This indicates that you are leaving our site and these links to other sites are for informational purposes only. JavaScript is required to use content on this page. O4 Text Component. MDH/BHA and Optum Maryland offer education and community events. The State of Maryland pledges to provide constituents, businesses, customers, and stakeholders with friendly and courteous, timely and responsive, accurate and consistent, accessible and convenient, and truthful and transparent services. <>/Filter/FlateDecode/ID[<48A47017A3D269AC57A5B8D275349B0F><46F5C81932AEB2110A008045FBE4FF7F>]/Index[10 34]/Info 9 0 R/Length 88/Prev 51784/Root 11 0 R/Size 44/Type/XRef/W[1 2 1]>>stream Please click. Its performance in Maryland to date does not suggest that its demonstrated technology or project management limitations have been resolved. The provider may then register with Optum Incedo Provider Portal - Once approved, the provider may also complete the Provider Referral . TheProvider Alertsare important updates from Optum and the Department. Reference the charts below to identify the acceptable proof of loss for claim submission based on the service type specifics. Deaf and Hard of Hearing Virtual Stakeholder Meetings: The Policy and Procedures subcommittee of the Behavioral Health Administration will host five regional stakeholder meetings to share information on PBHS services available and to obtain input from stakeholders on how to enhance public behavioral services for individuals who are deaf and hard of hearing in Maryland. Click on either the Participants and Families or the Providers tab to see the information that applies to you. Payment Period for United Health Group (UHG) / Optum Behavioral Health Providers (Optum) The Maryland Department of Health (MDH) is preparing to enter into the next phase of reconciliation to resolve the differences in the estimated claims paid from January 1, 2020 through August, 3, 2020, with actual claims submitted for those dates of service. Incedo Provider Portal Quick Reference Guide, The March Provider Council Meeting will be held onFriday, March 10th at 10:00 am EST. News and Events:Stay up-to-date on the upcoming Maryland mental health news and training and events. Providers received this payment via physical check that was distributed . News and Events:Stay up-to-date on upcoming Maryland mental health news, training and events. The ABA Fee Schedule can be viewed on the Autism Providers Information page, here PBHS Provider Billing Appendix.pdf State Fiscal Year 2023 (Effective October 1, 2022) Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). Participant Questions Call Toll-Free: O4 Global Search. Maryland Behavioral Health resources, information and more, During Business Hours: Monday - Friday, 8:00 AM - 6:00 PM EST (Crisis line available 24/7), Participant Questions and Help to Find a Provider Call Toll-Free: Skip to main content. Category: Health Detail Health . 04-30-21: Incedo Provider Portal - Authorization Entry Issue Resolved 04-09-21: Incedo Provider Portal Accessibility 2023 .e <> Optum generates both 999 and 277 files. Toll-free number:1-800-888-1965, TTY 711 - Providers should press two andfollow prompts. Click on either the Participants and Families or the Providers tab to see the information that applies to you. (800) 888-1965, TTY 711. This indicates that you are leaving our site and these links to other sites are for informational purposes only. "Fiasco," "debacle," and "administrative nightmare" were among the words behavioral health providers and legislators used to describe the ongoing claims reconciliation process with the Maryland Department of Health (MDH) and its system vendor, Optum, at the House Health and Human Services Subcommittee meeting last week. April 2020 Training Schedule. Additional information related to the registration process will be shared with you via provider alert on 12/9/2019. Below is an anticipated schedule of releases. <>stream O4 Dynamic Alert Site Logo. Note: You may choose any clearinghouse vendor to submit claims using EDI. 1-866-234-8913. 0 Please click here for full details. Incedo Provider Portal is easy to use, secure and available 24/7. Salt Lake City, UT 84130. If you are a person or a family member seeing a MDH/BHA provider, you can access relevant information with the touch of a finger: Services:Find out more about the many recovery-oriented services that MDH/BHA funds through local mental health centers! Health (6 days ago) WebBehavioral Health Providers Provider Resources - Provider Resources Provider Tools Procedure for Resolving Disputes Over Negative Balances Incedo and CARC Denial Maryland.optum.com . Disclaimer: The contents of this website and any information contained herein are intended solely for the use by providers and care coordinators and may contain confidential and/or privileged information which is legally protected from disclosure pursuant to the HIPAA and HITECH laws and/or other applicable law. Please enable JavaScript in your browser. Check the website often as it continues to grow to better serve you! Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). (800) 888-1965, TTY 711 endobj hb`````2a VY8!1&>sO{wxu50N[fII`Nj@ P.O. Providers can choose any clearinghouse vender to submit claims using EDI. Please enable scripts and reload this page. 1-855-427-4682. The rate is supplied to Optum Maryland by MDH. Reporting of Same Revenue Codes on One UB04 Claim, 04-02-21:Incedo Provider Portal Scheduled Update, 02-12-21: Incedo Provider Portal: Update Scheduled, 01-15-21: Incedo Provider Portal: Update Scheduled, 11-20-20: Incedo Provider Portal - Update Scheduled, 11-13-20: Incedo Provider Portal - Update Scheduled, 09-25-20:Incedo Provider Portal Update Scheduled, 09-17-20: Incedo Provider Portal - Update Scheduled, Incedo Provider Portal - Update Scheduled, 07-30-20: Incedo Provider Portal Update Scheduled, 06-25-20: Incedo Provider Portal Update Scheduled, 05-29-20: Incedo Provider Portal Update Scheduled, 04-02-21:Incedo Provider Portal: Update Scheduled, 11-13-20: Incedo Provider Portal: Update Scheduled, 10-09-20:Incedo Provider Portal: Update Scheduled, 09-25-20:Incedo Provider Portal: Update Scheduled, 09-17-20: Incedo Provider Portal: Update Scheduled, 07-30-20: Incedo Provider Portal: Update Scheduled, 06-25-20: Incedo Provider Portal: Update Scheduled, 06-18-20: Incedo Provider Portal: Update Scheduled, 05-29-20: Incedo Provider Portal: Update Scheduled, 04-30-21: Incedo Provider Portal - Authorization Entry Issue Resolved, 04-09-21: Incedo Provider Portal Accessibility. Example inquiry reasons for contacting this email address: When contacting this email address, please include the following information in the body of the email alongside your providerissue: *To obtain a token, please click hereto complete the provider survey. To request an interpreter, call (800) 888-1965. espaol (Spanish); (Chinese); (Korean); hrvatski (Croatian); Vit (Vietnamese); (Arabic); Deutsch (German); Tagalog (Tagalog); (Russian); franais (French); (Japanese);romnete (Romanian); (Farsi) ; (Ukrainian); Kreyl ayisyen (Haitian Creole); (Hindi); portugus (Portuguese); Ikirundi (Bantu-Kirundi); (Nepali), Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. Optum Specialty Pharmacy customer service. If you are a person or a family member seeing a MDH/BHA provider, you can access relevant information with the touch of a finger: If you are a person or a family member seeing a MDH/BHA provider, you can access relevant information with the touch of a finger: endstream If you are not authorized to use this website by the sponsoring health plan, or if this is not a user account that was designated specifically for your use; access is strictly prohibited. On this page you will find a wealth of information developed specifically for you, which includes ourIncedo Provider Portalplatform where you can enter authorization for services, claims and more. CSA Training. Optum Maryland ASO Overview Training Slide Deck (pdf) Uninsured Eligibility: Provider Training Guide. Optum Nondiscrimination Notice and Language Services, see here. News /Events. 9-8-8 (Available 24/7), Optum Crisis Line Available 24/7: Top Learn how Doctors HealthCare Plans partnered with InfoMC just 45 days prior to their target go-live date, launched on time, and became the fastest growing MA plan two years in a row. 10 0 obj Office: (667) 214-2123. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). ^U^P -NZY1#Xp*b "$L9I08"X.RJby{0KF[1"3I^hqQ*pH*yV^rL@%7Ft1(E}Li*JzRup8x|zIDe*_()5w`]w}b]ks>\"@2DXuh}K2F'( >:MUIT}m6"H6OQ'0NuI?1ORp>J5'Sj.5E%IRB~%bM *~#w(u{n5)|~zE.% WKWqY24x]"n=?1'~Hr%x}0}0EJBi&)&oa ~+gV]9n&6mc. hVmo8+%H+$ Monday - Friday: 8:00 AM to 6:00 PM EST, Outside of Business Hours (evenings, weekends, holidays), Maryland Suicide and Crisis Lifeline: 28 0 obj To request an interpreter, call (800) 888-1965. espaol (Spanish); (Chinese); (Korean); hrvatski (Croatian); Vit (Vietnamese); (Arabic); Deutsch (German); Tagalog (Tagalog); (Russian); franais (French); (Japanese);romnete (Romanian); (Farsi) ; (Ukrainian); Kreyl ayisyen (Haitian Creole); (Hindi); portugus (Portuguese); Ikirundi (Bantu-Kirundi); (Nepali), Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. We invite you to look through this site to see the many ways we can serve you. The website has sections for participants and families as well as providers of mental health services. (866) 342-6892. The timely filing limit for claims is 120 days from the date of the other carriers EOB, or 12 months from the first date of service, whichever is later. For current HSA, FSA and HRA account holders, find support at the link below or call us today. Optum Maryland has run an off-cycle payment process which was mailed on January 9, 2020. Appeals Status/Education (Business Hours), Claim Processing/Payment Status (Business Hours), Request for Claim Reprocessing/Adjustment (Business Hours), Claim Escalation/Complex Claim (Business Hours), Request for After Hours Admit Reference Number (After Hours), Participant Eligibility Verification (Business Hours), Direct phone number(please include extension if applicable), Questions related to accessing the Incedo Provider Portal, Issues with uploading 837s into the Incedo Provider Portal, Technical questions about electronic claims submission, Questions about a PRA or 835 transactions, Payment information - ex: payment number, check information, Assistance with MDHs provider enrollment, Assistance navigating the eligibility, pre-authorization process and claims payment process, Assistance in determining whether services proposed are eligible for reimbursement under Medicaid/BHA, Help resolving claims problems and open issues, Questions about the grievance and appeals processes for providers, Assistance with completing and understanding authorization requirements, Register an email address to receive Provider Alerts from Optum Maryland. Optum provides clinical staff coverage 24 hours/day, 7 days/week, 365 days/year to respond to all member and provider calls, including emergent, urgent and routine calls. Optum Maryland will accept paper CMS - 1500 forms for practitioner/professional services or Uniform Billing (UB)-04 forms for inpatient and outpatient facility claims. Out-of-state psychiatric hospitals are paid at a Host State Medicaid Rate. 179 0 obj <>/Filter/FlateDecode/ID[<5B6A138A1EB17A4A9A613D6755F54D64>]/Index[159 73]/Info 158 0 R/Length 103/Prev 136342/Root 160 0 R/Size 232/Type/XRef/W[1 3 1]>>stream Please turn on JavaScript and try again. We invite you to look through this site to see the many ways we can serve you. To view the September Provider Council Meeting Presentation. The provider must submit the claims to the primary carrier within the primary carriers timely filing limit. Q.4 For corrected claims submission for DOS prior to date 12/29/19 submitted to Beacon, do More information and resources can be found throughout the website. Sign in . Box 30531 *Please use this fax only if you are submitting supporting documentation to appeal a claims denial. See the scenarios below for timely claim filing guidelines: Claims must be submitted and received within 12 months of the earliest date of service on the claim, or if the service was a hospital inpatient service, the date of discharge, or if the service was provided in a nursing or rehabilitation facility the month of service.Optum Maryland will deny claims received after the timely filing rules defined above. An Incedo Provider ID will be issued to your assigned administrator in order to access Provider Connect. This indicates that you are leaving our site and these links to other sites are for informational purposes only. And print PDFs proof of loss for claim submission based on the service type specifics is! Then register with optum Incedo Provider Portal Quick reference Guide, the March Provider Council Meeting will be issued your! Based on the service type specifics Providers received this payment via physical check that distributed... Onfriday, March 10th at 10:00 am EST Providers received this payment via physical check that was distributed can any... Should press two andfollow prompts 10:00 am EST Provider Referral run an off-cycle process. * Please use this fax only if you are leaving our site and these links other. Easy to use content on this page Acrobat Readeris required to view and PDFs... Any clearinghouse vender to submit claims using EDI 0 obj Office: ( )... You to look through this site to see the many ways we serve. Filing limit many ways we can serve you Portal is easy to use, secure and available 24/7 sites. 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