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    • Help Us Make Improvements: Take the 2014 Health PAS Online Portal Survey! - September 2, 2014

      You can help improve the Health PAS Online Portal by taking the 2014 Health PAS Online Portal Survey! This survey will help us improve the user-friendliness and functionality of our website portal. We used feedback from the 2012 survey to make many enhancements to the portal which are listed in the “Enhancements from Portal Survey” folder. The survey will close on Friday, September 19, 2014.

      Take the survey now by clicking on the following link:

      https://www.surveymonkey.com/s/2014PortalSurvey

      If you have any questions regarding this survey, please contact Provider Services, Monday through Friday, from 7:00 AM to 6:00 PM at: 1-866-690-5585 (TTY users dial 711). Thank you for your participation. We appreciate your feedback!

         

    • Prior Authorizations (PA) Reminders - September 2, 2014

      When submitting a PA request, please complete the Initial Authorization Request Form or one of the other PA request forms as appropriate for specialized PA requests. If you need to submit more information in addition to the PA request such as Medicare referral letters, clinical notes, or other supporting documents, please complete the Prior Authorization Supporting Document or Updates Cover Sheet once the PA number is assigned. Please be sure you fill in the PA number in the text box on the cover sheet (#4 on the sheet). These documents can be found in the Authorizations and Referrals folder on the Health PAS Online Portal.

         

    • Process Change for Intensive Temporary Residential Treatment (ITRT): Transferring from One Facility to Another within the Same Agency/Organization - September 8, 2014

      This notice is regarding a process change for ITRT applications for members who transfer from one facility to another within the same agency or organization.

      Effective September 15, 2014, APS Healthcare, in collaboration with the Office of MaineCare Services, will implement a process improvement measure for providers regarding ITRT applications. This process change will decrease the amount of documentation required.

      With this change, when a member transitions from one address/facility to another within the same agency or organization, required documentation will include the following:

      • ITRT application
      • Clinical statement/summary outlining the clinical rationale for the proposed change

      APS Healthcare will make a determination based upon the clinical rationale.

      What does this mean for providers?

      Before this process change, an ITRT application and documentation was required from all providers who provide services during the previous 2-6 months for a determination to be made. With this upcoming change, providers will be able to submit less paperwork and documentation when a member transitions from one facility/address to another within the same agency or organization. For more information about ITRT, please see the MaineCare Benefits Manual, Ch. II, Section 97. Providers may contact APS Clinical Care Management with questions at 1-866-521-0027, Option 4.

      What does this mean for members?

      With less documentation required from providers, we anticipate a faster turnaround time for determinations for who have a transfer request to move from one facility to another within the same agency or organization. If a member has questions, they can contact the APS Member Liaison at 1-866-521-0027, Option 3, or via email.

         

    • Two Weeks Left to Complete 2014 Health PAS Online Portal Survey - September 8, 2014

      You can help improve the Health PAS Online Portal by taking the 2014 Health PAS Online Portal Survey! This survey will help us improve the user-friendliness and functionality of our website portal. We used feedback from the 2012 survey to make many enhancements to the portal which are listed in the “Enhancements from Portal Survey” folder. The survey will close on Friday, September 19, 2014.

      Take the survey now by clicking on the following link:

      https://www.surveymonkey.com/s/2014PortalSurvey

      If you have any questions regarding this survey, please contact Provider Services, Monday through Friday, from 7:00 AM to 6:00 PM at: 1-866-690-5585 (TTY users dial 711). Thank you for your participation. We appreciate your feedback!

         

    • Primary Care Case Management (PCCM) Member Education Request Form (MERF) - September 8, 2014

      The PCCM MERF form has recently been updated. To access the most current version of this form, please visit the Primary Care Case Management Website.

      The form is used to educate MaineCare PCCM members in the following areas:

      • When to access emergency services
      • Obtaining referrals for care
      • Following managed care rules
      • Following practice rules
      • Bringing their MaineCare cards to appointments
      • Information about co-pays

      For more information, please call the Pharmacy Help Desk at 1-866-796-2463, extension 44039 or ask for PCP Network Services or call Valerie Hooper at (207) 624-4039. TTY users dial 711. We are open Monday through Friday, 8:00 AM until 5:00 PM. You can also email PCP Network Services.

         

    • Planned Disaster Recovery Test from 12:00 PM Saturday, September 20th Until 6:00 AM Monday, September 22nd - September 8, 2014

      The MIHMS Health PAS Online Portal will be unavailable from 12:00 PM on Saturday, September 20, 2014 through 6:00 AM Monday, September 22, 2014. MaineCare will perform a scheduled Disaster Recovery Test on the system during this time.

      We do not anticipate any impact to the payment processing cycle for the weeks before or after the Disaster Recovery Test.

      During the test period, the maintenance page will be up and the Health PAS Online Portal will be unavailable. Providers and billing agents will be unable to: - Submit Direct Data Entry (DDE) or electronic claims - View any portal documents - Retrieve a PDF RA or 835 - Perform a new provider enrollment or submit a maintenance case for an existing enrollment - Use any portal functionality (Including 837, 270 or 271 submissions)

         

    • Extended Health PAS Online Portal Maintenance Time - September 11, 2014

      The Health PAS Online Portal will be unavailable from Saturday, September 13, 2014 at 3:00 PM to Sunday, September 14, 2014 at 12:00 PM for maintenance. All portal functions will be unavailable during this time. We apologize for the inconvenience and appreciate your patience.

         

    • One Week Left to Complete the 2014 Health PAS Online Portal Survey - September 12, 2014

      You can help improve the Health PAS Online Portal by taking the 2014 Health PAS Online Portal Survey! This survey will help us improve the user-friendliness and functionality of our website portal. We used feedback from the 2012 survey to make many enhancements to the portal which are listed in the “Enhancements from Portal Survey” folder. The survey will close on Friday, September 19, 2014.

      Take the survey now by clicking on the following link:

      https://www.surveymonkey.com/s/2014PortalSurvey

      If you have any questions regarding this survey, please contact Provider Services, Monday through Friday, from 7:00 AM to 6:00 PM at: 1-866-690-5585 (TTY users dial 711). Thank you for your participation. We appreciate your feedback!

         

    • Code and Rate Additions, Deletions, and Corrections - September 12, 2014

      The “Code and Rate Additions, Deletions, and Corrections” spreadsheets have recently been updated. The spreadsheets are used to notify you of code and rate changes. You can view these spreadsheets on the "Claims, Billing, and Enrollment webpage. We will send a listserv update when new information is added.

         

    • MaineCare Dental Providers: 2014 Adult Dental Care Survey - September 12, 2014

      In an effort to reduce inefficient and inappropriate use of hospital emergency and outpatient departments for dental care for adults (individuals 21 years of age and older), and to provide the right care to MaineCare members at the right time and in the right setting, the Office of MaineCare Services in partnership with the MaineCare Dental Advisory Committee, would like a better understanding of your perspective on the following:

      • The statutory provision for the treatment of dental pain, infection, and imminent tooth loss of adult MaineCare members according to Chapter II, Section 25 (Dental Services) of the MaineCare Benefits Manual
      • Appropriate usage of adult dental care procedures for adult MaineCare members

      Please take a few minutes to complete a short survey using the online Survey Monkey tool. Your responses to survey questions are completely confidential and cannot be associated in any way with you as an individual or with your dental practice. To complete the survey, please select the following link:

      https://www.surveymonkey.com/s/adult-dental

      Thank you for your participation If you have questions, please contact Beth Pearce.

         

    • MaineCare Dental Providers: 2014 Adult Dental Care Survey - September 15, 2014

      In an effort to reduce inefficient and inappropriate use of hospital emergency and outpatient departments for dental care for adults (individuals 21 years of age and older), and to provide the right care to MaineCare members at the right time and in the right setting, the Office of MaineCare Services in partnership with the MaineCare Dental Advisory Committee, would like a better understanding of your perspective on the following:

      • The statutory provision for the treatment of dental pain, infection, and imminent tooth loss of adult MaineCare members according to Chapter II, Section 25 (Dental Services) of the MaineCare Benefits Manual
      • Appropriate usage of adult dental care procedures for adult MaineCare members

      Please take a few minutes to complete a short survey using the online Survey Monkey tool. The survey will close on September 26, 2014. Your responses to survey questions are completely confidential and cannot be associated in any way with you as an individual or with your dental practice. To complete the survey, please select the following link:

      https://www.surveymonkey.com/s/adult-dental

      Thank you for your participation If you have questions, please contact Beth Pearce.

         

    • 2014 Health PAS Online Portal Survey Closes Tomorrow! - September 18, 2014

      You can help improve the Health PAS Online Portal by taking the 2014 Health PAS Online Portal Survey! This survey will help us improve the user-friendliness and functionality of our website portal. We used feedback from the 2012 survey to make many enhancements to the portal which are listed in the “Enhancements from Portal Survey” folder. The survey will close on Friday, September 19, 2014.

      Take the survey now by clicking on the following link:

      https://www.surveymonkey.com/s/2014PortalSurvey

      If you have any questions regarding this survey, please contact Provider Services, Monday through Friday, from 7:00 AM to 6:00 PM at: 1-866-690-5585 (TTY users dial 711). Thank you for your participation. We appreciate your feedback!

         

    • Reminder of Planned Disaster Recovery Test from 12:00 PM Saturday September 20th until 6:00 AM Monday, September 22nd - September 18, 2014

      The MIHMS Health PAS Online Portal will be unavailable from 12:00 PM on Saturday, September 20, 2014 through 6:00 AM Monday, September 22, 2014. MaineCare will perform a scheduled Disaster Recovery Test on the system during this time.

      We do not anticipate any impact to the payment processing cycle for the weeks before or after the Disaster Recovery Test.

      During the test period, the maintenance page will be up and the Health PAS Online Portal will be unavailable. Providers and billing agents will be unable to: - Submit Direct Data Entry (DDE) or electronic claims - View any portal documents - Retrieve a PDF RA or 835 - Perform a new provider enrollment or submit a maintenance case for an existing enrollment - Use any portal functionality (Including 837, 270 or 271 submissions)

         

    • Attention Institutional Providers, CR43421 & CR43673 - September 18, 2014

      MaineCare requires the date of admission on inpatient claims with the following bill types: 011X, 012X, 018X, 021X, 028X, 032X, 033X, 041X, 065X, 066X, 081X, 082X, 086X, and 089X. A listserv message sent previously stated 033X, 081X, & 082X did not require an admit date. After further review, we have determined these additional bill types require an admit date. MIHMS will be updated to ensure this information is required moving forward. The following bill types cannot be submitted by paper claim submission at this time: 033X, 081X, 082X, & 089X. Please submit these claims using Electronic Data Interchange (EDI) or the Health PAS Online Portal.

      Below is the listserv sent on January 9, 2014 regarding TR 38600, which is related to this issue:

      Attention Institutional Providers, TR 38600 MaineCare requires the date of admission on inpatient claims with the following bill types: 011X, 012X, 018X, 021X, 028X, 041X, 065X, 066X, 086X, and 089X. However, a recent system upgrade requires admission dates for additional bill types that MaineCare does not. These include bill types: 022X, 033X, 051X, 074X, 075X, 081X, 082X. As a result, claims with these additional bill types are denying in error. We will notify you when this issue has been corrected and affected claims will be reprocessed. No provider action is needed.

         

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          • Help Us Make Improvements: Take the 2014 Health PAS Online Portal Survey! - September 2, 2014

            You can help improve the Health PAS Online Portal by taking the 2014 Health PAS Online Portal Survey! This survey will help us improve the user-friendliness and functionality of our website portal. We used feedback from the 2012 survey to make many enhancements to the portal which are listed in the “Enhancements from Portal Survey” folder. The survey will close on Friday, September 19, 2014.

            Take the survey now by clicking on the following link:

            https://www.surveymonkey.com/s/2014PortalSurvey

            If you have any questions regarding this survey, please contact Provider Services, Monday through Friday, from 7:00 AM to 6:00 PM at: 1-866-690-5585 (TTY users dial 711). Thank you for your participation. We appreciate your feedback!

               

          • Two Weeks Left to Complete 2014 Health PAS Online Portal Survey - September 8, 2014

            You can help improve the Health PAS Online Portal by taking the 2014 Health PAS Online Portal Survey! This survey will help us improve the user-friendliness and functionality of our website portal. We used feedback from the 2012 survey to make many enhancements to the portal which are listed in the “Enhancements from Portal Survey” folder. The survey will close on Friday, September 19, 2014.

            Take the survey now by clicking on the following link:

            https://www.surveymonkey.com/s/2014PortalSurvey

            If you have any questions regarding this survey, please contact Provider Services, Monday through Friday, from 7:00 AM to 6:00 PM at: 1-866-690-5585 (TTY users dial 711). Thank you for your participation. We appreciate your feedback!

               

          • Primary Care Case Management (PCCM) Member Education Request Form (MERF) - September 8, 2014

            The PCCM MERF form has recently been updated. To access the most current version of this form, please visit the Primary Care Case Management Website.

            The form is used to educate MaineCare PCCM members in the following areas:

            • When to access emergency services
            • Obtaining referrals for care
            • Following managed care rules
            • Following practice rules
            • Bringing their MaineCare cards to appointments
            • Information about co-pays

            For more information, please call the Pharmacy Help Desk at 1-866-796-2463, extension 44039 or ask for PCP Network Services or call Valerie Hooper at (207) 624-4039. TTY users dial 711. We are open Monday through Friday, 8:00 AM until 5:00 PM. You can also email PCP Network Services.

               

          • One Week Left to Complete the 2014 Health PAS Online Portal Survey - September 12, 2014

            You can help improve the Health PAS Online Portal by taking the 2014 Health PAS Online Portal Survey! This survey will help us improve the user-friendliness and functionality of our website portal. We used feedback from the 2012 survey to make many enhancements to the portal which are listed in the “Enhancements from Portal Survey” folder. The survey will close on Friday, September 19, 2014.

            Take the survey now by clicking on the following link:

            https://www.surveymonkey.com/s/2014PortalSurvey

            If you have any questions regarding this survey, please contact Provider Services, Monday through Friday, from 7:00 AM to 6:00 PM at: 1-866-690-5585 (TTY users dial 711). Thank you for your participation. We appreciate your feedback!

               

          • MaineCare Dental Providers: 2014 Adult Dental Care Survey - September 12, 2014

            In an effort to reduce inefficient and inappropriate use of hospital emergency and outpatient departments for dental care for adults (individuals 21 years of age and older), and to provide the right care to MaineCare members at the right time and in the right setting, the Office of MaineCare Services in partnership with the MaineCare Dental Advisory Committee, would like a better understanding of your perspective on the following:

            • The statutory provision for the treatment of dental pain, infection, and imminent tooth loss of adult MaineCare members according to Chapter II, Section 25 (Dental Services) of the MaineCare Benefits Manual
            • Appropriate usage of adult dental care procedures for adult MaineCare members

            Please take a few minutes to complete a short survey using the online Survey Monkey tool. Your responses to survey questions are completely confidential and cannot be associated in any way with you as an individual or with your dental practice. To complete the survey, please select the following link:

            https://www.surveymonkey.com/s/adult-dental

            Thank you for your participation If you have questions, please contact Beth Pearce.

               

          • 2014 Health PAS Online Portal Survey Closes Tomorrow! - September 18, 2014

            You can help improve the Health PAS Online Portal by taking the 2014 Health PAS Online Portal Survey! This survey will help us improve the user-friendliness and functionality of our website portal. We used feedback from the 2012 survey to make many enhancements to the portal which are listed in the “Enhancements from Portal Survey” folder. The survey will close on Friday, September 19, 2014.

            Take the survey now by clicking on the following link:

            https://www.surveymonkey.com/s/2014PortalSurvey

            If you have any questions regarding this survey, please contact Provider Services, Monday through Friday, from 7:00 AM to 6:00 PM at: 1-866-690-5585 (TTY users dial 711). Thank you for your participation. We appreciate your feedback!

               

           

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