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Provider News

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

Provider Alert: Substance Use Withdrawal Management Services

Issued: May 14, 2024 The Department is delaying some Medicaid clinical coverage policies (CCP) and State-funded Service Definitions for Substance Use Withdrawal Management Services until further notice. The CCPs and services were scheduled to begin May 1, 2024, but are being delayed to allow health plans and service providers to align with coverage requirements and

Partners Announces New CEO

Issued: May 10, 2024 Partners Health Management has announced that Libby McCraw will assume the position of Chief Executive Officer, effective Aug. 1, 2024. McCraw, currently Partners Chief Operating Officer, will succeed Rhett Melton who has served as Partners’ CEO since 2012. Melton announced his retirement in April and will continue in his role as

Provider Alert: Utilization Management Update: State-funded Withdrawal Management Services

Issued: April 29, 2024 Beginning May 1, 2024, Partners Health Management will add several State-funded substance use withdrawal management services to its behavioral health benefit array. What is happening? Effective May 1, 2024, Partners will add the following State-funded substance use withdrawal management services to its behavioral health benefit array: Ambulatory Withdrawal Management without Extended

Provider Communication Bulletin #151

In This Bulletin: Medicaid Claims Processing 15% Retro Rate Increase to State Funds Current Service Providers Needed Primary Care Provider Choice Period Update NC Medicaid Managed Care Retroactive Disenrollments Eligibility Requirements for Trauma-Focused Cognitive Behavioral Therapy High Fidelity Wraparound (HFW) Update PartnersACCESS Provider Services Line for Tailored Plan Launch ProviderCONNECT Updates Introducing the NC-TOPPS Corner

Provider Alert: ProviderCONNECT Update: UM Service Authorization Decision Letters

Issued: April 12, 2024 Beginning Monday, April 15, 2024, providers who sign in to ProviderCONNECT will be able to view or download authorization decision letters in ProAuth. This update provides a seamless process that will allow providers to view approval, unable to process and adverse decision letters inside the ProAuth platform. ProAuth is accessed under

Provider Communication Bulletin #150

In This Bulletin: Consumer and Family Advisory Committee Members Needed Training Staff: Preparing for a Tobacco-Free Campus Event Reporting Incidents in IRIS Claims Information State News and Updates Training Resource and Collaborative (TRAC) Community Training Additional Events and Training PDF Version > Consumer and Family Advisory Committee Members Needed Providers are asked to share with