Provider News

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

Provider Alert: Update for EVV Personal Care Services Providers

July 12, 2024April 7, 2025
Provider Alert (category), Provider News (category)

Issued: July 12, 2024 Partners Health Management is continuing to load all members and authorizations for personal care services (PCS-99509) in the HHAeXchange EVV vendor portal. Providers should be able to see members in HHAeXchange by July 17. If you are a contracted Tailored Plan provider with Partners and unable to see your members in

Some Providers May Experience Issues Accessing ProAuth

July 2, 2024July 2, 2024
Provider Alert (category), Provider News (category)

Issued: July 2, 2024 This provider alert is to let providers know that you may experience issues accessing ProAuth. Partners Health Management is aware of the issue and is working to resolve it as quickly as possible. What is happening? Some providers may experience issues accessing ProAuth. What do providers need to do? If providers

Some Rides to Appointments Cannot be Scheduled

July 2, 2024
Provider Alert (category), Provider News (category)

Issued: July 2, 2024 This provider alert outlines the trips that are not covered under Non-Emergency Medical Transportation (NEMT), the transportation benefit in the Tailored Plan. What is happening? Some rides are not covered under Non-Emergency Medical Transportation (NEMT). This provider alert serves as notice to providers of the types of trips that are not

Provider Alert: Attention EVV Personal Care Services Providers

June 28, 2024June 28, 2024
Provider Alert (category), Provider News (category)

Issued: June 28, 2024 Partners Health Management is aware that providers of personal care services (PCS) are unable to see their associated members in the EVV vendor portal, HHAeXchange. Partners is actively working to load all members and authorizations for personal care services for EVV into the HHAeXchange portal as quickly as possible. We understand

Provider Alert: 270/271 Processing Status Update

June 28, 2024June 4, 2025
Provider Alert (category), Physical Health (category), Provider News (category)

Issued: June 28, 2024 Partners Health Management has implemented the ability to complete 270/271 processing. The 270 transaction is used to request eligibility and benefit information for medical and behavioral lines of business; the 271 transaction is used to respond with information for the specified member. What is happening? Partners has implemented the ability to

Provider Alert: Important Claims Information for State-Funded and Tailored Plan Providers

June 21, 2024June 21, 2024
Provider Alert (category), Provider News (category)

Issued: June 21, 2024 Partners Health Management is providing clarifying information on how providers should submit some claims when Tailored Plan goes live on July 1, 2024. This provider alert provides information on submitting professional and institutional claims. What is happening? Partners is clarifying how providers should submit professional and institutional claims on or before

Provider Communication Bulletin #153

June 20, 2024June 20, 2024
Provider Communication Bulletin (category), Provider News (category)

In This Bulletin: Partners Announces New Deputy CEO Member Services Updates Claims Information Utilization Management Updates State News and Updates Training Resource and Collaborative (TRAC) Community Training Additional Events and Training PDF Version > Partners Announces New Deputy CEO Partners Health Management has announced that Rachel Porter, Chief Administrative Officer, will assume the role of

Provider Alert: Duplicate Payment Checkwrite

June 19, 2024June 26, 2024
Provider Alert (category), Provider News (category), Uncategorized (category)

Issued: June 19, 2024 Partners Health Management identified claims that were paid twice on the June 18, 2024, checkwrite. Recoupments for overpayments will begin on the July 2, 2024, checkwrite. Please contact ClaimsDepartment@PartnersBHM.org if you have questions.

Provider Alert: Partners Announces Rachel Porter as Deputy CEO

June 7, 2024June 7, 2024
Provider Alert (category), Provider News (category)

Issued: June 7, 2024 Partners Health Management has announced that Rachel Porter, Chief Administrative Officer, will assume the role of Deputy Chief Executive Officer, effective Aug. 1, 2024. Rachel brings over 25 years of experience in both public and private health care sectors to her new role as Deputy CEO for Partners. For the last

Provider Communication Bulletin #152

May 16, 2024
Provider Communication Bulletin (category), Provider News (category)

In This Bulletin: Medicaid Claims Processing Partners Announces New CEO Recipient Explanation of Medical Benefits Surveys Tailored Plan Launch Policy Flexibilities Member and Family Education Videos Provider Tobacco Free Campuses ProviderCONNECT Updates Claims Information State News and Updates Training Resource and Collaborative (TRAC) Community Training Additional Events and Training PDF Version > Medicaid Claims Processing