VALUEOPTIONS MARYLAND WEBSITE (cont.)

Report
VALUEOPTIONS® MARYLAND
FRIDAY, MARCH 15, 2013
THE PARTNERSHIP
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
ADMINISTRATIVE SERVICES
ORGANIZATION (ASO)
ValueOptions Maryland provides the following services:
3

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
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
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
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 3
Monday-Friday
8 a.m. – 6 p.m.
6
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 (NonFacility 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
7
“Payspan.”
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.
9
VALUEOPTIONS MARYLAND WEBSITE
(cont.)
 Provider Forms (Clinical and Administrative)
 News and Upcoming Event Information
 Provider Resources
 Consumer Information
*Contact [email protected] for automatic email
notification of postings.
10
Q&A
11
THANK YOU
PRESENTED BY:
Karl Steinkraus
Director, Provider Relations
[email protected]
Shontae Harrell
Provider Relations Representative
[email protected]
Linda Garrington
Claims Procedure Coordinator Liaison
[email protected]
12

similar documents