,

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

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

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