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. 2 THE PARTNERSHIP

ADMINISTRATIVE SERVICES ORGANIZATION (ASO) ValueOptions Maryland provides the following services:  24-hour access for clinically related calls ( )  Referral of individuals to qualified service providers  Preauthorization of non-emergency care  Utilization Review of Services  Data Collection 3

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:  To request additional logons for other providers in the same agency/practice, you need to contact: ValueOptions Maryland EDI Helpdesk (888) , 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:  Claims may also be submitted via ProviderConnect (Non- Facility Based):   Paper Claims (HCFA 1500 or UB04) can be submitted to: ValueOptions Maryland MHA Claims PO Box 1950 Latham, NY  Electronic Fund Transfer (EFT) is available through “Payspan. ” 7

VALUEOPTIONS MARYLAND WEBSITE 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,

VALUEOPTIONS MARYLAND WEBSITE (cont.)  Provider Forms (Clinical and Administrative)  News and Upcoming Event Information  Provider Resources  Consumer Information *Contact for automatic notification of postings. 10

Q & A 11

T HANK YOU PRESENTED BY: Karl Steinkraus Director, Provider Relations Shontae Harrell Provider Relations Representative Linda Garrington Claims Procedure Coordinator Liaison 12