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State of Maryland Department of Health and Mental Hygiene & V ALUE O PTIONS ®

State of Maryland Department of Health and Mental Hygiene & V ALUE O PTIONS ® . September 2009. Clinical Training . Welcome to ValueOptions ®. Presenters. Nancy Calvert, Director, ValueOptions® Maryland Provider Relations Mara Rapant, ValueOptions ® National Director of Clinical Services.

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State of Maryland Department of Health and Mental Hygiene & V ALUE O PTIONS ®

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  1. State of MarylandDepartment of Health and Mental Hygiene & VALUEOPTIONS® September 2009 Clinical Training

  2. Welcome to ValueOptions®

  3. Presenters • Nancy Calvert, Director, ValueOptions® Maryland Provider Relations • Mara Rapant, ValueOptions® National Director of Clinical Services

  4. Agenda • Update • Overview of ProviderConnect • Requesting Authorizations • Questions

  5. Updates • ValueOptions® Maryland Website • http://maryland.valueoptions.com • Provider Alerts • MHA updates and announcements • ValueOptions® Maryland updates and announcements • Provider Manual • Training Schedule • ProviderConnect “tips” • Maryland Specific ProviderConnect “demo” • Consumer Information • New Telephonic Options for: • Inpatient Authorization Requests – 800-888-1965, option 2 • Crisis Bed Authorizations – Cheryl Thompson, option 4, x214040

  6. ProviderConnect

  7. ValueOptions® ProviderConnect ProviderConnect is an online tool that increases convenience & decreases administrative burden. • Free, secure, online application • Easy access 24 hours a day, 7 days a week • Complete multiple transactions in a single sitting

  8. ValueOptions® ProviderConnect Features With ProviderConnect providers can: • Verify Consumer eligibility • Register Uninsured Consumers (effective October 2009) • Request Authorizations • View Authorizations • Submit Claims (Batch and Direct/On-line claim) • View Claim Status • View and Print Provider Summary Voucher • Submit inquiries to Customer Service • Access and print forms

  9. Accessing ProviderConnect • Each provider has a secure login and online registration, including a provider ID number via the ProviderConnect Web site. • Additional logins for other providers in the same practice are available through ProviderConnect. Contact: • ValueOptions® EDI Helpdesk • (888) 247-9311, Option 3 • Monday through Friday • 8 a.m. – 6 p.m. EST Turn around time for additional logins is 48 hours.

  10. Requesting an Inpatient Authorization

  11. Questions valueoptionstransition@dhmh.state.md.us

  12. Thank You!

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