Download presentation
Presentation is loading. Please wait.
Published byBarbra Rogers Modified over 9 years ago
1
VALUEOPTIONS® MARYLAND FRIDAY, MARCH 15, 2013
2
ValueOptions® Maryland is the partnership between the Department of Health and Mental Hygiene (DHMH)/Mental Hygiene Administration (MHA) and ValueOptions®, Inc. The ValueOptions® Maryland Service Center was formed to improve and advance mental health services within the State of Maryland. It acts as the Administrative Services Organization (ASO) to help DHMH/MHA make the best use of limited resources to serve persons in need of mental health assistance. 2 THE PARTNERSHIP
3
ADMINISTRATIVE SERVICES ORGANIZATION (ASO) ValueOptions Maryland provides the following services: 24-hour access for clinically related calls (1-800-888-1965) Referral of individuals to qualified service providers Preauthorization of non-emergency care Utilization Review of Services Data Collection 3
4
ASO (cont.) Review of authorization requests to assist in determining whether an individual meets Medical Necessity Criteria and is part of the PMHS. Provider Training and Communication Evaluation of the PMHS Through Consumer and Provider Satisfaction Surveys and Outcome Measurement System. Claims Processing and Payment Provider Audits 4
5
PROVIDERCONNECT ProviderConnect is an online application that allows providers to: Administer Multiple Transactions: View/Request Consumer Eligibility View/Request Authorizations Submit Claims (Non-Facility Based): View Claims Status View and Print Provider Summary Vouchers Submit Inquiries to Customer Service Access to Print Forms and Reports Update Provider Profile ProviderConnect is free, easy to use, secure and available 24/7. 5
6
ACCESSING PROVIDERCONNECT To access ProviderConnect, you will need to obtain a secure login online at: https://www.valueoptions.com/pc/eProvider/providerRegisterFromLogin.do https://www.valueoptions.com/pc/eProvider/providerRegisterFromLogin.do To request additional logons for other providers in the same agency/practice, you need to contact: ValueOptions Maryland EDI Helpdesk (888) 247-9311, Option 3 Monday-Friday 8 a.m. – 6 p.m. 6
7
CLAIMS & REIMBURSEMENT ValueOptions Maryland accepts any HIPAA Compliant 837p or 837i transaction: To set-up an EDI account, call: 1-888-247-9311 Claims may also be submitted via ProviderConnect (Non- Facility Based): https://www.valueoptions.com/pc/eProvider/providerLogin.do https://www.valueoptions.com/pc/eProvider/providerLogin.do Paper Claims (HCFA 1500 or UB04) can be submitted to: ValueOptions Maryland MHA Claims PO Box 1950 Latham, NY 12110 Electronic Fund Transfer (EFT) is available through “Payspan. ” 7
8
VALUEOPTIONS MARYLAND WEBSITE http://maryland.valueoptions.com http://maryland.valueoptions.com ValueOptions Maryland has designated a portion of its website to providers. Here providers can access a wealth of information and resources developed specifically for them, which include: ProviderConnect Provider Manual Reimbursement Schedule Service Matrix Training Schedules/Training Archive Contacts 8
9
VALUEOPTIONS MARYLAND WEBSITE (cont.) OMS Tools & Interview Guide Provider Audit Tools and Information Provider Alerts * MOST RECENT PROVIDER ALERT POSTING: REMINDER NOTICE: ELECTRONIC FUNDS TRANSFERS: We are requiring that all providers enroll in the electronic payment program available through PaySpan no later than March 31, 2013. 9
10
VALUEOPTIONS MARYLAND WEBSITE (cont.) Provider Forms (Clinical and Administrative) News and Upcoming Event Information Provider Resources Consumer Information *Contact karl.steinkraus@valueoptions.com for automatic emailkarl.steinkraus@valueoptions.com notification of postings. 10
11
Q & A 11
12
T HANK YOU PRESENTED BY: Karl Steinkraus Director, Provider Relations karl.steinkraus@valueoptions.com Shontae Harrell Provider Relations Representative shontae.harrell@valueoptions.com Linda Garrington Claims Procedure Coordinator Liaison linda.garrington@valueoptions.com 12
Similar presentations
© 2024 SlidePlayer.com Inc.
All rights reserved.