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. This video highlights the multi-factor authentication process, This video will walk providers through how to submit OBH Funded cases for generating invoices, This specialty service training describes the OHH program and submission requirements within Atrezzo, This specialty training video explains how to complete referrals for Adult PNMI, This specialty training video explains how to complete referrals for CRCF, This specialty training video explains how to complete referrals for HCT and RCS. 11 State House Station 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. Login Please enter your username and password to access the Atrezzo Provider Portal. 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. MaineCare wants to remind providers to update their facility licenses prior to the expiration date to avoid possible claim denials or payment delays. Maine DHHS Provider Transfer Portal 639.. The portal is free of charge for all participating providers. To view the full announcement, click here. Welcome to the Health PAS Online Portal for MaineCare members and service providers! 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. For a list of our upcoming trainings, please visit https://me.kepro.com/providers/atrezzo/. The MaineCare Provider Portal provides health providers with personalized access to patient MaineCare records online. Revalidate with MaineCare to Avoid Claim Denials Office of MaineCare Services (OMS) You will receive letters 60 days and 30 days prior to your assigned revalidation date. Provider Enrollment & Revalidation. There will be several modules for the providers to attend based on user role permissions. 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. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. DHHS For an overview on using this web site, view Web Page Instructions. The ACA mandates that State Medicaid agencies establish categorical risk levels of limited, moderate, or high for initial applications or new practice locations. Table 4-2: FAO with Rendering Providers Not Required ("FAO Non-Rendering") Provider Type Specialty MaineCare Benefits Manual Specific Policies By Service Please give us a couple of business days to finish processing your request Required fields are marked by an asterisk (*). Robin Abeles, PA-C. Training materials will be placed on the Maine ASO client website, located at http://www.qualitycareforme.com/. 8.24% is the same COLA that certain services received on January 1, 2023. The instructions below describe how to make revisions to a submitted request. The Referral Refusal training explains how to enter a referral refusal within Atrezzo. you may Download an Adobe PDF version of the NF Transfer form, complete and fax the paper copy to the Department of Claimsprofessional and facility, even dental! Facility License Renewal Reminder - Maine DHHS 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 Please click here to view the Office of MaineCare Listserv announcement. MaineCare Services Policy Division 11 State House Station Augusta, Maine 04333-0011 Tel. The instructions for completing the form are also available (in Adobe PDF format). To access the MaineCare provider portal, you need to register and have an account with them. On Monday, November 7th, Kepro will be upgrading their web-based platform to Atrezzo Next Generation. https://providerportal.megov.changehealthcare.com/mepp/report/index.joi. Upon request by the Department. Welcome to the Health PAS Online Portal for MaineCare members and service providers! Augusta, Maine04333, Phone: (207) 287-3707 Memorial Hospital - North Conway, NH. The Department has posted State Plan methodology notices detailing the rate changes for Sections 13, 17, 26, 28, 65, and 92 on our, . Acentra Health is focusing on expanding access to care, improving outcomes, enhancing quality, and lowering costs for the populations we serve. The MaineCare provider portal helps you spend less time on administration so you can focus more on patient care. TTY (800)606-0215 Instructions: If you need assistance call Provider Services at 1-866-690-5585 or email. 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. Quarterly Dental Provider Survey - mainecare.maine.gov Once the registration process is complete, depending on role type, the user will have web based access to the MaineCare PDL. To enroll, you must have a trading partner account, as described in the MIHMS Enrollment Guide (PDF). 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. Training session will be a recorded demonstration in a live webinar to allow discussion and answer questions. Hospitals. 11 State House Station 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. Providers will receive links to register for the session date and time that works best for their availability. Please contact the Kepro intake team with any referral process questions at 1-866-521-0027 or IntakeME@kepro.com. appropriate number. Find a Provider/Pharmacy Who are you? Provide your personal details to sign up. Augusta, Maine04333, Phone: (207) 287-3707 If a request was started but not submitted, it will be listed as a Saved but Not Submitted Request on the home page. To update your license, you need to login to the portal, go to the MaineCare Provider Enrollment Application (PEA), and perform a maintenance case . Fax the completed form to us at 1-888-879-6938. For more detail about Revalidation see the Revalidate as a Current Provider (PDF). Facility License Renewal Reminder. 11 State House Station 2023 Medicare and PDP Compare Plans and Enroll Now. Current fee schedules under this option can be found on Health PAS Online Portal. See theProvider Enrollment Process Questions and Answers (PDF) for more information. MaineCares Secondary Billing Instructions Update, CR 106251. If you cannot view a file, please download the appropriate free plug-in from the links below. MaineCare Provider Directory; NOPRS Report; Surveys. CORRECTION to July 27, 2023 Training Time - Training for Licensed Substance Use Disorder (SUD) Providers. 109 Capitol Street . After completing the registration and multi-factor verification processes, a user can update profile information. MaineCare Preferred Drug List. If for some reason you are unable to submit information using the online forms, Provider Resources 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. Listed below are all the PA forms you will need in order to request drugs that require prior authorization. Subsection 144-101-I-1.03 - [Effective 1/1/2023] PROVIDER PARTICIPATION For more detail, see the press releaseor visit the new Acentra Health webpage. CMS Request Approval (PDF, 816.78 KB) Date. 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. 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. For additional information , please seeCMS's Frequently Asked Questions. (Toll Free Nationwide & Canada) We are interested in your feedback - feel free to send us a comment! Health PAS Online Department of Office of MaineCare Services (OMS) Billing providers must provide the NPI of an enrolled MaineCare practitioner who is ordering, prescribing, or referring on their claims to avoid claim denials. Maine DHHS Provider Portal - Reclass Form You are in the right place. See the NOPR Not Enrolled Letter (PDF) for more detail about this requirement. Provider Directory. 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. PDF Provider Enrollment and Revalidation - Maine 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. The instructions below describe how to create accounts for additional users. Every three (3) years for providers of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS); 2. Portal Guides: Portal Tips and Tricks: Provider Enrollment: Provider Fee Schedules: Provider Forms: . You're at home with Health Options Healthcare coverage that's based in Mainepersonalized and simplified.