Skip to content

Provider News

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

Provider Communication Bulletin #148

In This Bulletin: Davidson County Realignment Welcome Event NC IDD Health ECHO™ for Primary Care Providers Cleveland County Accepting Nominations for Governor's 2023 Volunteer Service Awards Unlicensed Alternative Family Living Home Provider Attestation Medicaid Proposed Clinical Coverage Policies Open for Public Comment Request for Applications: Bipartisan Safer Communities Act Claims Information Utilization Management Updates State

Provider Alert: Innovations Direct Care Workers Rate Increase Communication

Issued: January 2, 2024 The NC General Assembly appropriated $176 million in state and federal recurring funding in the Current Operations Appropriations Act of 2023 (SL 2023-134, Section 9E.15) to raise NC Medicaid Innovations waiver services rates so that Innovations services providers can in turn raise the hourly wages of their Direct Care Workers (DCW).

Provider Communication Bulletin #147

In This Bulletin: Holiday Office Closures Davidson County Realignment Information Partners Recognized as a Healthy People 2030 Champion NC Innovations Waiver Appendix K Unwinding Update: December 2023 Updating NC-TOPPS Superuser Information New Weekly State-Funded Services Waitlist Submissions Form NC Innovations Waiver Terminations Update Claims Information Utilization Management Updates Partners Seeking Advisory Committee Members State News

Provider Alert: Medicaid Expansion is Live

Issued: December 8, 2023 What is happening? NC Medicaid expanded December 1, 2023. This will help many North Carolinians to receive services they were not eligible to receive prior to the expansion. Medicaid pays for doctor visits, yearly check-ups, emergency care, dental care, mental health and more – at little or no cost to the

Provider Communication Bulletin #146

In This Bulletin: NC Medicaid Expansion LME/MCO Consolidation Announcement Thanksgiving Office Closures Update: Innovations 1915(c) and Appendix K Flexibilities IRIS Updates New Current Service Needs Webpage Claims Information State News and Updates Training Resource and Collaborative (TRAC) Community Training Additional Events and Training PDF Version > NC Medicaid Expansion NC Medicaid Expansion will launch on

Provider Communication Bulletin #145

In This Bulletin: Updated Fax Number for IRIS Reports: 984-777-9864 Partners Health Library Now Available to Members and Providers Updates from Utilization Management Partners Provider Network National Accreditation Requirements State-Funded Services Process Review Claims Information State News and Updates Training Resource and Collaborative (TRAC) Community Training Additional Events and Training PDF Version > Updated Fax

Provider Alert: Update to ProAuth

Issued: October 9, 2023 Partners Health Management has updated ProAuth to remove some features and has added a new dropdown to reflect pending residential placements. These changes are effective immediately. What is happening? Partners has removed the LOCUS and CALOCUS features from ProAuth. These are no longer required by the Department as communicated in Joint

Provider Alert: Authorizations for Research-Based Behavioral Health Treatment Transition to ALL Codes

Issued: October 2, 2023 Effective Oct. 1, 2023, Partners Health Management began moving all new authorizations for Research-Based Behavioral Health Treatment (RB-BHT) to ALL codes. This applies to each RB-BHT service in order to condense the number of modifier codes needed for authorization. Authorizations with the new codes will be in ProAuth and Alpha by Oct. 14.

Provider Communication Bulletin #144

In This Bulletin: Update on NC Support Needs Assessment Profiles Provider Self-Audits Claims Information State News and Updates Training Resource and Collaborative (TRAC) Community Training Additional Events and Training PDF Version > Update on NC Support Needs Assessment Profiles Partners is implementing a new process for submitting NC Supports Needs Assessment Profiles (NC-SNAP) for providers