1. State of Maryland Department of Health and Mental Hygiene & VALUEOPTIONS®
Questions will be answered at end of each section, and at the end of today’s session, as time permits
Questions and answers will be posted on the DHMH Web site.
Clinical Training
September 2009

2. Welcome to ValueOptions®

3. Presenters
Nancy Calvert, Director, ValueOptions® Maryland Provider Relations
Mara Rapant, ValueOptions® National Director of Clinical Services

4. Agenda Update Overview of ProviderConnect Requesting Authorizations
Questions

5. Updates ValueOptions® Maryland Website
Provider Alerts
MHA updates and announcements
ValueOptions® Maryland updates and announcements
Provider Manual
Training Schedule
ProviderConnect “tips”
Maryland Specific ProviderConnect “demo”
Consumer Information
New Telephonic Options for:
Inpatient Authorization Requests – , option 2
Crisis Bed Authorizations – Cheryl Thompson, option 4, x214040

6. ProviderConnect

7. ValueOptions® ProviderConnect
ProviderConnect is an online tool that increases convenience & decreases administrative burden.
Free, secure, online application
Easy access 24 hours a day, 7 days a week
Complete multiple transactions in a single sitting

8. ValueOptions® ProviderConnect Features
With ProviderConnect providers can:
Verify Consumer eligibility
Register Uninsured Consumers (effective October 2009)
Request Authorizations
View Authorizations
Submit Claims (Batch and Direct/On-line claim)
View Claim Status
View and Print Provider Summary Voucher
Submit inquiries to Customer Service
Access and print forms

9. Accessing ProviderConnect
Each provider has a secure login and online registration, including a provider ID number via the ProviderConnect Web site.
Additional logins for other providers in the same practice are available through ProviderConnect. Contact:
ValueOptions® EDI Helpdesk
(888) , Option 3
Monday through Friday
8 a.m. – 6 p.m. EST
Turn around time for additional logins is 48 hours.

10. Requesting an Inpatient Authorization

11. Questions valueoptionstransition@dhmh.state.md.us
Please write your questions on the cards provided.
Please submit only one (1) question per card
Pass cards to aisle and staff will collect
We will answer today as feasible
Please remember to fill out your satisfaction survey.

12. Thank You!