VALUEOPTIONS® MARYLAND FRIDAY, MARCH 15, 2013. ValueOptions® Maryland is the partnership between...
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VALUEOPTIONS® MARYLAND FRIDAY, MARCH 15, 2013
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Transcript of VALUEOPTIONS® MARYLAND FRIDAY, MARCH 15, 2013. ValueOptions® Maryland is the partnership between...
VALUEOPTIONS® MARYLAND
FRIDAY, MARCH 15, 2013
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.
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THE PARTNERSHIP
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
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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
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PROVIDERCONNECTProviderConnect 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
ACCESSING PROVIDERCONNECT
To access ProviderConnect, you will need to obtain a secure
login online at:
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 3Monday-Friday8 a.m. – 6 p.m.
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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
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
VALUEOPTIONS MARYLAND WEBSITE 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
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.
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VALUEOPTIONS MARYLAND WEBSITE (cont.)
Provider Forms (Clinical and Administrative)
News and Upcoming Event Information
Provider Resources
Consumer Information
*Contact [email protected] for automatic
notification of postings.10
Q & A
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THANK YOU
PRESENTED BY:
Karl Steinkraus
Director, Provider Relations
Shontae Harrell
Provider Relations Representative
Linda Garrington
Claims Procedure Coordinator Liaison
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