VALUEOPTIONS MARYLAND WEBSITE (cont.)
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Transcript VALUEOPTIONS MARYLAND WEBSITE (cont.)
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.
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ADMINISTRATIVE SERVICES
ORGANIZATION (ASO)
ValueOptions Maryland provides the following services:
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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
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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.
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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.
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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
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“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
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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.
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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.
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Q&A
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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]
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