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VALUEOPTIONS® MARYLAND FRIDAY, MARCH 15, 2013. ValueOptions® Maryland is the partnership between the Department of Health and Mental Hygiene (DHMH)/Mental.

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Presentation on theme: "VALUEOPTIONS® MARYLAND FRIDAY, MARCH 15, 2013. ValueOptions® Maryland is the partnership between the Department of Health and Mental Hygiene (DHMH)/Mental."— Presentation transcript:

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


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