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Partners Health Management is committed to ensuring our providers are able to submit claims and receive payment in a timely manner.  If you have been unable to submit claims through Alpha+, please contact Partners Provider… 

Issued: August 8, 2025 NC Medicaid invites you to join Virtual Office Hours for behavioral health clinical coverage policies included below. Health Plans and providers are encouraged to submit questions in advance for discussion during Virtual Office Hours. These webinars are open to all stakeholders. Webinar Dates & Times MS Teams Links Tuesday, Aug. 5,

In This Bulletin: Follow the Correct Claims Reconsideration Process High-Fidelity Wraparound Update NC-TOPPS Updates Introducing the Inclusion Coalition ProAuth: Common Questions and Support Tips Chronic Condition Management for Members New Staff Development Opportunity: NAMI Provider Program/strong> IRIS Incident Reporting Reminders Claims Information Recent Provider Alerts Training Resource and Collaborative (TRAC) Community Training PDF Version >

Issued: July 1, 2025 Effective July 1, 2025, Partners Health Management will implement a newly approved In Lieu of Service (ILOS), Transitional Youth Services (TYS), for NC Medicaid Direct members. What is happening? Transitional Youth Services (TYS), an In Lieu of Service (ILOS) for NC Medicaid Direct members, will be effective and available beginning July

State-funded NC Core Individual Placement and Support – Supported Employment

Reporting Subrogation In connection with its contracts with the State of North Carolina; the Social Security Act; 42 C.F.R. § 433 Subpart D; and N.C. Gen. Stat. § 108A-57 et al. Partners is obligated to identify and collect third-party liability for claims, including subrogation. Partners must pursue subrogation when a Medicaid beneficiary receives medical treatment