Welcome to Partners, Rutherford County

Questions and answers about the behavioral health services transition

What is happening?

Rutherford County has chosen Partners Behavioral Health Management as their new Local Management Entity/Managed Care Organization (LME/MCO) to manage Mental Health, Substance Use Disorder, and Intellectual and Developmental Disabilities services funded by federal, state, and county dollars. Partners will replace Vaya Health as Rutherford County’s new LME/MCO on July 1, 2019.

Partners is also the LME/MCO for Burke, Catawba, Cleveland, Gaston, Iredell, Lincoln, Surry, and Yadkin Counties.

Why is Rutherford County changing its LME/MCO?

Rutherford County wants to ensure the highest quality of service available to meet the needs of county residents. Rutherford County believes Partners can deliver these needs because:

  • Partners operates in a manner that is very inclusive, innovative and engaging with local agencies, stakeholders, and community partners
  • Partners is committed to its purpose of “Improving Lives and Strengthening Communities” and Partners’ values align well with those of Rutherford County
  • Partners’ priorities and projects align well with the county’s responsibilities to citizens with Behavioral Health and Intellectual/Developmental Disability needs

Partners internal and external culture aligns with the expectations of Rutherford County in meeting the needs of its citizens

Will I be impacted?

Citizens of Rutherford County who have Medicaid or have no health insurance, and who receive Mental Health, Substance Use Disorder or Intellectual and Developmental Disabilities services will be impacted by this change. Partners will manage your services after July 1, 2019.

When will Partners start serving Rutherford County?

Partners will begin managing publicly-funded Mental Health, Substance Use Disorder and Intellectual/Developmental Disability services for Rutherford County on July 1, 2019. Partners is working closely with Rutherford County families, leaders, stakeholders and providers to make sure that individuals receiving services will experience a smooth transition to Partners.

I currently receive services in Rutherford County that are managed by Vaya. Will I be able to keep the same service provider?

Yes. Partners will work with providers currently serving Rutherford County to include them in Partners’ Provider Network. Partners will honor consumer service authorizations, annual plans and other documentation and decisions essential to ensure a smooth transition.

Do I have to do anything?

No. If you are currently receiving Mental Health, Substance Use Disorder or Intellectual/Developmental Disability services through Vaya, you will be automatically enrolled with Partners on July 1, 2019.

I work for a provider that contracts with Vaya to deliver services in Rutherford County. What will providers need to do to join the Partners Provider Network?

Providers who are not part of the Partners Provider Network will need to join the Partners Network to continue to serve Rutherford County members.

Providers that are currently part of the Partners Provider Network will need to contact their assigned Account Specialist to assist them with the process to add their Rutherford site.

What do I do if I have other questions?

Please check our Rutherford County Welcome Page for updates. You can also email Rutherford_Questions@partnersbhm.org or call 704-884-2505 with your questions.

Partners is here for EVERYONE

If you live in Rutherford County, you can always call Partners anytime, every day at 1-888-238-HOPE (4673) for help with a crisis.
It doesn’t matter what insurance you have, how much money you make, or if you ever had behavioral health services before.

Enrollee Navigator

What are my rights if I live in a 24-hour facility?

If you receive care in a 24-hour facility, you have some additional rights specific to your situation. You may also have responsibilities related to these rights. You have the right to:

  • Receive necessary medical care if you are sick. If your insurance does not cover the cost, you will be responsible for payment.
  • Send and receive unopened mail. You should also have access to writing material, postage, and staff assistance, if requested.
  • Contact and consult with a Consumer Rights Coordinator. Call 1-888-235-HOPE (4673). If necessary, they can help submit a formal concern or complaint called a grievance.
  • Contact and see a Private professional. You may consult your lawyer, your doctor, or another private professional. You are responsible for expenses.
  • Contact and consult with your parent or legal guardian. You may do this any time If you are under 18 years old.
  • Make and receive confidential telephone calls. You are responsible to pay for all long-distance calls.
  • Have visitors at least six hours each day. Visiting hours must be between 8 a.m. and 9 p.m. Two of those hours must be after 6 p.m. If you are under the age of 18, your visitors cannot interfere with school or treatment.
  • Communicate and meet with individuals. You may interact with anyone wanting to communicate or meet with you. Your treatment team may supervise this meeting if they feel it is necessary.
  • Make visits outside the facility. You may be denied this right if your Person-Centered Plan states this is not recommended.
  • Go outside daily and access physical exercise. You are allowed to use facilities or equipment several times per week for physical exercise.
  • Store your private belongings. You can have individual storage space for your private items.
  • Keep personal possessions and clothing. You may not possess anything prohibited by law.
  • Keep and spend your own money. You can only keep a responsible amount.
  • Participate in religious worship. Only if you choose to participate.
  • Retain a driver’s license. You can keep your license unless you are prohibited to do so by a court of law.

Placing a formal complaint

If you feel your rights are being violated, you can make a formal complaint called a grievance. You can place a grievance by:

  • Calling 1-888-235-HOPE (4673)
  • Mailing your complaint to:
    • Partners Behavioral Health Management
      C/o Grievances
      901 South New Hope Road
      Gastonia, NC 28054

Each option is confidential and secure. You also have the right not to be contacted by us, and not to have your information shared with others involved in the grievance. However, to serve you better and to effectively resolve the issue, we hope you will let us contact you, if needed.

How to be involved

Find out about all of your rights and responsibilities and other ways to impact treatment and resources for you and others.

In the Community 

NAMI Lake Norman/Iredell Offers Mental Health Classes

NAMI Peer-to-Peer is a free, 8-session educational program for adults with mental illness who are looking to better understand their condition and journey toward recovery. This in-person group experience provides the opportunity for mutual support and positive impact. You can experience compassion and reinforcement from people who relate to your experiences. Through your participation, you have the opportunity to help others grow. This is a confidential place to learn from shared experiences in an environment of sincere, uncritical acceptance. Recovery is a journey, and there is hope for all people living with mental illness.

NAMI Peer-to-Peer helps you:

  • Create a personalized relapse prevention plan
  • Learn how to interact with health care providers
  • Develop confidence for making decisions and reducing stress
  • Stay up-to-date on mental health research
  • Understand the impact of symptoms on your life
  • Access practical resources on how to maintain your journey toward recovery

This free, 8-week course is being taught by a team of trained NAMI volunteers. Learn more about the educational program at https://www.nami.org/Find-Support/NAMI-Programs/NAMI-Peer-to-Peer

Classes will be held weekly beginning on Saturday February 9, 2019, from 11:30 a.m.-1:30 p.m. at Fifth Street Ministries, 1421 5th St., Statesville. To register or receive more information, please contact Mike Hoffman at 843-245-6189 or hoffmanm679@gmail.com. Space is limited to the first 25 registered participants. For more information about NAMI, visit www.namilakenormaniredell.org.

Connect Gaston Housing Event

This event is for service providers and individuals in the community to come learn about housing resources in Gaston County. The event is on Friday, February 22, 2019, from 8:30-10:30 a.m., at Phoenix Counseling Community Center, 805 W Airline Ave., Gastonia, NC. A light breakfast will be served. Please register online to attend.

Resilience: The Movie

Recognize toxic stress as the largest public health issue of our generation. Learn about the biology of stress, the science of hope, and the connection between your past and your health. The screening and discussion will be on Sunday, February 17, at 3:30 p.m., at the Arlington First Baptist Fellowship Hall, 345 S. Main St., Jonesville, NC. Refreshments will be served. For more information, call Elisa Bryant at 336-244-3915.

Behavioral Health Focus is published on the first and third Tuesday of each month and is intended to be a source of information for those working or interacting with behavioral health care in Burke, Catawba, Cleveland, Gaston, Iredell, Lincoln, Surry and Yadkin Counties. If you would like to contribute, contact Jeff Brucato at 704-884-2564 or jbrucato@partnersbhm.org. Items should be submitted by Wednesday at 3 p.m. for the next week’s issue.

Volume 4 – Issue 12
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