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.

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Presentation transcript:

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

Welcome to ValueOptions®

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

Agenda Update Overview of ProviderConnect Requesting Authorizations Questions

Updates ValueOptions® Maryland Website http://maryland.valueoptions.com 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 – 800-888-1965, option 2 Crisis Bed Authorizations – Cheryl Thompson, option 4, x214040

ProviderConnect

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

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

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) 247-9311, Option 3 Monday through Friday 8 a.m. – 6 p.m. EST Turn around time for additional logins is 48 hours.

Requesting an Inpatient Authorization

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.

Thank You!