Partners offers services or settings that are medically appropriate, cost-effective substitutions for services covered by NC Medicaid. These are called “in lieu of” services. These services are extra supports to improve your health if you need them. Partners will work with you or your authorized representative to connect you to these services, resources, social services and other supports on NCDHHS approval. You are not required to use in lieu of services. These services can change to better meet your needs.
Partners is waiting on approval of 14 in lieu of services from NCDHHS. Please check back frequently. Once the services are approved, Partners will post them with a full description.
If Partners reduces or removes an in lieu of service during a contract year, you will be notified by mail at least 30 days before the change. Partners will also keep an up-to-date list of in lieu of services on our website and note any upcoming changes.
Substitution of In Lieu of Services
If the in lieu of service provided by Partners is not a medically appropriate, cost-effective substitute or an issue is identified, a similar service or setting may be assigned to you. You have the right to refuse an in lieu of service and to get the service included in the state’s plan or waiver.
For more information on in lieu of services, call Partners toll-free Member and Recipient Services line at 1-888-235-4673.