Issued: November 5, 2025
What is happening?
Effective Oct. 1, 2025, Partners Health Management launched a newly approved In Lieu of Service (ILOS) called Transitional Youth Services (TYS) for Tailored Plan members.
This service, formerly known as Young Adults in Transition (YAT), was previously discontinued by the N.C. Department of Health and Human Services (NCDHHS). It has now been redefined, approved and reinstated to better support youth as they move toward independence.
To ensure a smooth implementation, providers should pause all authorization and claim submissions for TYS until Nov. 17, 2025. This pause allows sufficient time for Partners to complete necessary system updates and implementation processes.
Where can providers find additional information?
For clinical information, providers can refer to the Partners ILOS TYS service definition located on the Partners Provider Knowledge Base.
Transitional Youth Services Overview
Service code: H2022 U5
Unit definition: 1 unit = 1 week
Anticipated length of stay: 9–12 months
Prior authorization:
- Pass-through of nine months
- Notification SAR is required within one week of service initiation for the first nine months (no documentation required for UM)
- Submit service authorization request (SAR) in ProAuth
- No medical necessity review
- Documentation needed for the medical record:
- Comprehensive Clinical Assessment (CCA)
- Life Skills Assessment
- Treatment Plan/PCP
- Service order signed by a licensed clinician, physician, licensed psychologist, physician assistant or nurse practitioner
Reauthorization:
- Up to 60 days after passthrough
- The expected length of stay is up to 12 months per treatment episode
- Submit SAR in ProAuth
- Full medical necessity review with all clinical documentation attached’
Documentation needed for UM:
- CCA
- Life Skills Assessment
- Updated Treatment Plan/PCP
- Service Order signed by a licensed clinician, physician, licensed psychologist, physician assistant or nurse practitioner
Entrance requirements:
- CCA (or approved equivalent)
- Life Skills Assessment
- Person-Centered Plan and service order from a qualified clinician
Eligibility criteria:
- Age 16–21
- Diagnosed with a mental health or substance use disorder
- Deficits in at least one independent living skill or essential life component
What do providers need to do?
Review the service definition: Familiarize yourself with the TYS service requirements, eligibility criteria, staffing qualifications, and documentation standards.
Ensure staff qualifications: Verify that assigned staff meet the required qualifications for delivering TYS, including Qualified Professional status and appropriate supervisory credentials.
Prepare for service delivery:
- Ensure processes are in place for completing Comprehensive Clinical Assessments and Life Skills Assessments.
- Develop Person-Centered Plans and service orders before initiating services.
Who should providers contact for additional questions?
Providers should email UMQuestions@partnersbhm.org if they have questions.