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Provider Tools

Learn what you need to join the Partners’ Provider Network and set up your AlphaMCS, ZixMail, and billing accounts.

Opioid Misuse, Prevention and Treatment Program

Opioid Safety, Education and Resources Opioids can play an important role in managing pain, but they also carry serious risks, including dependence, overdose and opioid use disorder. Healthcare providers are essential partners in reducing these risks through appropriate prescribing, patient education, ongoing monitoring and timely connection to treatment and recovery supports. This page brings together

Transitioning to Alpha+

Partners utilizes Alpha+ for managed care operations. Self-Directed Training Alpha+ handbook with screenshots available for self-directed reference and training. This handbook will walk providers through the Alpha+ provider portal. Provider-Portal-Handbook.pdf Alpha+ Portal University: Training Guide provides general information, handbook and video tutorials. If you have not accessed Alpha+ yet, you can still gain some training by

Current Service Needs

Providers are needed in the areas defined on this page. Providers are expected to meet all requirements. Interested providers who are enrolled in Partners’ Provider Network should complete the Provider Change Form. Interested providers who are NOT enrolled in Partners’ Provider Network and want to provide this service should submit the Request for Consideration Form. Please note that

Identifying a Local Administrator

All providers in the Partners Health Management Provider Network must identify a Local Administrator for our provider portal, ProviderCONNECT. Your Local Administrator will serve as the point of contact with Partners for ProviderCONNECT, and will be responsible for setting up accounts for your staff who will need access to ProviderCONNECT. A Local Administrator form was

Benefits

Benefits Benefit GridsPrior AuthorizationPrior Auth. Lookup ToolServices that Require Approval Benefit Grids The Benefit Grids include service codes, service limits, level of care and documentation requirements for service authorization requests. They also include requirements for unmanaged services. Behavioral Health Medicaid and State Benefit Grids (.xlsx) (enable editing to use filters) Tailored Plan Physical Health Services

Provider Enrollment & Maintenance

I am a: I want to: I should: Provider or Independent Practitioner Join the Partners Network Behavioral Health: Submit the Request for Consideration Form Physical Health: Submit the Contract Request Form In-Network Provider or Independent Practitioner Request a new site or service Behavioral Health: Complete the Partners Provider Change Form Physical Health: Contact your Provider

Alpha+, Availity, ZixMail and Billing Setup

Alpha+ Partners uses Alpha+ for its Managed Care Operations. More details regarding Alpha+ are available in the Partners’ Provider Operations Manual and the links below. Access the Alpha+ Provider Portal Provider Portal Handbook Request Individual/Unique Alpha+ Logins Each staff member will need their unique Alpha+ Provider Portal login. To obtain an Alpha+ login or to

Provider Monitoring

Partners Health Management (Partners) is responsible for assuring the quality of services delivered by the Provider Network. Likewise, Partners is accountable to the Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMHDDSAS) and the Division of Health Benefits in the management of both state and Medicaid services. In addition to state requirements, Medicaid