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Provider Communication Bulletin #156

In This Bulletin:

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2024 Perception of Care Survey Update

Thank you for your ongoing support in completing the Perception of Care Survey. The survey links are live now until Friday, Sept. 20, 2024, unless an extension is granted by the state. See the necessary information for administering the survey to members below. This information is also on Partners’ Perception of Care webpage.

To meet our target, we need:

  • 368 adult surveys
  • 174 youth surveys
  • 104 child family surveys

This survey targets populations with mental health and substance use disorders (SUD) and is federally mandated for behavioral health services in North Carolina. The data will help identify areas for improvement in member engagement and services.

Providers should review the 2024 Perceptions of Care Provider Survey Administration Guidelines for instructions on assisting members with the surveys.

Access the surveys here: NCDHHS Community MHSUD Client Surveys Provider Page

Printable copies of the surveys are available on Partners’ website: Partners 2024 Perception of Care Survey and are also linked below:

For more information, contact Partners Quality Director and Survey Coordinator Andrew Schrag at ASchrag@PartnersBHM.org or email Partners Quality Management Manager Tamikka Woods at TWoods@PartnersBHM.org.

 

New Grant Initiative for Direct Support Professionals

The North Carolina Division of Mental Health, Developmental Disabilities, and Substance Use Services is soliciting requests from providers to fund recruitment and retention initiatives that directly enhance overall direct support professionals (DSPs) job quality and job satisfaction. As part of Direct Support Professional (DSP) Recognition Week, DMH/DD/SUS has announced the DSP Recruitment and Retention Providers Grant Initiative.

This initiative is designed to provide financial support for DSP staff, including continuing education, training and professional development opportunities to further enhance their ability to provide exceptional care. Applications for the grants opened at noon on Sept. 9, 2024, and will close at noon on Nov. 8, 2024.

Applications are open to all intellectual/developmental disability (I/DD) provider agencies in North Carolina that employ DSPs and deliver Medicaid and/or state-funded services, including providers that operate an Agency with Choice (AWC) model.

For instructions on submitting a grant application, click here.

Tailored Plan Member and Care Manager Information Now Available

As part of a state requirement, Partners Health Management is offering providers a list of their Partners Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan members who are eligible for or receiving care management under Partners Tailored Plan. A list of Partners’ tailored care managers is also available.

Providers can request this information by contacting Partners at 888-235-4673, option 5.

Tailored Plan is a specialized North Carolina Medicaid health plan designed for individuals with intellectual/developmental disabilities (I/DD), substance use disorders (SUD) or traumatic brain injury (TBI). It covers physical health, behavioral health, I/DD, pharmacy and non-emergency transportation services. As part of this plan, the Health Insurance Portability and Accountability Act (HIPAA) care coordination exceptions apply, meaning a Release of Information is not required for sharing relevant care management details.

How Tailored Care Management (TCM) Benefits Patients and Providers:

  • Person-Centered Assessment: Tailored care managers conduct in-depth assessments to address medical, social and psychosocial needs, creating individualized care plans.
  • Chronic Disease Management: Care managers monitor chronic conditions, provide education and support self-management to improve health outcomes.
  • Transitions of Care: Support is provided during transitions such as hospital discharges to ensure follow-up care and reduce readmissions.
  • Care Management: Care managers facilitate communication among providers, ensuring necessary referrals and continuity of care.
  • Behavioral Health Support: Tailored care managers collaborate with mental health providers to address behavioral health needs.

For more information, contact Partners at 888-235-4673, option 5.

Partners’ Pregnancy Program

Partners is dedicated to supporting members throughout all stages of life. Our pregnancy program assists members who are pregnant.

Early identification of pregnancy and timely access to appropriate health care can significantly reduce the risk of serious complications and promote healthier outcomes. Through comprehensive care management and support, this program ensures that expectant members receive optimal care.

All Partners members who are pregnant may be eligible to participate in the pregnancy program. The program includes:

  • Pregnancy Management Program
  • Care Management for High-Risk Pregnancy (CMHRP)
  • Resources and support from the Partners Care Management Team

Providers, care managers and caregivers can refer individuals to the Pregnancy Program. Referrals can also be emailed to PopulationHealthPrograms@PartnersBHM.org

For more information, email Jessica Hoyle, assistant director of Partners Population Health Impact and Development department, at JHoyle@Partnersbhm.org or email Brittney Clark, program manager for Partners Mental Health and Substance Use (MHSU) Tailored Care Management department, at BClark@Partnersbhm.org.

Pyx Health Information

Providers are encouraged to share information about the Pyx Health app with members as a valuable resource for combating loneliness and anxiety. For detailed information, please refer to the Pyx Health toolkit.

Pyx Health is a free app available for download on mobile devices, computers or tablets.

It addresses loneliness, social isolation and related behavioral health conditions through compassionate technology and timely human connection and interventions.

Features of Pyx Health:

  • Screenings for loneliness, depression, anxiety and Social Determinants of Health (SDOH)
  • Evidence-based games and activities promoting mental well-being
  • Referrals to Partners for further follow-up from the Member Engagement team or Care Managers

Partners members who download the Pyx Health app are eligible for a $10 gift card upon signup.

For questions about member services, contact the Member and Recipient Services Line at 1-888-235-4673, and select Option 1, Monday-Saturday, 7 a.m.-6 p.m., or email MemberQuestions@PartnersBHM.org.

For more information, visit Partners Member Education.

Contact Information to Share with Members

Providers, please share the following information with members to help them contact the appropriate services:

For Members

Important Phone Numbers for Members and Recipients

  • Member and Recipient Services Line: Call 888-235-4673, Monday-Saturday, 7 a.m.-6 p.m.

For: Medicaid members, State-Funded recipients, stakeholders

  • Behavioral Health Crisis Line: 833-353-2093, anytime for anyone needing immediate help with a behavioral health crisis. Click here to learn more.
  • Non-Emergency Medical Transportation (NEMT): 833-577-2309, Monday-Saturday, 7 a.m.-6 p.m. Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan members can call this number to arrange non-emergency transportation. Click here to learn more.
  • Nurse Line: 888-369-2452, available anytime for Tailored Plan members who would like to speak to a nurse for advice.
  • CVS Caremark Pharmacy Line: 866-453-7196, available anytime for Tailored Plan members. Click here to learn more.

Member and Family Education Resources

Refer to the Partners website for detailed information on resources available to members and their families.

If you are a provider who needs help, call our Provider Services Line at 877-398-4145, Monday-Saturday, 7 a.m.-6 p.m. Click here to learn more.

Human Rights Committee Members Needed

Providers are encouraged to inform members about the opportunity to join Partners Health Management’s Human Rights Committee (HRC).

The HRC reports directly to the Board of Directors and is tasked with overseeing the protection of member rights, as mandated by NCGS 122C. Partners’ policy requires the Board to establish the HRC, which works to safeguard the rights of members served by Partners’ network providers.

The HRC reviews reports, trends and alleged violations concerning member rights. This committee plays a crucial role in enhancing services for individuals with mental health issues, substance use disorders, intellectual and developmental disabilities (I/DD) or traumatic brain injuries (TBI) by monitoring and providing feedback on these reports and trends. A stipend is available for participants.

The HRC meets virtually at 6 p.m. on the third Tuesday of August, November, February and May. Those interested in participating should email Bonnie Stanifer at BStanifer@PartnersBHM.org.

For more information, visit Partners Human Rights Committee.

Claims Information

Providers are reminded to contact the Claims Department at ClaimsDepartment@PartnersBHM.org for all claims related questions. To avoid delays in receiving a response, please do not contact individual claims staff directly.

Alpha+ Portal University is an available resource and guide for navigating Alpha+. If you need additional claims training, email ClaimsDepartment@PartnersBHM.org to schedule a time for training.

Explanation of Benefits requests for Coordination of Benefits Claims

As a reminder, Partners does request copies of the Explanation of Benefits for claims submitted indicating Coordination of Benefits. The request will originate via email from Partners Claims staff. Once requested, please submit the information via secured email prior to the date indicated in the emailed request. If a response is not received, the original claim payment will be recouped.

Reminder: Taxonomy Code 193200000X and 193400000X – Taxonomy Code 193200000X and 193400000X should not be submitted on claims as the rendering taxonomy code. All claims submitted with this taxonomy code as the rendering code will be reverted.

Reminder: Please remember to include all diagnosis codes on claims. This allows Partners to measure member health, identify areas of risk and evaluate the quality of care.

Member/Recipient Eligibility and Enrollment

Providers are encouraged to contact the Eligibility and Enrollment Department at EligibilityEnrollment@PartnersBHM.org for eligibility and enrollment related questions.

To request an enrollment, providers should go to Alpha+ Home Page>Enrollments. University is an available resource for providers as a basic guide for navigating enrollments. For more information, go to University>Provider Portal Handbook>Enrollments.

If additional enrollment training is needed, email EligibilityEnrollment@PartnersBHM.org to schedule one-on-one training. Note that providers will need Microsoft Teams screen sharing capabilities for more provider specific and in-depth training.

Physical Health Claims

Partners Health Management has partnered with Availity®, an independent company, to operate and service our electronic data interchange (EDI) and portal transactions with Carolina Complete Health for Physical Health Claims processing. The change took place July 1, 2024. Availity® can now be found in ProviderCONNECT called “Physical Health Claims” under the Quick Links box.

Utilization Management Updates

Substance Use Withdrawal Management Services

New policies for withdrawal management services are effective Oct. 1, 2024, for the below Medicaid and State-funded services:

Medicaid

Service Code Prior Auth Required Initial Benefit Limit Age Group Level of Care Source Documentation Required for Authorization
Ambulatory Withdrawal Management w/o Extended On-Site Monitoring

H0014

 Yes Pass-through of three days. One unit = 15 minutes.

Initial: Based on medical necessity. One unit = 15 minutes.

First concurrent and beyond: Based on medical necessity. One unit = 15 minutes.

 

 18+ American Society of Addiction Medicine (ASAM): 1 Withdrawal Management (WM) 8A-7 Notification SAR. No clinical documentation required.

Initial: Abbreviated assessment, Comprehensive Clinical Assessment (CCA), Treatment (Tx) Plan and Service Order (dated on or prior to the first day the service was provided), Physical Exam Note, Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar) and/or Clinical Opiate Withdrawal Scale (COWS) score. A signed service order must be completed by a physician, physician assistant (PA), or Nurse Practitioner (NP), according to their scope of practice. A service order is valid for 12 months.

First Concurrent: Updated Tx Plan
Ambulatory Withdrawal Management w/Extended On-Site Monitoring

H0014 HF

 Yes Pass-through of three days. One unit = 15 minutes.

Initial: Based on medical necessity. One unit = 15 minutes.

First concurrent and beyond: Based on medical necessity. One unit = 15 minutes.

 

 18+ ASAM: 2 WM 8A-8 Notification SAR. No clinical documentation required.

Initial: Abbreviated assessment, CCA, Tx Plan and Service Order (dated on or prior to the first day the service was provided), Physical Exam Note, CIWA-Ar, and/or COWS score. A signed service order must be completed by a physician, PA, or NP, according to their scope of practice. A service order is valid for 12 months.

First Concurrent: Updated Tx Plan
Medically Monitored Inpatient Withdrawal Management Services

H0010

 Yes Pass-through of three days. One unit = 1 day.

Initial: Based on medical necessity. One unit = one day

First concurrent and beyond: Based on medical necessity. One unit = one day.

 

 

 

 18+ ASAM: 3.7 WM 8A-11 Notification SAR. No clinical documentation required.

Initial: Abbreviated assessment, CCA, Tx Plan and Service Order (dated on or prior to the first day the service was provided), Physical Exam Note, CIWA-Ar, and/or COWS score. A signed service order must be completed by a physician, PA, or NP, according to their scope of practice. A service order is valid for 12 months.

First Concurrent: Updated Tx Plan

 

State-funded

Service Code Prior Auth Required Initial Benefit Limit Age Group Level of Care Source Documentation Required for Authorization
Ambulatory Withdrawal Management w/o Extended On-Site Monitoring

H0014

 No No Prior Authorization needed. One unit = 15 minutes. 18+ ASAM: 1 – WM State No clinical documentation required.
Ambulatory Withdrawal Management w/Extended On-Site Monitoring

H0014 HF

 No No Prior Authorization needed. One unit = 15 minutes. 18+ ASAM: 2 – WM State No clinical documentation required.
Medically Monitored Inpatient Withdrawal Management Services

H0010

 No No Prior Authorization needed. One unit = 1 day.

 

 18+ ASAM: 3.7 WM State No clinical documentation required.

 

Ambulatory Detoxification (H0014) notated in Clinical Coverage Policies (CCP) 8A and 2024 State-funded Enhanced Mental Health (MH) and Substance Use (SU) Service Definitions will be replaced by the following clinical coverage polices on Oct. 1, 2024:

  • Ambulatory Withdrawal Management without Extended Onsite Monitoring (H0014) – CCP 8A-7 and State-funded Service Definition
  • Ambulatory Withdrawal Management with Extended Onsite Monitoring (H0014 HF) – CCP 8A-8 and State-funded Service Definition

Non-Hospital Medical Detoxification (H0010) notated in CCP 8A and 2024 State-funded Enhanced Mental Health (MH) and Substance Use (SU) Service Definitions will be replaced by the following clinical coverage policy on Oct. 1, 2024:

  • Medically Monitored Inpatient Withdrawal Management Services (H0010) – CCP 8A-11 and State-funded Service Definition

All services must meet medical necessity criteria as outlined in the Clinical Coverage Policy. Authorization is not a guarantee of payment. Claims payment is contingent upon member funding eligibility during the authorization period and the service provider’s contract.

For authorization questions, contact UMQuestions@PartnersBHM.org.

 

REMINDER: Guidance for Transitioning from 1915(b)(3) to 1915(i)

The transition from 1915(b)(3) services for NC Medicaid Direct and the Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan members will be completed by Dec. 31, 2024. For detailed guidance, review the Partners Provider Alert issued on June 28, 2024 and Partners Provider Communication Bulletin #155.

Medicaid Direct Benefit Plan:

  • The N.C. Department of Health and Human Services’ (NCDHHS’) authority to provide 1915(b)(3) services under the 1915(b) waiver ends Dec. 31, 2024. Partners will not authorize any 1915(b)(3) services for its members after Dec. 31, 2024. Authorizations with end dates beyond Dec. 31, 2024, will have the end date adjusted by Utilization Management (UM) to Dec. 31, 2024.
  • Members MUST be assessed for eligibility for 1915(i) services by the Tailored Care Manager (TCM) or care manager, as soon as possible. The 1915(b)(3) providers should reach out to the TCM provider or care manager to support development of the Care Plan/Individual Support Plan (ISP).
  • Failure to work with the TCM provider or Care Manager to support the development of the Person-Centered Care Plan/Individual Support Plan (ISP) and complete transition to 1915(i) or another appropriate service by Nov. 30, 2024, may result in service disruption for the member on Jan. 1, 2025.

Tailored Plan Members above the 150% Federal Poverty Level (FPL):

  • Presumptive eligibility cannot be given to members above 150% FPL.
  • Any member who has not been assessed in the last 12 months must be reassessed prior to independent evaluation and determination of 1915(i) eligibility.
  • NCDHHS will provide Partners with a list of members with income over 150% FPL and whose assessment is more than 12 months old prior to July 1, 2024. This will allow the Tailored Care Manager or Partners care manager to coordinate with providers to complete the member’s reassessment and develop the Person-Centered Care Plan/ISP.
  • Members already receiving 1915(b)(3) services can continue to receive 1915(b)(3) until the 1915(i) Care Plan/ISP is approved and services are authorized.
    • If these members are receiving 1915(b)(3) services, they must be transitioned to 1915(i) or another appropriate service or otherwise stop 1915(b)(3) services no later than Sept. 30, 2024.
    • UM will end all 1915(b)(3) authorizations for Tailored Plan members on the FPL list on Sept. 30, 2024.

For questions or additional guidance, email:

 

Peer Support Service Code Changes

Effective Oct. 1, 2024, changes will be made to Medicaid Peer Support Services (PSS) for the following service codes:

 

Service Code Prior Auth Required Initial Benefit Limit Age Group Level of Care Source Documentation Required for Authorization
PSS “All Services” or Base Code is H0038

H0038 – Peer Supports Individual

H0038 (DJ) – Peer Supports Individual Department of Justice (DOJ)

H0038 (KX) – Peer Support Telephonic

H0038 (KX) (DJ) – Peer Support DOJ

H0038 (HQ) – Peer Supports Group

H0038 (HQ) (DJ) – Peer Support Group (DOJ)

H0038 GT – Peer Support Telehealth

H0038 GT DJ – Peer Support Telehealth DOJ

 Yes Pass-through of 24 units per fiscal year

Initial: 270 units per 90 days (90 units per month). Includes both individual and group.

First Concurrent: 540 units up to 180 days (90 units per month). Includes both individual and group.

Second Concurrent: 360 units up to 120 days (90 units per month). Includes both individual and group.

Third Concurrent and beyond: 270 units for 90 days (90 units per month). Includes both individual and group.

 18+ LOCUS optional: 1
ASAM: 1		 8G Notification Service Authorization Request (SAR) is required for members who receive 24 units or less per fiscal year. No clinical documentation is required for a Notification SAR.

For over 24 units, submit a SAR for medical necessity review and attach documentation required by the clinical coverage policy.

Service Order is required and is due on or before the first date of service. Service Order is valid for one year. Service Order must be signed by a physician or other licensed clinician per his or her scope of practice.

Initial: Comprehensive Clinical Assessment (CCA), Primary Care Provider (PCP), Service Order, and Comprehensive Crisis Plan.

Concurrent: Updated PCP

Recommended: Include the date of admission to PSS within the note section of the SAR.

 

No prior authorization required for State-funded PSS or the following Medicaid PSS Timely Follow-up service codes:

  • H0038 (HK) (KX) – Peer Support Services Individual Timely Follow-up
  • H0038 (HK) – Peer Supports Individual Timely Follow-up

For members with authorizations already in place as of Oct. 1, 2024:

  • Providers may request the initial benefit limit at the next authorization (270 units for 90 days) if member is engaged in pass-through period.
  • Providers may request the first concurrent benefit limit at the next authorization (540 units for 180days), if approved for 270 units for 90 days.

For new members, providers may use the pass-through period or submit the initial authorization for a medical necessity review.

All services must meet medical necessity criteria as outlined in Clinical Coverage Policy (CCP) 8G. Authorization is not a guarantee of payment. Claims payment is contingent upon member funding eligibility during the authorization period and the service provider’s contract.

For authorization questions, contact UMQuestions@PartnersBHM.org.

Recent Provider Alerts

Sept. 18, 2024: New Grant Initiative for Direct Support Professionals
Sept. 5, 2024: IRIS Downtime Scheduled for 9/5/2025 from 5 p.m.– 6 p.m.
Aug. 22, 2024: Reminder for Electronic Visit Verification Personal Care Services Providers

State News and Updates

NCDHHS Trainings:

DHMDDSUS October Side-by-Side: Disability Employment Awareness: Featuring a Panel of Individuals with Lived Experience
Oct. 7, 2024, 2-3 p.m. (Register)

Inclusion Works October Lunch and Learn: Empowering Employment for Individuals with I/DD through Benefits Counseling Part 1
Oct. 23, 2024, noon-1 p.m. (Register)

Inclusion Works October Lunch and Learn: Empowering Employment for Individuals with I/DD through Benefits Counseling Part 2
Oct. 30, 2024, noon-1 p.m. (Register)

NCDHHS Resources:

  • Joint Communication Bulletins, which are issued by the N.C. Department of Health and Human Services, can be found here.
  • Medicaid Bulletins: All bulletin articles are available here. Providers are encouraged to frequently review this information.
  • Medicaid Pharmacy Newsletters are available here.
  • NCTracks: Providers are encouraged to review NCTracks communications. To subscribe to NCTracks communications, click here.

Training Resource and Collaborative (TRAC)

TRAC offers a centralized cross-functional selection of required training, collaboratives and events. Click here to view what is coming up in the next few months.

 

Tailored Plan On-Demand Provider Trainings

The North Carolina Department of Health and Human Services (NCDHHS) requires the listed trainings be available for providers. This applies to Tailored Plan, Medicaid Direct and State-funded providers. Registering is easy. You will be prompted to enter simple registration information. The on-demand training will then be available immediately or when your schedule allows. Note: Training Reciprocity Among Tailored Plans. NCDHHS is allowing the six LME/MCOs reciprocity for some Tailored Plan-required trainings.

 

CLAS Standards
On-Demand (Register)
The Office of Minority Health has established culturally and linguistically appropriate services (CLAS) Standards to address health equity, promote cultural competence, and to improve health outcomes. This training will review the fifteen CLAS standards and identify resources and training materials available to providers at no cost on the website, thinkculturalhealth.hhs.gov. CEs are not available for this training.

Due Process
On-Demand (Register)
This on-demand webinar covers the following (but not limited to) four dispute types: Medicaid appeals, non-Medicaid appeals, Provider disputes, and Grievances. CEs are not available for this training.

EPSDT
On-Demand (Register)
In the EPSDT training, you will learn: What is EPSDT; Partners EPSDT requirements; Periodicity Schedule; Diagnostic and Treatment Components; Medical Necessity Review; Service Coordination (Vaccines for Children, Into the Mouths of Babes, and Developmental Delay and Referral to NC Infant-Toddler Program); and EPSDT components, diagnosis codes, modifiers, referrals, tracking, follow-up and outreach. CEs are not available for this training.

Fraud, Waste and Abuse
On-Demand (Register)
This webinar covers (but is not limited to) the following: Regulatory Compliance Program, Types of Health Care Industry Oversight, Partners Program Integrity Department, Program Integrity Department Function Highlights, What are Fraud, Waste and Abuse (FWA), Potential Areas or examples of FWA and the Impact of FWA on health care. CEs are not available for this training.

Into the Mouths of Babes (IMB)
On-Demand (Register)
The IMB program trains medical providers on how to provide preventative oral health services to Medicaid-insured children from tooth eruption to age 3 ½ (42 months). The goals of the program include preventing and reducing early childhood tooth decay and increasing referral of high-risk children to a dental home. This training is required before being permitted to receive reimbursement for IMB services. CEs are not available for this training.

 

Partners Hand Washing and Personal Protective Equipment (PPE)
On-Demand (Register)
Participants will gain an understanding of infection control using PPE and frequent handwashing. CEs are not available for this training.

Partners Infection Control: Community Care Settings
On-Demand (Register)
Participants will gain an understanding of infection control in the community care setting, which includes learning ways infections are transmitted, standard precautions and how to teach members about infection control procedures. CEs are not available for this training.

Partners Infection Control: Home Care Settings
On-Demand (Register)
Participants will gain an understanding of infection control in the home care setting, which includes learning ways infections are transmitted, standard precautions and how to teach members about infection control procedures. CEs are not available for this training.

Prevention and Population Health Management
On-Demand (Register)
Partners takes a population-based approach to improve the overall health of Medicaid members and State-funded recipients and collaborates with community partners on targeted initiatives. In this training, you will learn about: Partners Prevention and Population Health Core Philosophies, Program Goals, Partners Prevention and Population Health Approach, Provider Level Interventions and Partners Prevention and Population Health Programs Overview of Provider Expectations. CEs are not available for this training.

 

Provider Training-Live Virtual and/or Pre-recorded

ProAuth Demonstration, Updated April 2024
On Demand (Register)
This on-demand video is designed to offer providers an overview of the features of Partners’ ProAuth system to enter and manage authorizations. Be sure to download the attached pdf for Submitting Prior Auth Requests once you log into the webinar. CEs are not available for this training.

Community Support Team (CST) Service Definition Training
On Demand (Register)
Community Support Team (CST) is a behavioral health support service designed to help people experiencing severe mental illness develop recovery and resiliency-oriented skills. This webinar meets the requirement of three hours of CST Service Definition Training. Registrants will view a previously recorded training that includes two 10-minute breaks. To receive a training certificate, registrants will need to view the full webinar and pass a quiz with a score of 80% or greater. Three contact hours are available for this training. The webinar platform automatically emails the link to the test within 24 hours of viewing the webinar. Tests are reviewed once a week, and certificates are emailed within two weeks. Email Training@PartnersBHM.org if you have any questions.

Employer of Record (EOR) Webinar
On Demand (Register)
This webinar provides an overview of Employer of Record (EOR) areas of importance including, monitoring processes, post payment reviews, documentation, staff qualifications, monitoring results, and Quality Management Monitoring Unit contact information. CEs are not available for this training.

Enhanced Rate Request (ERR) Webinar
On Demand (Register)
This on-demand recording contains step-by-step instructions on completing Enhanced Rate Requests (ERR), how to use the cost finding template and how to complete the enhanced rate request form. Register and view the recording on-demand as many times as you wish. To view and save supporting documentation, please click to the left of the video on the paper icon and select each document to download to your computer.

Health Disparities: A Tribal Perspective
On-Demand (Register)
Addressing Health Disparities Among Marginalized Populations: A Tribal Perspective On-Demand Webinar will review predominant health disparities among tribal members, describe the factors that create health disparities, describe the role that Medicaid Transformation can provide in addressing health disparities, review the Indian Health services eligibility, and review the concepts of cultural humility in supporting tribal communities. CEs are not available for this training.

NCSNAP Training
Email Training@PartnersBHM.org to request forms and submit requests.

Physical Health Providers Update LME/MCO Tailored Plans & Tailored Care Management
On-Demand (Register)
Partners Health Management and Carolina Complete Health (CCH) bring a shared vision for true partnerships with all providers across the system of care, which is reflected in our network management model. As the only Provider-Led Entity (PLE), CCH seeks out physician and clinician expertise in medical policy and aims to give providers a voice in how to best care for their patients while reducing administrative burden. Since Partners’ inception as a managed care organization, Partners has executed a strategy of collaboration with providers. Our mutual goal is to aid providers as they offer accessible, robust and effective services for members.

ProviderCONNECT User Navigation Guide Video
On-Demand (Register)
This ProviderCONNECT User Navigation Guide is designed as a brief orientation to portal features following a successful login.

ProviderCONNECT LA Non-Utilizer Report Video
On-Demand (Register)
Local administrators should maintain their back-up local administrators (LAs), any additional LAs and general users (GUs) they have set up in the ProviderCONNECT Portal Dashboard. This video will guide providers through that process.

 

ProviderCONNECT Secure Messages Video
On-Demand (Register)
Secure Messages is an app in ProviderCONNECT that enables Partners and providers to exchange messages within the secure portal. This is a step-by-step instructional guide to using the Secure Messages app.

ProviderCONNECT Document Manager Video
On-Demand (Register)
Document Manager is an app in ProviderCONNECT that enables Partners to share documents with providers within the secured portal. It also can be used as a file management system for maintaining files within your organization. This is a step-by-step instructional guide to using Document Manager.

Provider SysAid2 Service Ticket Overview Video
On-Demand (Register)
This 8-minute video provides you an overview of the Partners SysAid2 Service Ticket System.

Partners Provider Council
Sept. 27, 2024, 9:30 a.m. (Register)
The Partners Provider Council is a professional representative of and advocate for all service providers in the Partners service area. The Council facilitates an open exchange of ideas and brings forward concerns and solutions while promoting collaboration and mutual accountability among providers. Meetings are held on the fourth Friday of the month. An intellectual and developmental disabilities (I/DD)/Innovations Provider Breakout Session will immediately follow this meeting.

Treating Substance Use Disorder (SUD) During the Modern Opioid Epidemic
Oct. 8 and 10, 2024, 9 a.m.-12:15 p.m. (Register)
Trainer: Eric Ottinger, LCAS, LCMHC

Treating opioid use disorders with a combination of medications and Cognitive Behavioral Therapy (CBT) has become the “gold standard.” What does that mean for providers in the treatment system and recovery community? Examine the scope of the current problem and its historical context and explore solutions from a Biopsychosocial–Spiritual perspective that includes the possible application of pharmaceutical interventions combined with evidence-based SUD treatments and the role 12-step programs play. This is a live, virtual event and is NCSAPPB approved for 6 hours. If you need accommodations to participate in the session, please email Training@PartnersBHM.org.

Provider DEI Collaborative – Quarterly 
Oct. 10, 2024, 2-3 p.m. (Register)
The purpose of this quarterly collaborative facilitated by Vickie Smith is to bring awareness and increase conversations related to the topics of diversity, equity and inclusion (DEI) related to our provider network.

Providers, we would like your participation in this collaborative! Your perspective is vital for health equity initiatives for the members we serve.

The goal of the DEI Provider Collaborative is to ensure that providers have access to the needed resources to serve members through the lens of ensuring diversity, equity and inclusion and to foster better outcomes and improve quality of life for members. To achieve these goals, we must know and understand the different populations we serve.

As we transition to whole person integrated care of our members, it is important that we create actionable strategies to address members’ behavioral, physical and pharmacy care. Consistent provider engagement in these discussions is critical to members’ overall quality of care.

Please register here or on the Partners TRAC page at PartnersTraining.org, and let’s get to work!

LTCS Collaborative
Oct. 10, 2024, 1-2 p.m. (Register)
The LTCS Collaborative is a monthly meeting that is held the second Thursday of each month to discuss operationalizing Partners’ Medicaid In-Lieu of Service – Long Term Community Supports (LTCS). The Collaborative will discuss barriers to accessing the service for potentially eligible members and ensuring continuity and quality of the service the member receives.

CBT Learning Community
Oct. 16, 2024, 2-3:30 p.m. (Register)
CBT Learning Community is a monthly meeting where like-minded providers gather in a learning community to explore skills, concepts, case studies and expand techniques. This learning community will help you learn practical ways to use evidence-based practices in your day-to-day work with members.

What do we do in this learning community: self-care, reduce burnout, professional growth, connection to a community, explore evidence-based practices, gain a sense of mastery, invest in your own emotional bank account, improve in quality of care delivered and learn and practice skills that are reimbursable.

Participants can earn 1.5 contact hours of continuing education credits. You must have audio/video access and be visible on camera during the session. Driving is not permitted during Partners trainings. If you need accommodations to participate in the session, please email Training@PartnersBHM.org.

Mindfulness and Recovery Training
Nov. 12 and 14, 2024, 9 a.m.-12:15 p.m. (Register)
Trainer: Eric Ottinger, LCAS, LPC

Mindfulness is the fastest-developing area in mental health. This two-day training will cover its history and benefits in treating mental health conditions and substance use disorders. Participants will learn techniques for managing thoughts, emotions and stress, and will explore the importance of balancing clinician self-care with client care. The training will also introduce self-monitoring and data collection to enhance mindfulness practices in the recovery process.

Participants will have to be present with audio and visual capabilities and must be visible on camera for both sessions to receive credit. No Partial credit will be given. NCSAPPB approved for up to six hours. If you need accommodation to participate in the training, please email Training@PartnersBHM.org.

Global Continuous Quality Improvement (GCQI) Meeting – Quarterly
Dec. 6, 2024, 9:30-10:30 a.m.
Mar. 7, 2025, 9:30-10:30 a.m.
June 6, 2025, 9:30-10:30 a.m.

GCQI is a collaborative, provider-led, virtual meeting with Partners’ Provider Advisory Council and other stakeholders to identify meaningful, measurable outcomes and make recommendations for the delivery of optimal care for our members. GCQI seeks to collaboratively standardize quality improvement efforts and advance the accessibility, effectiveness, efficiency and satisfaction of the services provided. This includes promoting high quality services, developing improvement strategies, identifying measurable outcomes and developing tools to measure outcomes and make recommendations.

To register and seek accommodations to participate in the session, please email Training@PartnersBHM.org.

Partners Provider Forum – Quarterly
Dec. 11, 2024, 1-3 p.m. (Register)
Partners’ quarterly updates and vital information is shared with providers. Please click on the register button to register for this virtual live event.

Community Training

All Trainings are Virtual via Zoom and are two hours unless otherwise specified. Participants may not be admitted to the training if joining more than 15 minutes after training begins. Participants who request a certificate will need to be on-camera during the training.

For more information contact: Amber Matthews, AMatthews@PartnersBHM.org.

Trauma Part One: Introduction to Trauma and Resilience
Oct. 1, 2024, 6-8 p.m. (Register)
Oct. 3, 2024, 10 a.m.-noon (Register)
Most of us have experienced trauma at some time. This can have a lasting effect on our learning, behavior and health. Learn about trauma, how to address its effects and develop resilience.

Understanding Grief
Oct. 2, 2024, 10 a.m.-noon (Register)
Are you experiencing grief or do you know someone who is grieving? In this training, you will learn about the various causes, phases and other information related to the grieving process.

Trauma Part Two: Trauma Informed Care
Oct. 4, 2024, 10 a.m.-noon (Register)
Oct. 15, 2024, 6-8 p.m. (Register)
We will look at how our behavior affects others who have a history of trauma and learn about the elements of trauma informed care. Childcare setting specific version is available upon request.

Diabetes 101
Oct. 8, 2024, 10 a.m.-noon (Register)
The Diabetes 101 training provides a comprehensive overview of diabetes, including its types, signs, symptoms, risk factors and potential complications. Participants will gain knowledge about diabetes prevention, self-management strategies and valuable resources to support those affected by the condition.

Partners Member Café
Oct. 8, 2024, 1-2 p.m. (Register)
Partners Member Café is held the second Tuesday of each month. Grab a cup of coffee, sit down and join us virtually to get to know us and learn how we can help you. Ask us questions about resources and services you need and who to call. We look forward to seeing you!

Maternal Mental Health
Oct. 11, 2024, 10 a.m.-noon (Register)
This training delves into the nuances of maternal mental health, perinatal mood disorders and practical tools for support. Explore the essential intersection of mental health, pregnancy/postpartum care and social determinants of health while gaining insights that contribute to creating a nurturing environment for mothers.

Active Listening/De-escalation
Oct. 15, 2024, 2-4 p.m. (Register)
If you have ever been in a high stress situation where you did not know what to say or how to help, this is the training for you. Active Listening/De-escalation focuses on active listening skills, empathy and habits to keep yourself and other people safe.

Mental Health 101
Oct. 16, 2024, 2-4 p.m. (Register)
Learn about mental wellness, potential signs and symptoms of mental health challenges and some of the common behavioral health disorders. The training also includes information about treatment and what to do in a crisis.

Human Trafficking: Keeping Our Children Safe
Oct. 17, 2024, 10 a.m.-noon (Register)
Human Trafficking is a global problem, even in the United States. Children may be susceptible to online predators. Learn about trafficking around the world and resources to keep our children safe.

Domestic Violence: How to Help
Oct. 18, 2024, 10 a.m.-noon (Register)
Many of us are still at home more than usual and the risk for domestic violence is high. Learn how to spot the warning signs of domestic violence and how to help someone in a violent situation.

Stress Management
Oct. 21, 2024, 2-4 p.m. (Register)
We’re all stressed! Many of us are balancing jobs, school, family, finances and more. Let’s get together and talk about ways we can manage our stress and have a little fun.

Non-Suicidal Self Injury
Oct. 22, 2024, 10 a.m.-noon (Register)
Learn about Non-Suicidal Self-Injury, what causes people to injure themselves, warning indicators and what we can do when we encounter someone who self-injures.

Partners Community Café
Oct. 23, 2024, 10-11 a.m. (Register)
Partners Community Café is held on the fourth Wednesday of each month.

Question Persuade Refer (QPR) Suicide Prevention
Oct. 23, 2024, 2-4 p.m. (Register)
This evidence-based training teaches the skills to recognize warning signs of suicide and intervene in a suicide crisis. “Ask a question, save a life.”

Nutritional Impact on Mental Health
Oct. 24, 2024, 10 a.m.-noon (Register)
Join us for an insightful training on the intricate relationship between eating behaviors and mental health. This interactive training will explore how our dietary choices and habits can profoundly influence our mental well-being, emphasizing the crucial connection between nutrition and mental health.

Community Resilience Model®
Oct. 24, 2024, 2-4 p.m. (Register)
The Community Resilience Model® (CRM) teaches participants about the impact of trauma and chronic stress on the nervous system, behavior, and long-term health. Participants learn how to reset the nervous system with easy to learn, concrete coping skills. One of the goals of CRM is to create trauma-informed and resilient communities.

Darkness to Light
Oct. 29, 2024, 9 a.m.-noon (Register)
The Darkness to Light training provides education about child sexual abuse and the steps you can take to prevent, recognize and react responsibly to child sexual abuse; participants learn proactive steps to protect children from this significant risk. This is a 3-hour training.

 

In-Person Trainings

An Introduction to Child and Family Teams (CFT): A Cross System Training from the Family’s Perspective (Part 1)
Oct. 9 and 10, 9 a.m.- 4 p.m. (Register)
Partners Health Management, Kannapolis Office
4855 Milestone Ave.
Kannapolis, NC 28081

This System of Care training will be in-person. CFT Part 1 is a two-day experiential training course (when you register, you agree to attend both days) with the goal of providing an overview of Child and Family Team meetings from the family’s perspective. The training seeks to reinforce the idea of “one family, one plan” by addressing CFT through the lens of multiple systems as they affect families in their everyday lives. Agency representatives and parents/family members 18 years old and older are encouraged to attend this training. Sessions must have a minimum of 10 participants. Do not schedule other appointments during this training. For more information, email CETraining@PartnersBHM.org.

Additional Events and Training

Hickory Brain Injury Support Group
Oct. 22, 2024, 6 p.m.-7:15 p.m.
Connect with survivors, families, and professionals. Meetings offer help, hope, and education, so you can live a happy and successful life after brain injury. This group meets on the fourth Tuesday of most months from 6 to 7:15 p.m. in the Community Room at First United Methodist Church, 311 3rd Ave NE, Hickory NC 28601. Times and locations sometimes vary. Meetings may occur online if there is a COVID-19 surge.

For more information, contact Travis Glass at 828-781-0778 or Travis@CrossroadsCounseling.org. Also check facebook.com/HickoryBISG. Each meeting is followed by 15 to 30 minutes of mindfulness awareness education and practice.

Partners Community Collaboratives: Partners sponsors a monthly community collaborative in each of the counties in the service region.

Community Collaborative groups consist of representatives from local government agencies, community organizations, and service providers, as well as individuals, families and advocates who work together in a specific community to identify and solve problems for children, adolescents, adults and families struggling with mental health and substance use.

Together, group members:

  • Identify gaps in services.
  • Partner with agencies and families.
  • Develop helpful resources.
  • Assist providers and families with issues related to services.
  • Ensure access to quality services.

Currently, all collaboratives are meeting virtually. If you are interested in learning more about a group or attending, please email Partners Community Engagement.

Select a county below to go to the associated collaborative information:

–       Burke

–       Cabarrus

–       Catawba

–       Cleveland

–       Davidson

 –       Davie

–       Forsyth

–       Gaston

–       Iredell

–       Lincoln

 –       Rutherford

–       Stanly

–       Surry

–       Union

–       Yadkin
Updated: