Partners Behavioral Health Management offers comprehensive care management services for individuals eligible for Local Management Entity/Managed Care Organization (LME/MCO) support, funded by both State and Medicaid resources. Care Management, an essential administrative service recognized by the Division of Medical Assistance (DMA) and the NC Division of Mental Health/Developmental Disabilities and Substance Abuse Services (NCDMHDDSAS), ensures individuals receive coordinated and effective care.
To initiate a referral for Care Management services, please utilize the Partners Care Management Referral Form, accessible via the link below.
Partners Care Management Referral Form
Guidance for Completing the Referral Form:
When completing the Partners Care Management Referral Form, please adhere to the following guidelines to ensure efficient processing and to avoid delays:
- Complete Demographic Form and Relevant Referral Page: Ensure both the Demographic Form and the referral page most pertinent to the individual’s needs are fully completed. Only these sections are required for submission.
- Mandatory Fields: All fields within both the Demographic Form and the selected referral page are mandatory. If a field is not applicable, please enter “NA” to indicate this.
- Referral Page Selection: Choose the referral page that accurately reflects the individual’s primary needs:
- Page 3: State-funded individual with Mental Health, Substance Use, Intellectual Developmental Disability, or Outpatient Commitment.
- Page 4: Medicaid Recipient Receiving Crisis or Inpatient Services.
- Page 5: Medicaid Recipient with an Intellectual or Developmental Disability.
- Page 6: Medicaid Recipient – Child Mental Health.
- Page 7: Medicaid Recipient – Adult Mental Health.
- Page 8: Medicaid Recipient – Child or Adult Substance Dependent.
- Page 9: Medicaid Recipient – Child or Adult co-occurring conditions (any combination of MH/SA/IDD).
Submitting Supporting Clinical Documentation:
To facilitate a comprehensive review and expedite the referral process, providers are requested to upload all relevant clinical documents into the Member/Enrollee Alpha+ record. Pertinent documents include:
- Comprehensive Clinical Assessments
- Psychological Evaluations
- Medication Lists
- Person-Centered Plan/Individual Support Plan
- Hospital Discharge Paperwork
- School Documentation
Referral Processing Times:
- Outpatient Referrals: For outpatient referrals, the Regional Care Management Supervisor/Manager will notify you within three business days regarding the individual’s qualification for Care Management services.
- Psychiatric Inpatient Referrals: For individuals admitted for Behavioral Health Inpatient services, the assigned Care Coordinator will contact you within two business days.
Methods for Submitting the Care Management Referral Form:
Partners Behavioral Health Management offers multiple secure and convenient methods for submitting the Care Management Referral Form:
- Online Access: Click directly on the following link to access the Care Management Referral Form.
- PartnersACCESS Contact Center: Contact PartnersACCESS at 1-888-235-4673 for immediate assistance and referral submission.
- Secure Email via ZixMail: For secure email submission, utilize ZixMail:
- For Mental Health Substance Use (MHSU) Care Management: [email protected]
- For Intellectual or Developmental Disability (I/DD) Care Management: [email protected]
- If you require a ZixMail account, instructions for creation are available here.
- Fax Submission: Fax completed forms to the following numbers:
- For MHSU Care Coordination, Attention: Jennifer Flynn: 704-884-2707
- For I/DD Care Coordination, Attention: I/DD Registry: 704-884-2704
Partners Behavioral Health Management is committed to providing efficient and effective care management services. Utilizing this streamlined referral process ensures timely access to necessary support for individuals within our community.
