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ProviderAlert
November 23, 2015

Changes to Authorization Requirements for Several Services

Partners has completed a review of several services along with feedback from the Partners' Provider Council. The review was used to evaluate utilization, effectiveness and requirements to obtain an authorization.

Partners is making some enhancements to reduce the administrative burden on all parties involved in the authorization process. These involve changes to the requirements to obtain an authorization and/or to the number of units allowed per authorization for the following services. Partners believes that these changes will improve access to services and reduce treatment barriers.

B3 Services:
  • Respite
  • Community Guide
  • Peer Support
  • Supported Employment
  • Individual Supports
Enhanced Services:
  • Outpatient
  • Child Residential Levels I-III
  • Opioid Maintenance
  • ACTT


The changes are effective for Service Authorization Requests submitted December 1, 2015 and forward. Utilization Management cannot go back and update/adjust any authorizations that are in place prior to December 1, 2015.

The benefit changes are outlined here. This information is also available via the Utilization Management section of www.partnersbhm.org.

If you have a question regarding these changes, please call Utilization Management at 1-877-864-1454, option 4, option 5.


About Partners Behavioral Health Management
Partners Behavioral Health Management (Partners) provides local management of publicly-funded behavioral health services in Burke, Catawba, Cleveland, Gaston, Lincoln, Iredell, Surry, and Yadkin counties. Offices are located in Elkin, Hickory, and Gastonia. Individuals in need of behavioral health services can call our Customer Service call center 24 hours a day, seven days a week at 1-888-235-HOPE (4673).
  
Want to learn more about Partners? Visit www.PartnersBHM.org.

 


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