The Referral Refusal training explains how to enter a referral refusal within Atrezzo. If you have any questions, please email Acentra Provider Relations or call 1-866-521-0027, Option 3. The Atrezzo Next Generation (ANG) platform is an improved interface with enhanced security features such as Multi-Factor Authentication (MFA). Looking for a Provider? Section 455.410(d), should contact the Provider Enrollment Manager, Kenneth Jamisonto discuss the process and requirements for that type of enrollment. No Are you able to accommodate children with special needs? 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. Listed below are all the PA forms you will need in order to request drugs that require prior authorization. 11 State House Station DHHS For provider types that are not recognized by Medicare, states must assess the appropriate categorical risk level by provider type A full listing of the criteria can be found in theRisk Category Assignments (PDF). Health and Human Services 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. Portal Tips and Tricks: Provider Enrollment: Provider Fee Schedules: Provider Forms: The Department has posted State Plan methodology notices detailing the rate changes for Sections 13, 17, 26, 28, 65, and 92 on ourState Plan Methodology page. MaineCare Provider Directory; NOPRS Report; Surveys. FAX: (207) 287-3005 When a change has been made to the submitted request, you will receive an email notification. Upon request by the Department. In the coming weeks and months, we will share more about the organization. Hospitals. Office of MaineCare Services (OMS) expanded coverage to low-income adults. Chrome is the preferred internet browser. The below instructions will identify the steps to view the determination letter. All applications, including initial enrollments and maintenance cases, have enrollment screening requirements. Save my name, email, and website in this browser for the next time I comment. Maine | Wellcare 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. Augusta, Maine04333, Phone: (207) 287-3707 Recommended browsers: Google Chrome, Microsoft Edge, Mozilla Firefox, Apple Safari See theProvider Enrollment Process Questions and Answers (PDF) for more information. To enroll, you must have a trading partner account, as described in the MIHMS Enrollment Guide (PDF). Office of MaineCare Services (OMS) See the NOPR Not Enrolled Letter (PDF) for more detail about this requirement. For an overview on using this web site, view Web Page Instructions. Once implemented, these rate increases will be effective as of January 1, 2023. If this is the first time using the Transfers Portal, please review the instructions before continuing! Maine | Medicaid Portal Guides: Portal Tips and Tricks: Provider Enrollment: Provider Fee Schedules: Provider Forms: . The instructions below describe how to complete the request. The instructions for completing the form are also available (in Adobe PDF format). For a forgotten password, a user can reset their password by following the instructions below. The Portals will not work well, or not work at all, with other browsers. https://providerportal.megov.changehealthcare.com/mepp/report/index.joi. 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 . Physician Assistant. EVV Portal Question: Where can I access the EVV Portal? Log In - KEPRO The service specific training outlines the department medication management referral process. If for some reason you are unable to submit information using the online forms, Title. If you need to contact someone regarding PNMI Transfer Forms, call the Office of Elder Services at: 1-800-262-2232 8am to 5pm If a request was started but not submitted, it will be listed as a Saved but Not Submitted Request on the home page. DHHS Provider Resources appropriate number. The instructions for completing the form are also available (in Adobe PDF format). Once a request has been submitted, you will not be able to make changes or additions manually. 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. 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 . Provide your personal details to sign up. The MaineCare provider portal helps you spend less time on administration so you can focus more on patient care. The Department now has available theBehavioral Health Rate FAQ documenton billing and authorizations for services for Sections 28 and 65. Provider Blog: Billing Instructions: Biosimilar PDL Drug List: . Solicited and unsolicited attachments Claims status tracking Electronic remittance advice (ERAs) Claim reconciliation and overpayment management Provider information management Reporting and dashboards Coronavirus (COVID-19) Keep yourself informed about Coronavirus (COVID-19.) An Admin user will first need to register in the system and have the information for the additional users that are needed. CMS Request Approval (PDF, 816.78 KB) Date. 12/21/2018. 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. TTY users dial 711. Quarterly Dental Provider Survey; OnLine Website Survey; Contact Us; . Providers must revalidate their information with MaineCare every5 years, or 3 years forDurable Medical Equipment (DME) providers. The COLA will be effective July 1, 2023 and is equal to an increase of 8.24% above the currently established rate(s). Office of MaineCare Services (OMS) Providers interested in attending one of the training sessions should use the link(s) below to register. After completing the registration and multi-factor verification processes, a user can update profile information. Facility License Renewal Reminder. (Toll Free Nationwide & Canada) We are interested in your feedback - feel free to send us a comment! Are you currently accepting new MaineCare members? 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 . FAO providers for which rendering providers are not required. A full functioning array of resources including training manuals, informational materials, webinars, and training videos are utilized. This workflow describes the process for requesting an EPSDT authorization midway through services. In this article, youll find information on how to access the MaineCare Provider portal for either hospital or doctors office visits. MaineCare Services Policy Division 11 State House Station Augusta, Maine 04333-0011 Tel. You get a one-stop portal to quickly perform essential functions you do every day. Department of Provider Enrollment & Revalidation | Department of Health and Human 2019 August Attestation PCP Increase (PDF) Please contact Tia Bolduc, Provider Relations Specialist, with questions at (207) 624-6938. 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." User role . See the Enrollment Folder on the Health PAS Online Portal for details about how to enroll in Maine Integrated Health Management Solution (MIHMS). Moving forward, Acentra Health communications will reflect the new name and logo. Explore key characteristics of Medicaid and CHIP in , including documents and information relevant to how the programs have been implemented by. Fax the completed form to us at 1-888-879-6938. specialty-services, stakeholder-training. Department of As of December 2019, has enrolled 985,201 individuals in Medicaid and CHIP a net increase of 57.29% since the first Marketplace Open Enrollment Period and . If you don't already have a Kepro account, you can Register here . TTY (800)606-0215. Notify me of follow-up comments by email. If you need to contact someone regarding PNMI Transfer Forms, call the Office of Elder Services at: 1-800-262-2232 8am to 5pm. The instructions below describe how to make revisions to a submitted request. You can find the Secondary Billing Instructions document in theSupplemental Billing Folderonthe Health PAS Online Portal. View more office locations >. MaineCare wants to remind providers to update their facility licenses prior to the expiration date to avoid possible claim denials or payment delays. appropriate number. Maine Provider Portal - GHS eWebs - Registration register The portal is free of charge for all participating providers. Department of Health and Human Services 109 Capitol Street 11 State House Station Augusta, Maine 04333. The ACA mandates that State Medicaid agencies establish categorical risk levels of limited, moderate, or high for initial applications or new practice locations. 2/3/2021 7:42 AM Augusta, Maine04333, Phone: (207) 287-3707 AD: GET YOUR DREAM JOB IN CANADA: Salary Between $3,000 - $12,000 Per Month - APPLY HERE. TTY: Maine relay 711, Maine Department of Health and Human Services, Older Adults and Adults with Disabilities, Case Mix, Private Duty Nursing, and Home Health, Americans With Disabilities Act/Civil Rights Compliance. CORRECTION to July 27, 2023 Training Time - Training for Licensed Substance Use Disorder (SUD) Providers. MaineCares Secondary Billing Instructions Update, CR 106251. Augusta, Maine04333, Phone: (207) 287-3707 The MaineCare provider portal gives you the information, tools and resources you need to support the day-to-day needs of your patients and office. MAINE. If a code for a service is not listed on these notices, there is no rate change for that code. Find a Provider | MaineHealth (Toll Free Nationwide & Canada). Provider Resources | Department of Health and Human Services - Maine DHHS Our flexibility comes from ANGs best-in-class platform, custom-built by Kepro, which can be rapidly configured and tailored to meet ASOs unique program needs. Health and Human Services Welcome to Community Health Options For more detail, see the press releaseor visit the new Acentra Health webpage. To update your license, you need to login to the portal, go to the MaineCare Provider Enrollment Application (PEA), and perform a maintenance case . Augusta, Maine04333, Phone: (207) 287-3707 11 State House Station Application login - Maine Provider Portal - GHS eWebs 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. you may Download an Adobe PDF version of the NF Transfer form, complete and fax the paper copy to the Maine DHHS Provider Transfer Portal . 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. 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 The instructions below describe how to create accounts for additional users. This video highlights the create a case wizard enhancement that will be available to providers on January 26, 2023, This video will educate providers on the critical incident process for the Office of Behavioral Health. 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. State of Maine Department of Health and Human Services (DHHS) Administrative Services Organization (ASO). 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 Title. PA - Prior Authorization Forms. Fill out the form completely. 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. 109 Capitol Street 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. : (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 For a list of our upcoming trainings, please visit https://me.kepro.com/providers/atrezzo/. 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. See the 2019 Application Fee Spreadsheet (PDF) for a list of provider types that require an application fee. The below instructions will highlight the steps to add Chrome to your computer. With the expansion of MaineCare in 2019, more individuals are now eligible. To submit a request: Select and print the proper form from the list below. Office hours are 7:00 AM EST until 6:00 PM EST. These instructions will explain the process for submitting a SUD Residential ASAM Review in the Atrezzo portal. An Office of Department of Health and Human Services, Please update your desktop shortcut or bookmark with the link to this page: https://gateway.maine.gov/transfers/Default.aspx, Transfer Forms for MaineCare members only, If not a MaineCare Member, DO NOT COMPLETE THESE FORMS. Training materials will be placed on the Maine ASO client website, located at http://www.qualitycareforme.com/. The Department has posted State Plan methodology notices detailing the rate changes for Sections 13, 17, 26, 28, 65, and 92 on our, . This provision is included in the MaineCare Benefits Manual, Chapter II, Section 90, Physician Services. 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. PDF Provider Enrollment and Revalidation - Maine FAX: (207) 287-3005 DHHS A user will first need to receive an email to complete the registration process initiated by the Provider Group Administrator. Phone: (207) 287-3707 FAX: (207) 287-3005 TTY: Maine relay 711 Effective April 1, 2021, all prescribing providers must either be enrolled as a MaineCare provider or, where applicable, be added as a NOPRproviderunder their organizations MaineCare provider enrollment to prevent disruption of pharmacy servicesfor MaineCare members. Please contact the Kepro intake team with any referral process questions at 1-866-521-0027 or IntakeME@kepro.com. Provider Resources There will be several modules for the providers to attend based on user role permissions. FAX: (207) 287-3005 We are interested in your feedback - feel free to send us a comment! Table 4-2: FAO with Rendering Providers Not Required ("FAO Non-Rendering") Provider Type Specialty MaineCare Benefits Manual Specific Policies By Service TTY (800)606-0215. Providers - Molina Healthcare Maine DHHS Provider Portal - Reclass Form 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. 109 Capitol Street The portal is secure, confidential and easy to use. See the Enrollment Frequently Missed Information (PDF) for details about common new enrollment and maintenance case errors. See the Application Fee and Surety Bond (PDF) for more detail. You will receive letters 60 days and 30 days prior to your assigned revalidation date. TTY: Maine relay 711, Maine Department of Health and Human Services, Older Adults and Adults with Disabilities, Case Mix, Private Duty Nursing, and Home Health, See the Enrollment Folder on the Health PAS Online Portal, Provider Enrollment Process Questions and Answers (PDF), Enrollment Frequently Missed Information (PDF), Enrollment and Revalidations Requirements (PDF), National Plan and Provider Enumeration System (NPPES) Home Page, Non-billing, Ordering, Prescribing, and Referring Provider Requirements (PDF), Health PAS Online Portal Provider Enrollment Folder, Americans With Disabilities Act/Civil Rights Compliance. How to Access the MaineCare Provider Portal Login, How to Register on MaineCare Provider Portal, For questions about covered services or to select a Primary Care Provider (PCP) call, Yuhan College Student Portal yuhan.ac.kr, Youngsan Won Buddhist University Student Portal youngsan.ac.kr, Free SHS Tertiary Scholarship Application Form 2023/2024, 20+ Undergraduate Scholarships for Ghanaian Students 2023/2024, Colleges of Education Admission Forms 2023/2024 is Out, WAEC Ghana Timetable 2023/2024 for School Candidates, WAEC BECE Timetable For School Candidates 2023, Colleges of Education Admission Lists 2023/2024 Daily Updates, 100+ UK Scholarships for Ghanaian Students 2022/2023, 50+ USA Scholarships for Ghanaian Students 2023/2024, 50+ Foreign Government Scholarships 2022/2023 for Ghanaians, Ghana Universities Admission Forms Update 2023/2024, Ghanaian University Ranking 2023 Top Universities in Ghana, GNPC Scholarships Application Form 2022/2023, WAEC Timetable 2022 for (Nov/Dec) Private Candidates, 20+ Canada Scholarships for Ghanaian Students 2022/2023, Ghana Universities Admission List 2022/2023- Daily Update, Submit and check the status of your claims, Submit and check the status of your service or request authorizations. If a code for a service is not listed on these notices, there is no rate change for that code. 109 Capitol Street If you cannot view a file, please download the appropriate free plug-in from the links below. To access the MaineCare provider portal, you need to register and have an account with them. B. 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. 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. On Monday, November 7th, Kepro will be upgrading their web-based platform to Atrezzo Next Generation. The Department will send another e-message to notify you about additional guidance after we work through the details of those questions. 2010 - 2023 Change Healthcare. If for some reason you are unable to submit information using the online forms, Emergency Department at Memorial Hospital 3073 White Mountain HWY North Conway, NH 03860-7101 603-356-5461. 639.. TTY: Maine relay 711, Maine Department of Health and Human Services, Older Adults and Adults with Disabilities, Case Mix, Private Duty Nursing, and Home Health, Americans With Disabilities Act/Civil Rights Compliance. Please click here to view the Office of MaineCare Listserv announcement. DHHS Instructions: on billing and authorizations for services for Sections 28 and 65. TTY users dial 711. For additional information , please seeCMS's Frequently Asked Questions. With the provider portal, you can do the following: You can also stay up to date with the latest applications, resources and news from us. If you have difficulty with browser compatibility or accessing the portal, please contact Provider Services at 1-866-690-5585. Subsection 144-101-I-1.03 - [Effective 1/1/2023] PROVIDER PARTICIPATION Office of MaineCare Services (OMS) MaineCare Services coordinates the programs and benefits, assures that they operate under consistent policy in keeping with the Department's goals and federal mandates, and ensures that they are administered effectively and efficiently.

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