alaska medicaid provider portal

Autism Services, SA Request Form. You get a one-stop portal to quickly perform key functions you do every day You can: Submit claims Get authorizations and referrals Check patient benefits and eligibility Upload medical records and supporting documentation Information about efforts to enroll eligible individuals in Medicaid and CHIP in . Care Philosophy Training Program Get the details, Get the latest information on benefit date changes and vaccine information. Most learning is on-demand, so you can gain knowledge at your leisure, get on a mailing notification for new or updated activities as they are added monthly. Check. If you missed the demonstration on how to use the platform. (855) 780-5955, National Suicide Prevention Hotline: Mental Health Physicians Clinic, SA Request Form. 1115 SUD Waiver, SA Request Form. You have the right to get help and information in your language at no cost. 06/28/2023: New Security Enhancements to One Healthcare ID: 06/28/2023: Optum Pay Alert Communication - Independence Day. change in enrollment since the initial open of the Health Insurance Marketplaces, This no-cost program is made available through a partnership with OptumHealth Education and provides for up to 6 CEUs/CMEs to those interested in earning credit. Seattle, WA 98121, Availity: Mon-Fri, 8:00 a.m. to 8:00 p.m. 1115 Waiver Behavioral Health Services Regulation Changes, Optum Alaska Behavioral Health Collaborative 2021 (March 31 - April 1, 2021), Optum Alaska Behavioral Health Collaborative 2020 (April 2-3, 2020), Procedural Updates and Practical Telehealth Strategies for Behavioral Health Providers, Service Authorization Training for 1115 Waiver SUD Services (pdf), Claim Modifiers for 1115 Waiver SUD Services (pdf), Introduction to Optum Alaska Behavioral Health Administrative Services Organization(pdf), SB74 Clinical Documentation Requirements and Changes, SB74 Psychologists and LCSW Enrollment and Claims Processing, 1115 SUD and Behavioral Health Waivered Services, Alaska Mental Health Trust and SeaView Community Services, ASAM, LOCG and other four-letter words: How evidence-based tools positively impact care delivery, Introduction to Optum Alaska Care Coordination and Advocacy (CCA), Quality Assurance/Performance Improvement (QAPI) Committee Structure, OptumHealth Education: Accredited Medical Education for the Interprofessional Health Care Team, 1115 Waiver Services Intensive Outpatient SUD and BH IOP, Online Service Authorization Form Submission Demonstration, Claims Updates Top Claims Denials, Causes, and Resolutions, Service Authorizations 101 including Q&A follow up and What, Where, Why, When Guidance, Telehealth Trends 2 years Post Public Health Emergency, Clinical Criteria:A clinical approach to understanding medical necessity, Third Party Liability Avoidance for Claims, Concurrent and Contraindicated Services Repeat Session, Claims Processing: Billing with Service Authorizations and Autism Services Authorization Process, Division of Behavioral Health presentation on Peer Support Professional Certification, Service Authorization Requests for 1115 Substance Use Disorders, Introduction to Online Submission of Service Authorization Request, The Right Service to the Right Person at the Right Time: Introduction to Levels of Care, Onboarding for Community Behavioral Health Services Providers, Introduction to Optum Onboarding Alaska Medicaid Behavioral Health Providers, Service Authorization Training for 1115 Waiver SUD Services, Claim Modifiers for 1115 Waiver SUD Services, Onboarding for 1115 Waiver Substance Use Disorder Services Providers, Introduction to Optum Alaska Behavioral Health Administrative Services Organization. FAX:(844) 881-0959 Parents and caretaker relatives with income over the income standard for coverage under this group may be eligible for coverage in the adult group in states that have expanded to cover the adult group. For information on submitting documents needed to support your enrollment applications, consult the Provider Enrollment Document Submission Job Aid. If you missed the demonstration on how to use the platform, Mental Health Physicians Clinic, SA Request Form, Psychological and Neuropsychological Testing, SA Request Form. (June 1, 2023). Our people have deep knowledge, and our systems are smart and evolved. 01/03/2017. ; Individual, Mon-Fri, 8:00 a.m. to 6:00 p.m. (PT), Availity: 1.800.282.4548; Individual, 1.800.809.9361. 05/21/2018. 06/23/2023: Technical Assistance Teleconferences - July 2023: 911 W. 8th Avenue, STE 101 For additional contact information, please visit the Alaska Medicaid Assistance website has adopted one or Enrollment Forms. Service Authorization . coverage to low-income adults. The Aetna provider portal on Availity helps you spend less time on administration so you can focus more on patient care. We provide enterprise-wide COTS modularity to support state-specific Medicaid needs and other health and human services programs. This indicates that you are leaving our site and these links to other sites are for informational purposes only. MAGI-based eligibility levels, expressed as a percentage of the FPL, for several key Optum Case Management/Peer Support Referral EMAIL: MedicaidHelpOptumAK@Optum.com (Do not include PHI) Optum Free Emotional Support Line: (866) 342-6892 Ensure your encounter data is compliant through a single point of submission. If you have further questions about the Alaska Medicaid program, contact Provider Inquiry at (800) 770-5650 (option 1, 1) or (907) 644-6800 (option 1, 1). measures in the CMS Medicaid/CHIP Child Core Set. Official websites use .gov He took silver in squat, deadlift and combination lifting as well. These counts do not include the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Health Plan Survey 5.0H Child In federal fiscal year (FFY) 2019, voluntarily reported 15 8:00 am to 6:00 pm Alaska Time Register with Availity and get trainingtoday. Systems (CAHPS) Health Plan Survey 5.0H Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items (CPC-CH) measure, which is publicly reported by CMS, but uses a different summary statistic. Title. Simplify provider Medicaid billing with comprehensive validation rules for managed care and fee-for-service transactions. 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 related Medicaid program changes in October 2013. Psychological and Neuropsychological Testing, SA Request Form. It is our commitment to help transform Alaskas behavioral health outpatient system by focusing on helping people reach recovery in their own health journey. Alaska Background Check Provider Portal has sent you here to sign in. 10/26/2022. Please note: The contents below consist of state plan content applicable to the Alaska Medicaid program. What's available in the portal Availity access through OneHealthPort is temporarily unavailable. (FPL). View Availity Provider FAQ.Note: Pharmacy prior authorizations don't go through Availity. The below links will navigate providers useful program resources. (Rich McClear/KCAW) Sitka hosted more than 13,000 cruise . The MAGI-based rules generally include adjusting an individuals income by an amount equivalent to 5% FPL disregard. Other eligibility criteria also apply, for example, with respect to citizenship, immigration status and residency. If you wish for the state to review your request for possible backdate of your enrollment, please fill out the Request to Backdate Provider Enrollment form and submit it to Conduent for review by the Division of Health Care Services. If you have further questions about the Alaska Medicaid program, contact Provider Inquiry at (800) 770-5650 (option 1, 1) or (907) 644-6800 (option 1, 1). Improving health. For information on submitting documents needed to support your enrollment applications, consult the Provider Enrollment Document Submission Job Aid Enrolled Provider Resources Billing Manuals Messages & Announcements Provider FAQ IMPORTANT MESSAGE For the eligibility groups reflected in the table, an individuals income, computed using the Modified Adjusted Gross Income (MAGI)-based income rules described in 42 CFR 435.603, is compared to the income standards identified in this table to determine if they are income eligible for Medicaid or CHIP. Polski | CHIP covers birth through age 18 unless otherwise noted in parentheses. Please call HMS (Healthcare Management Solutions, LLC): 907-644-6800 or in-state toll-free number: 800-770-5650. Availity is an independent provider of health information network services that does not provide Blue Cross Blue Shield products or services. Enjoy the highest-level security, integrity and output to diverse trading partners and providers while meeting federal requirements. Alaska Behavioral Health Provider Standards and Administrative Manual for SUD Provider Services October 4, 2020 ; Services and Rates. May 17, 2023 Going live June 5: Your Comagine Health Provider Portal is getting an upgrade! Italiano | Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you. PHONE: (800) 225-8764 A valid e-mail address is required to complete registration. Sitka's Lincoln Street on June 21, 2023, when three cruise ships brought about 13,000 passengers and crew to the Southeast Alaska town. Optum Alaska EMAIL:MedicaidHelpOptumAK@Optum.com To submit Service Authorization forms via fax, please send to: 1-844-881-3753. To enroll as a new provider, submit an application through Alaska Medicaid Provider Enrollment Portal. Premera Secure ToolsNow Available Through Availity. Please be sure to take note of registration requirements and details. Payment Cycle Schedule Changes for Veterans Day Holiday. Experience the time-saving and satisfaction-enhancing benefits of our Prior Authorization Rules Engine. EMAIL: Kreyl Ayisyen | Optum is pleased to work with ourAlaska Medicaid providers to provide training opportunities throughout the year. Source: Medicaid The Alaska State Capitol in Juneau is seen on Monday, June 19, 2023. . Income eligibility levels are tied to the federal poverty level Note: Pharmacy prior authorizations don't go through Availity. Alaska - Optum Provider Portal; For Alaska Medicaid Providers; Alerts, Updates & Announcements-UPDATES. Enrollment, Total Medicaid & CHIP Enrollment (Preliminary), Net Change in Enrollment July-September 2013, % Change in Enrollment July-September 2013. purposes of verifying eligibility for Medicaid and CHIP. 5. Companion Guides; DMEPOS Provider Information. Homeland Security and Labor) rather than paper documentation from families for eligibility verifications plans, MAGI Conversion Plans Provider Application Fee FAQs. | Deutsch | 11/04/2022. States have the option to cover pregnant women under CHIP. (866) 342-6892, Optum Substance Use Treatment Helpline: Register for the Comagine Health Provider Portal Download the Comagine Health Provider Portal Registration Packet. 2023 Conduent, Inc. All rights reserved. There is no time limit and many working families may qualify. | Optum Case Management/Peer Support Referral EMAIL: MedicaidHelpOptumAK@Optum.com (Do not include PHI) Optum Free Emotional Support Line: (866) 342-6892 For help accessing the portal and technical issues, please contact UnitedHealthcare Web Support at providertechsupport@uhc.com or 866-842-3278, option 1, 7 a.m.-9 p.m. CT, Monday-Friday. Providers can submit service authorizations either through an Online Portal or by completing a PDF and faxing to Optum. Three Potential And Logical Waves for Medicaid Modular Modernization, Three Questions To Guide Your Journey to Modularity, Five Dimensions of Change: Predictions for 2021. Here you can: . Qualis Health is one of the. Well set things up exactly the way you want. If you are already registered, go to the Comagine Health Provider Portal. Provider The Health Enterprise Portal is a state-of-the-art electronic health care administration system that gives patients, doctors, pharmacists and other users easy, secure and efficient access to health care . Our Provider Service and Provider Credentialing tools are a flexible, cloud-based SaaS platform based on COTS software. Monday Friday P | The Care Philosophy program offers a foundation for establishing a trauma-informed environment, rooted in evidence-based best practices and integrates the medical, behavioral, and social components of care for individuals with the most complex needs. Heres how you know. One person, one family, one community at a time. Its a seamless, end-to-end administrative solution for your Managed Care Program. included below or in the count of measures reported by the state. | Vision Services Third Party Liability Billing Requirement Change. the CMS Medicaid Adult Core Set. We understand and applaud your commitment to the behavioral needs of Alaska residents and families. Please note that no fields are mandatory, but at least one field must be entered. which is publicly reported by CMS but uses a different summary statistic. Alaska Medicaid does not accept handwritten revalidation applications. Service Authorization Townhall 05.10.2023, Service Authorization Tidbits and Townhall Takeaways, Service Authorization Townhall 04.25.2023, Service Authorization Townhall 04.12.2023, Claims: Updates, Projects, and Submitting Corrected or Voided Claims, Service Authorization Review: Technical Assistance Teleconference, ASAM Level 2.5 Substance Use Disorder Partial Hospitalization Program, Service Authorization Submission 101 Repeat Session, Service Authorization Submission 101 - Repeat session, Cultural Competence: from awareness to empowerment, Reprocessed Claims and Submitting Corrected Claims, Billing Claims with Third Party Liability and TPL Avoidance for Claims, Provider Portal: First Time Registration for One Healthcare ID, Electronic Payment and Statements with Optum Pay, Claims Submission and Claims Problem Resolution, Provider Training and Service Authorization Support, Provider Relations Staff and Pathways for Support, Billing Procedures Services Covered under 7 AAC 135: register and get training. Provider Solutions? If you believe your request falls within one of these categories, you may supply the state with an explanation as to how you qualify under one of these circumstances and provide supporting documentation for additional review. 12/13/2021. Hmoob | | May 17, 2023 Going live June 5: Your Comagine Health Provider Portal is getting an upgrade!

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