billing problems. Most secure provider tools on Premera.com are no longer available as of September 10, 2022. Effective for dates of service on or after 3/1/2022, Alaska Medicaid providers must bill with a place of service code 10 if the member is in their home during the telehealth visit and 02 if memberis at any other location. enrollment status. Provider Inquiry/Provider Services: 907-644-6800 (option 1) or toll-free . Please call Xerox State Healthcare, LLC: 907-644-6800 or in-state toll-free number: 800-770-5650. 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 information. Long Term Care and RPTC Providers Claims Reprocessing Notice. OptumRx Prescription Drug Program and Provider Network www.optumrx.com (800) 797-9791 3515 Harbor Blvd. Any overpayments discovered through the audit process must be reported within 10 days and a repayment agreement must be established within 30 days after the date when the overpayment was identified. Services We Provide for Alaska Medicaid Behavioral Health Admission and continued stay review of acute inpatient psychiatric services at specialized psychiatric hospitals and general acute care hospitals that provide psychiatric services Admission, continued stay and retrospective review of residential psychiatric treatment center (RPTC) services Please call Conduent State Healthcare, LLC: 907-644-6800 or in-state toll-free number: 800-770-5650. Every community has its own ways to support and assist the people who live there. To obtain a user id and password to the Member Portal, Members must be enrolled in the Alaska Medicaid program and have a valid Medicaid Id. 06/16/2022. Alaska Health Enterprise Trading Partner Certification Testing. Provider Inquiry/Provider Services: 907-644-6800 (option 1) or toll-free: 800-770-5650 (option 1, 1). Provider Inquiry/Provider Services: 907-644-6800 (option 1) or toll-free: 800 . 01/03/2017. Provider Request to Cancel Alaska Medicaid Enrollment. Provider Information. claims resolution. 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 information. Optum manages outpatient behavioral health benefits for Alaska Medicaid participants. To obtain a user id and password, Providers must have an approved enrollment with Alaska and have received their Provider number. Effective November 30, 2013, Xerox Will Accept Only Original (Red) CMS-1500, UB04, and ADA Claim Forms. Providers can submit service authorizations either through an Online Portal or by completing a PDF and faxing to Optum. LOGIN Admin Login. OptumRx Specialty Pharmacy (800) 711-4555. Service Authorization Online Submissions Online Service Authorization Form Service Authorization Fillable Forms More help Frequently asked questions about MAGI Medicaid Medicaid Eligibility Pre-Screening Tool Medicaid Income and Eligibility Standards ProviderLogin To access secure information that is only available to eligible providers, please log in by entering your User ID. OptumRx Mail Service Program (800) 562-6223 or (877) 889-5802. Alaska Medicaid Health Enterprise supports the following internet browsers . Alaska Medical Assistance . User ID *. training availability. New Trainings The Comagine Health Provider Portal is a web-based application for electronically submitting utilization management (UM) review requests. Alaska - Optum Provider Portal For Alaska Medicaid Providers Provider Trainings - PROVIDER MEETINGS & TRAININGS Optum is pleased to work with our Alaska Medicaid providers to provide training opportunities throughout the year. Please be sure to take note of registration requirements and details. Alaska Medicaid Providers, welcome to the Optum Alaska web site. Here you can: Access automated training videos. Complete the appropriate forms in the registration packet and email, fax or mail them to Qualis Health. 07/01/2020. Please call Conduent State Healthcare, LLC: 907-644-6800 or in-state toll-free number: 800-770-5650. Sign in to Availity to access the following tools or register and get training. Provider Information. For additional contact information, please visit the Alaska Medicaid Assistance website Contact the Virtual Contact Center 800-478-7778 (TDD/Alaska Relay: 7-1-1) and apply for benefits over the phone Visit My.Alaska.gov and Click on ARIES Self-Service Portal under Services for Individuals. 01/03/2017. Register for the Comagine Health Provider Portal Download the Comagine Health Provider Portal registration packet. Alaska Medical Assistance Health Enterprise Portal Provider Resources The menu options on this page allow you to download current banner messages that have been included in the providers' Medicaid remittance advices and various state and federal documents and forms. You should contact CPT Intellectual Property Services, American Medical Association, 515 N. State Street, Chicago, Illinois 60610 or at telephone number 312-464-5022 or at facsimile number 312-464-5131, should you wish to make additional uses of CPT. October 10, 2018: Get Provider Educational Session CEUs and Presentations Many thanks to everyone who joined us for the Alaska Medicaid 2018 Fall Provider Educational Session! You can find links to it and the previous version of the manual on the Provider Resources page. Analyses demonstrate that the Wellness Assessment scales, comprised of items from well-validated public domain scales, are both valid and reliable. The Alaska MMIS may not be accessible during the weekly scheduled maintenance hours of 6:00 p.m. AKT Saturday to 6:00 a.m. AKT Sunday. Submitting an Application for Services (GEN 50C) via mail, fax, email, in-person/lobby drop box, direct secure messaging, or through a fee agent. 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 information. enrollment status. claims resolution. Use our Learning Portal User Registration Tool to get started! We have updated the Alaska Medicaid provider manual, effective January 2019. OPTUM ALASKA One person, one family, one community at a time. If you are already registered, go to the Comagine Health Provider Portal. Update Electronic Funds Transfer (EFT) Form. Review and download training presentations and materials. Every individual and every family has a unique road to wellness, health, and hope. Contact the Virtual Contact Center 800-478-7778 (TDD/Alaska Relay: 7-1-1) and apply for benefits over the phone See our Contact Us page for more information. Getting Started: Register Get started by registering to use the Qualis Health Provider Portal. Providers are encouraged to use the forms used on this webpage as form versions may change. Electronic Funds Transfer for enrollment or cancellation requests. Forgot User ID? Blackout Date for Service Authorization Requests Extended To September 26, 2013. New User Register Here. For information regarding: enrollment in the Alaska Medicaid program. ProviderLogin To access secure information that is only available to eligible providers, please log in by entering your User ID. For information regarding: enrollment in the Alaska Medicaid program. Not all health care providers in a given state participate in all plans. The revalidation application and any required addendums are accessed from this page. DHSS/Medicaid Program Integrity Attn: Provider Self-Audits 4601 Business Park Blvd., Bldg. training availability. Alaska Medicaid State Plan; Alaska CHIP State Plan; Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Health Care Facilities Licensing and Certification . Request to Cancel Alaska Medicaid Provider Application. Costa Mesa, CA 92626. Retail Pharmacy Addendum. Print Book Function for RoboHelp's WebHelp is Licensed from . Provider Resources Provider Enrollment Requests Enrollment Forms Premier Provider Program. See Alaska Statute 47.05.235 and Alaska Administrative Code 7 AAC 160.115. The services we offer on this site will support providers in assisting consumers, their loved ones and their families to achieve and maintain recovery. Alaska Medicaid Coordinated Care Initiative (AMCCI) Member; Provider; Background Check Program; Case Management Services; Chronic & Acute Medical Assistance (CAMA) Denali KidCare. For Alaska Medicaid Providers - FORMS Other Forms Additional Information Survey (pdf) Global Distress Scale The Optum Wellness Assessment is an integral part of the Alaska Clinical Model. K Anchorage, AK 99503-716. Effective June 7, 2018, the Department of Health and Social Services requires all Medicaid providers to conduct a self-audit once every two years, draft a report of the self-audit, sign and submit the self audit attestation form, and to repay all identified overpayments. Alaska Health Plans UnitedHealthcare provides a range health care alternatives designed to meet the needs of our members. Covered Services Welcome to the Alaska Medicaid Provider Revalidation portal. With our broad network of contracted care providers, health care services come from local physicians and hospitals that many plan members know and trust. Registered Pharmacist Addendum. Please note that we cannot accept handwritten revalidation applications; download the form (s) onto your computer for completion. Alaska Medicaid Provider Billing Manuals: These manuals require JavaScript and cookies enabled. REMINDER: Availity is now the primary secure provider portal for Premera. ProviderLogin To access secure information that is only available to eligible providers, please log in by entering your User ID. Alaska Medicaid Member Portal. The Qualis Health Provider Portal is a web-based application for electronically submitting utilization management review requests. Alaska Medicaid Learning Portal. We understand and applaud your commitment to the behavioral needs of Alaska residents and families. Attend instructor-led training on the web and in person. billing problems. New Telehealth Modifier FQ Register Sign In Log into the system based upon your role: Providers Members Internal Users MMIS Messages 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. has adopted one or more of the targeted enrollment strategies outlined in guidance CMS issued on May 17, 2013, designed to facilitate .
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