109 Capitol Street Health PAS Online MAINE. Find a Provider | MaineHealth The TEDS data submission is a requirement of all licensed SUD providers in Maine for the State to receive federal funding support for SUD treatment services and programs. MaineCare Provider Directory; NOPRS Report; Surveys. Home Health Agencies (HHA) and Durable Medical Equipment (DME) providers are required to provide surety bonds when enrolling as a new provider, revalidating, or adding a new service location. Notify me of follow-up comments by email. PDF Electronic Visit Verification (EVV) Questions and Answers - Maine Username: Password: * * Forgot Password? MaineCare Preferred Drug List. Table 4-2: FAO with Rendering Providers Not Required ("FAO Non-Rendering") Provider Type Specialty MaineCare Benefits Manual Specific Policies By Service 2019 August Attestation PCP Increase (PDF) Please contact Tia Bolduc, Provider Relations Specialist, with questions at (207) 624-6938. PA - Prior Authorization Forms. The MaineCare Rx Portal is a new MaineCare web application for providers to electronically search and review drug status on the MaineCare Preferred Drug List (PDL), review MaineCare Prior Authorization (PA) requirements and submit PA's electronically.Access to the MaineCare Rx Portal requires regristration; prescribers, pharmacists, and members . (Toll Free Nationwide & Canada) We are interested in your feedback - feel free to send us a comment! Once the registration process is complete, depending on role type, the user will have web based access to the MaineCare PDL. Subsection 144-101-I-1.03 - [Effective 1/1/2023] PROVIDER PARTICIPATION Listed below are all the PA forms you will need in order to request drugs that require prior authorization. Quarterly Dental Provider Survey; OnLine Website Survey; Contact Us; . MaineCare Rx Portal | MaineCare PDL Maine | Medicaid https://providerportal.megov.changehealthcare.com/mepp/report/index.joi. Provider Services Call Center: 1-866-690-5585, Option 7 for Revalidation Questions. Prior Authorization (PA) Forms & Related Info, https://providerportal.megov.changehealthcare.com/mepp/application/login.joi, All children under five are required to complete the PA form for medical necessity, Select and print the proper form from the list below. For a list of our upcoming trainings, please visit https://me.kepro.com/providers/atrezzo/. See the Enrollment Folder on the Health PAS Online Portal for details about how to enroll in Maine Integrated Health Management Solution (MIHMS). 11 State House Station Healthcare done well. If a code for a service is not listed on these notices, there is no rate change for that code. Providers must revalidate their information with MaineCare every5 years, or 3 years forDurable Medical Equipment (DME) providers. For more information on these updates, please click the button below, 6/9/2023 - Announcing Acentra Health: A New Era for Client Network Services, Inc (CNSI) and Kepro. (Toll Free Nationwide & Canada) We are interested in your feedback - feel free to send us a comment! Provider Blog: Billing Instructions: Biosimilar PDL Drug List: . Hospitals. Maine ASO | Atrezzo Provider Training 8.24% is the same COLA that certain services received on January 1, 2023. Provider Portal Login Create Case Wizard Action Buttons - Request Revisions, Reconsiderations and Additional Information Case Display Help Guide Community Resources Maine Training Additional Resources Specialty Services Specialty Services - Printable Quick Reference Guides Stakeholder Training quick-reference-guides Add a User ANG fulfills all components of the scope of services defined in the Maine ASO UM program, as it offers the modularity and flexibility needed to evolve with the ever-changing healthcare technology landscape. We are interested in your feedback - feel free to send us a comment. Log In - KEPRO Facility License Renewal Reminder - Maine DHHS Health and Human Services Augusta, Maine04333, Phone: (207) 287-3707 2023 Medicare and PDP Compare Plans and Enroll Now. specialty-services, stakeholder-training. Health PAS-OnLine Department of The MaineCare Provider Portal provides health providers with personalized access to patient MaineCare records online. The TEDS data submission is a requirement of all licensed SUD providers in Maine for the State to receive federal funding support for SUD treatment services . You can access a provider portal 24 hours a day, seven days a week to manage and improve the health and well-being of more than a million patients. Are you currently accepting new MaineCare members? The Department now has available theBehavioral Health Rate FAQ documenton billing and authorizations for services for Sections 28 and 65. : (207) 624-4050; Fax: (207) 287-1864 TTY: Dial 711 (Maine Relay) Janet T. Mills Governor Jeanne M. Lambrew, Ph.D. Commissioner MaineCare in Education: Provider Enrollment in MIHMS How a MaineCare provider can access MIHMS MIHMS Provider Checklist Providers interested in attending one of the training sessions should use the link(s) below to register. Portal Guides: Portal Tips and Tricks: Provider Enrollment: Provider Fee Schedules: Provider Forms: . Listed below are all the PA forms you will need in order to request drugs that require prior authorization. Office of MaineCare Services (OMS) On Monday, November 7th, Kepro will be upgrading their web-based platform to Atrezzo Next Generation. expanded coverage to low-income adults. Training materials will be placed on the Maine ASO client website, located at http://www.qualitycareforme.com/. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. Memorial Hospital - North Conway, NH. Healthcare that's here to help you thrive. To update your license, you need to login to the portal, go to the MaineCare Provider Enrollment Application (PEA), and perform a maintenance case. MaineCare's Secondary Billing Instructions Update, CR 106251 If a code for a service is not listed on these notices, there is no rate change for that code. Chrome is the preferred internet browser. CORRECTION to July 27, 2023 Training Time - Training for Licensed Substance Use Disorder (SUD) Providers. If a provider has any questions they may contact Change Healthcare at 1-888-445-0497.If a member has any questions they may contact the Pharmacy Help Desk at 1-866-796-2463. This Adult PNMI Referral Request training explains the process and requirements for submitting a PNMI Referral in Atrezzo, This FAQ will summarize all of the questions asked during the ANG Provider Training sessions, This video will walk providers through how to submit Baxter Funded cases for generating invoices. For a forgotten password, a user can reset their password by following the instructions below. Reclass for MAINECARE Members only If not a MaineCare Member, DO NOT COMPLETE THIS FORM * = Required Field. Maine DHHS Provider Transfer Portal If a request was started but not submitted, it will be listed as a Saved but Not Submitted Request on the home page. The service specific training outlines the department medication management referral process. Annually, MaineCare posts an updated list of providers who are due to revalidate in the current calendar year which is found on the Enrollment and Revalidation webpage . This video will explain the process for submitting a SUD Residential ASAM Review in the Atrezzo portal. All rights reserved If you have questions, comments or concerns on the information provided, please contact Us. If you need to contact someone regarding Transfer Forms, call the Office of Aging and Disability Services at: 1-800-262-2232 8am to 5pm. See theProvider Enrollment Process Questions and Answers (PDF) for more information. Please give us a couple of business days to finish processing your request Required fields are marked by an asterisk (*). Providers who are newly enrolling, revalidating, or adding new practice locations with MaineCare must pay an application fee. Facility License Renewal Reminder. Provider Resources PA - Prior Authorization Forms | MaineCare PDL You're at home with Health Options Healthcare coverage that's based in Mainepersonalized and simplified. State of Maine Department of Health and Human Services (DHHS) Administrative Services Organization (ASO). MaineCare Services Policy Division 11 State House Station Augusta, Maine 04333-0011 Tel. If you need assistance call Provider Services at 1-866-690-5585 or email. Emergency Department at Memorial Hospital 3073 White Mountain HWY North Conway, NH 03860-7101 603-356-5461. An Admin user will first need to register in the system and have the information for the additional users that are needed. Physician Assistant. Maine | Wellcare You can find the Secondary Billing Instructions document in theSupplemental Billing Folderonthe Health PAS Online Portal. Title. Provider Resources | Department of Health and Human Services - Maine DHHS Maine DHHS Provider Transfer Portal Answer: After logging into your Trading Partner account on the Health PAS Online Portal go to the Account Maintenance drop down menu and choose "EVV Portal." The Portals will not work well, or not work at all, with other browsers. These instructions will explain the process for submitting a SUD Residential ASAM Review in the Atrezzo portal. May 24, 2023. MaineCare Options | Department of Health and Human Services - Maine DHHS 08/17/2017. Facility License Renewal Reminder. Save my name, email, and website in this browser for the next time I comment. If you have difficulty with browser compatibility or accessing the portal, please contact Provider Services at 1-866-690-5585. Recommended browsers: Google Chrome, Microsoft Edge, Mozilla Firefox, Apple Safari MaineCare Provider Portal Login - mainecare.maine.gov 1. The below instructions will highlight the steps to add Chrome to your computer. Provider Enrollment & Revalidation. Current fee schedules under this option can be found on Health PAS Online Portal. A user will first need to receive an email to complete the registration process initiated by the Provider Group Administrator. Office of MaineCare Services (OMS) Solicited and unsolicited attachments Claims status tracking Electronic remittance advice (ERAs) Claim reconciliation and overpayment management Provider information management Reporting and dashboards Claimsprofessional and facility, even dental! ANG brings the Maine Administrative Services Organization (ASO) an even more flexible, intuitive, and highly automated system that streamlines the utilization review and reporting processes for clients and providers. Primary Care | Department of Health and Human Services - Maine DHHS MaineCare wants to remind providers to update their facility licenses prior to the expiration date to avoid possible claim denials or payment delays. Atrezzo is a person-centered, web-based care management solution that transforms traditional, episodic-based care management into proactive and collaborative population health care management. Providers - Molina Healthcare Provider Enrollment and Revalidation Janet T. Mills Governor Jeanne M. Lambrew, Ph.D. Commissioner Maine Department of Health and Human Services Office of MaineCare Services - Provider Enrollment 11 State House Station Augusta, Maine 04333-0011 Toll Free: (866) 690-5585; TTY: Dial 711 (Maine Relay) Fax: (877) 314-8776 The email notification will provide the Case ID to direct you to the specified request. TTY users dial 711. 12/21/2018. The CRCF services application, directions, and Provider Guide, are available at Maine ASO | Children's Residential Care Facility (CRCF) Services. DHHS DHHS The instructions below describe how to complete the request. To access the right portal option for you, follow the procedures outlined below. Billing providers must provide the NPI of an enrolled MaineCare practitioner who is ordering, prescribing, or referring on their claims to avoid claim denials. MaineCare Cost of Living Adjustments - Maine DHHS The ACA mandates that State Medicaid agencies establish categorical risk levels of limited, moderate, or high for initial applications or new practice locations. If you need to contact someone regarding PNMI Transfer Forms, call the Office of Elder Services at: 1-800-262-2232 8am to 5pm. 109 Capitol Street 109 Capitol Street Acentra Health, formerly known as Kepro, in collaboration with the Office of Behavioral Health will be hosting two provider training sessions to review the Treatment Episode Data Sets (TEDS) submission requirements in the Atrezzo portal. To view the full announcement, click here. Provider Resources The instructions for completing the form are also available (in Adobe PDF format). If you have any questions, please email Acentra Provider Relations or call 1-866-521-0027, Option 3. Maine Provider Portal - GHS eWebs - Registration register PDF Reference Guide for Valid Provider Type-Specialty Pairs Effective April 1, 2021, all prescribing providers must either be enrolled as a MaineCare provider or, where applicable, be added as a NOPR provider under their organization's MaineCare provider enrollment to prevent disruption of pharmacy services for MaineCare members. you may Download an Adobe PDF version of the NF Transfer form, complete and fax the paper copy to the 639.. Office of MaineCare Services (OMS) MaineCare is increasing reimbursement rates for certain services in the policy sections listed below, through a cost-of-living adjustment (COLA) as directed by Maine PL 2021, Ch. To access the MaineCare provider portal, you need to register and have an account with them. After completing the registration and multi-factor verification processes, a user can update profile information. FAX: (207) 287-3005 These screening requirements are based on categorical risk level. For more detail, see the press releaseor visit the new Acentra Health webpage. EVV Portal Question: Where can I access the EVV Portal? The Maine Department of Health and Human Services (DHHS) is in the process of implementing rate studies for Sections 2, 13, 17, 26, 28, 65, and 92. For an overview on using this web site, view Web Page Instructions. If this is the first time using the Transfers Portal, please review the instructions before continuing! Welcome to the Health PAS Online Portal for MaineCare members and service providers! The portal is free of charge for all participating providers. MaineCare Provider Directory; NOPRS Report; Surveys. If for some reason you are unable to submit information using the online forms, Instructions: Yes Are you able to accommodate children with special needs? Provide your personal details to sign up. The Portals will not work well, or not work at all, with other browsers. . Phone: (207) 287-3707 FAX: (207) 287-3005 TTY: Maine relay 711 Welcome to Community Health Options 11 State House Station Health PAS-OnLine Section 455.410(d), should contact the Provider Enrollment Manager, Kenneth Jamisonto discuss the process and requirements for that type of enrollment. See the following documents for guidance: Providers who are a provider type not recognized by MaineCare but who wish to enroll in MaineCare for the sole purpose of processing claims to determine Medicare cost sharing, pursuant to 42 C.F.R. Once implemented, these rate increases will be effective as of January 1, 2023. CORRECTION to July 27, 2023 Training Time - Training for Licensed The instructions below describe how to update profile information. MaineCare helps to ensure that all Maine people are able to access the critical health services, both preventative and emergency, that help them stay healthy and safe. TTY (800)606-0215 Provider Enrollment & Revalidation | Department of Health and Human Looking for a Provider? MaineCare wants to remind providers to update their facility licenses prior to the expiration date to avoid possible claim denials or payment delays. The COLA will be effective July 1, 2023 and is equal to an increase of 8.24% above the currently established rate(s). CMS Request Approval (PDF, 816.78 KB) Date. TTY users dial 711. Maine Demonstration Approval Response Letter (PDF, 68.39 KB) Date. The Department has posted State Plan methodology notices detailing the rate changes for Sections 13, 17, 26, 28, 65, and 92 on our, . A user with an Admin role can create accounts for other users. Receiving the right health care is about: Having regular checkups to stay healthy Seeking help when you are sick Being able to visit a Provider you can trust with all your health care needs You can find our providers in hospitals and clinics near you! Every five (5) years for all other providers; and 3. TTY (800)606-0215 Portal Tips and Tricks: Provider Enrollment: Provider Fee Schedules: Provider Forms: The instructions below describe how to create accounts for additional users. Quarterly Dental Provider Survey - mainecare.maine.gov 11 State House Station Title. Robin Abeles, PA-C. TTY (800)606-0215. Coronavirus (COVID-19) Keep yourself informed about Coronavirus (COVID-19.) Download an Adobe PDF version of the NF Transfer form. Clients will not experience disruption in services. Acentra Health is focusing on expanding access to care, improving outcomes, enhancing quality, and lowering costs for the populations we serve. This video will explain how to view and print the CANS report from Atrezzo. Maine ASO | Homepage - KEPRO If you need to contact someone regarding Transfer Forms, call the Office of Aging and Disability Services at: 1-800-262-2232 8am to 5pm This video will explain the SMI Termination process, This FAQ will outline the SMI Termination process, This video will outline the process for entered SUD Treatment Data for the federally required TEDS-NOMS reporting. The Atrezzo Next Generation (ANG) platform is an improved interface with enhanced security features such as Multi-Factor Authentication (MFA). The MaineCare provider portals may only be accessed using a supported browser such as the latest versions of Google Chrome or Microsoft Edge. Health and Human Services appropriate number. Please contact the Kepro intake team with any referral process questions at 1-866-521-0027 or IntakeME@kepro.com. See the NOPR Not Enrolled Letter (PDF) for more detail about this requirement. An Office of Department of Health and Human Services, PNMI Transfer Forms for MaineCare members only, If not a MaineCare Member, DO NOT COMPLETE THESE FORMS. With the expansion of MaineCare in 2019, more individuals are now eligible. Looking for ways to access the MaineCare Provider Portal Login? Department of Revalidate with MaineCare to Avoid Claim Denials To submit a request: Select and print the proper form from the list below. . The instructions for completing the form are also available (in Adobe PDF format). Providers should enroll online through the Department's Health PAS portal, located at https://mainecare.maine.gov. This video will show providers how to view a determination letter, This video will walk providers through how to submit LTSE cases for generating invoices, This IEP training was used in the statewide rollout of required IEP on behavioral health submissions in Atrezzo, This specialty service training describes the MaineMom program and submission requirements within Atrezzo. For more detail about Revalidation see the Revalidate as a Current Provider (PDF). The MaineCare Rx Portal is a new MaineCare web application for providers to electronically search and review drug status on the MaineCare Preferred Drug List (PDL), review MaineCare Prior Authorization (PA) requirements and submit PA's electronically.Access to the MaineCare Rx Portal requires regristration; prescribers, pharmacists, and members will have to self register prior to accessing information. Welcome to the Maine Provider Portal Registration Page By filling out this form, you are requesting access to the Maine Provider Portal This information will be processed and verified. This Hold for Service training explains the requires for OBH Funded waitlist process, This FAQ summarizes all of the question asked during the Hold for Service Referral Training, This video will outline the process for adding a diagnosis code and setting the primary diagnosis, This video will explain how to send a message to Kepro and review messages from from Kepro, This video will explain how to search procedure codes, enter start and end dates and add total number of units, This video will explain how to attach a document to a previously submitted case, This video will show providers how to change context and switch NPI numbers, This video will show providers how to copy a case, This video will show providers how to extend a case and enter a continued stay review, This video will show providers how to request a reconsideration on a denied case, This video will explain how to run the daily authorization report and export it to excel, This video outlines the process for saving requests and completing saved requests, This video will explain how to search for existing MaineCare clients and create temporary clients.

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