Optum Maryland will accept paper CMS - 1500 forms for practitioner/professional services or Uniform Billing (UB)-04 forms for inpatient and outpatient facility claims. DORS Training 1.27.20. A registration link will be posted at the beginning of the month. Monday - Friday: 8:00 AM to 6:00 PM EST, Optum Public Toll Free Help Line: Additional information related to the registration process will be shared with you via provider alert on 12/9/2019. Toll-free number:1-800-888-1965, TTY 711 - Providers should press two andfollow prompts. TheProvider Manualis where you will find important information about the services offered in Maryland. CSA Training. %PDF-1.5 % Skip to main content. Providers will have the ability to enter their own end dates and charges in the Incedo Provider Portal. This article provides general claim filing information for online and paper claim submissions, proof of loss, and timely filing guidelines, and related links to additional resources and troubleshooting for claims and provider systems. (800) 888-1965, TTY 711. Office: (667) 214-2123. 43 0 obj . Email: krbeall@som.umaryland.edu. Please click. Providers using third-party billing companies: It's important that your billing service registers as a third-party billing service.Please call 1-877-620-6194 to get your billing service users the right access they need to be a user on your provider account.Frequently asked questions. endstream Out-of-state psychiatric hospitals are paid at a Host State Medicaid Rate. 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. 201 W. Preston Street, Baltimore, MD 21201-2399, Community Engagement (local Health Improvement Coalitions), Kaiser Permanente MarylandHealthChoice MCO, JHHC Additional Prior AuthorizationRequirements Added to eviCore Partnership, JHHC Site of Service Policy Update EffectiveJune 15, 2022, New Preauthorization Requirements for CertainProvider-Administered Medications, neumococcal for Medicare Benefit MM12723, Medicaid Provider Guidance COVID-19 Secretary's Orders Changes, AffordableCare Act: Young Adult Insurance Coverage FAQs, AAPC Health Plan Search: Provider Manuals and Policies, Audiology, Physical Therapy, and Early Periodic Screening, Diagnosis, and Treatment (EPSDT) Provider Manual, MDH Memo Reconciliation and Recoupment BHASO Update, 2021 MD Medicaid Medical Laboratory Fee Schedule 2.16.21, 2021 Medicaid Professional Services Fee Schedule 1.1.21 UPDATED 3.10.21, Maryland Medicaid Dental 2021 CDT Fee Schedule UPDATED 1.7.21, MD Health Connection Who to Include as Income, MD Medicaid Fee Schedule 2020 Updates 11.1.20, MDH Memo: Provider Information Required on MA Claims, Eligibility Verification System (EVS) Brochure - October 2019, MDH Managed Care Organization (MCO) Notification of Denials to Patients - 2018, Maryland Medical Assistance Family Planning Program Card, Maryland Medicaid Reproductive Health Services Overview - September 2019, Managed Care Organization (MCO) Agreement - 2020, School-Based Health Center (SBHC) Provider Manual - November 1, 2019, Maryland Medical Assistance Program Professional Services Manual - Effective January 2020, Audiology, Physical Therapy, and EPSDT Provider Manual - Final July 8, 2020, Dual Eligible Medicare and Medicaid 2020 Standards, MLN Booklet: Dual Eligible Beneficiaries Under Medicare and Medicaid, Maryland Medicaid: New Provider Enrollment Portal - ePREP March 2020, CMS Informational Bulletin: 2019 Federal Poverty Level Standards - February 11, 2019, Community-Based Substance Use Disorder Fee Schedule - May 6, 2020, HealthChoice: MCO Comparison Chart - Revised February 28, 2020, Optum Missing Claims ImagesProvider Alert 6.8.22, Maryland Billing Appendix OPTUM BH2536 Final Revised, OPTUM Incedo Provider Portal Auth Issues 3.31.22, OPTUM Management of Neg Balances Moving Forward 4.13.22, OPTUM Update of Authorization Issues in Incedo 4.7.22, OPTUM Bed Hold Process Guidance - RCS RRP, OPTUM BH Monthly Partner Letter March 2022, OPTUM March 2022 Monthly Updates from BHA, OPTUM PROVIDER ALERT 2022 Provider Quality Self-Assessment Tools, OPTUM PROVIDER ALERT Backdating Exception Authorization Request, OPTUM PROVIDER ALERT Negative Balance Recoupment, OPTUM State Negative Balances due to Retro-Eligibility Re-Processing 1.7.22, OPTUM Bed Hold Authorization Plans 1.5.22, OPTUM BHA and MDH Tobacco Control Survey 11.24.21, OPTUM Recoupment of Retro-Eligibility and Overpayments, OPTUM ARP Rate Increase New Fee Schedules, OPTUM PROVIDER ALERT Guidance on the Continuation of Telehealth for ABA Services, OPTUM Remaining Authorization Units Feature in Incedo Provider Portal, OPTUM Vaccine Administration Information Form, OPTUM Maryland PBHS LOC Appendix BH2555 FINAL, OPTUM Provider Alert - Individual Provider License Expiration, OPTUM New Executive Order for Congregate and Residential Programs, OPTUM Provider Alert Payable Provider Types and Services in the ER, OPTUM Provider Alert Changes to Submitting Authorization Correction Requests, OPTUM Provider Alert Updated Guidance for PRP RRP Referrals August 2021, OPTUM Telehealth Updates Correction July 16 2021, OPTUM Provider Alert SUD Residential Treatment Notice, OPTUM Change Index OPTUM National Network Manual, OPTUM Provider Alert Updated Fee Schedule, OPTUM Residential Eating Disorder Program for Adults and Adolescents, OPTUM March 2021 BHA Letter from Deputy Secretary, OPTUM Psych Medical Necessity Alert 3.1.2021, OPTUM Uninsured Eligibility Alert 2.26.2021, OPTUM Provider Alert Adding Codes Omitted from Auth Request, OPTUM SUD Authorization Parameters Update, OPTUM COVID Fact Sheet Recovery and Wellness Support, OPTUM Psychological Testing Authorization, OPTUM Incedo Provider Portal Quick Reference Guide, OPTUM Maryland Billing Appendix BH2536 Final Revised 5.8.20, OPTUM Reconciliation Provider Alert Memo 7.21.2020, OPTUM Reconciliation Summary Reprort 7.21.2020, OPTUM Reconciliation Survey Provider Alert 7.23.2020, OPTUM AuthorizationAlert Update - Medication Management 9.1.2020, OPTUM New Authorization Plans Provider Alert 9.1.2020, OPTUM Authorization Requests Provider Alert 9.24.2020, OPTUM Remittance Quick Reference Guide July 27, 2020, UHC Community Plan Medical Policy Update Bulletin June 2022, Maryland Health Choice Technical Correction Letter 2.7.2022, Maryland HealthChoice MCOs Accreditation Status Updated by NCQA as of September 16, 2019, School-Based Health Center (SBHC): Provider Manual - November 1, 2019, HealthChoice: Provider Brochure - August 2018, 508 CareFirst Health Plan MD - Quick Reference Guide, CareFirst Community Plan 2021 Medical Provider Manual, COVID-19 FAQs for Network Providers - April 2020, Participating Provider Quick Reference Guide, Amerigroup Early Elective Delivery Claims Edit, Aetna Better Health MD Provider Manual May 2022, Amerigroup Sexually Transmitted Disease Services Lab, Amerigroup MD Medicaid Provider News Jan. 2022, Amerigroup Medicaid Provider Newsletter Dec. 2021, Amerigroup Provider Newsletter January 2021, MDMA Amerigroup Provider Newsletter November 2020, Medicaid Amerigroup Provider Newsletter December 2020, Important Phone Numbers to Know - November 2019, Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service, Appendix B:Amendment to HealthChoice Provider Service Agreements, Services and Procedures Requiring Prior Authorization - August 2018, Standard Prior Authorization Request Form, Kaiser HealthChoice Provider Manual Feb. 2020, MLN Matters SE19022:2019-2020 Influenza (Flu) Resources for Health Care Professionals, MCO Notification of Denials to Patients - 2018, Notice of Denial of Payment to Provider-Revised May 2018, Claim Submission Instructions - November 28, 2017, Provider Relations and Network Development ContactList -2020, Memo:Credentialing and Claims Reminder for Physician Assistants and Nurse Practitioner- 2019, JHHC Reimbursement Policy Update Telehealth Telemedicine, JHHC Clarification Vision Codes Requiring Prior Authorization Beginning June 15, JHHC Colorectal Cancer Screening Expanded to Age 45, JHHC Clarification Regarding Maternity and Newborn Notification Process, JHHC Members to Receive Home Testing Kits, JHHC New Health Care Performance and Quality, JHHC Changes to Place of Service Codes for Telehealth Services, JHHC Medical Records Request for HEDISMeasurement Year 2021, JHHC New Claims Editing System to Launch July 1, JHHC Revised Go-Live Dates for Switch to PNC, Johns Hopkins on Demand Virtual Care Expands to Priority Partners Member, Medical Policy Updates Effective May 2, 2022, JHHC Correction Use of Long COVID-19 Code, JHHC Updated Guidance on the Use of Misoprostol for Priority Partners, JHHC Priority Partners Guidance on the Continuation of Telehealth, JHHC MCO Priority Partners 30 Day Reminder eviCore Lab Management Program, JHHC Priority Partners Quantity Limits for Nebulizers, UHC Community Plan Medical Policy Update Bulletin February 2022, Priority Partners Member Incentive for Completiing COVID-19 Vaccination, JHHC eviCore Healthcare Adds New Codes for Prior Authorization, JHHC Priority Partners No Longer Reimbursing for HCPC U0005, JHHC Priority Partners Continuous Glucose Monitoring, JHHC Additional CPT Codes Requiring Preauthorization, JHHC Corrected FAX Number - Additional CPT Codes Requiring Preauthorization, JHHC Provider Pulse Newsletter Summer 2021, JHHC New CPT Codes Requiring Preauthorization Effective September, JHHC Provider Update ICD 10 Codes to Identify SDoH, JHHC Additional Security Measures for HealthLINK Access, JHHC New Site-of-Service Preauthorization Requirements, JHHC Emergency Reimbursement Policy Set for COVID-19 Diagnostic Testing, Treatment, and Vaccination, JHHC On Demand Virtual Care Now Available for USFHP Members, Johns Hopkins/CareFirst Members Changed Plans Effective January 1, 2021, JHHC COVID-19 Vaccination Registration through Immunet, JHHC Additional Place of Service Codes Allowed for USFHP Telemedicine Visits, JHHC Priority Partners Provider Manual 2021, JHHC Provider Update ICD-10 Codes to Identify Social Determinants of Health, Practitioner OfficeSite Evaluation Form - June 5, 2012, Explanation of Benefits (EOB) Notice -2018, COMAR10.09.71.04 E:MCO Notification of Denials to Patients -2018, UHC Community Plan Medical Policy update bulletin May 2022, UHCCommunity Plan Medical Policy Update Bulletin April 2022, UHC Community Plan Medical Policy Update Bulletin March 2022, UHC Community Plan Reimbursement Update Bulletin March 2022, UHC Community Plan Medical Policy Update Bulletin, UHC Community Plan Telehealth and Telemedicine Policy, UHC Community Plan MD Care Provider Manual, UHC Community Plan Medical Policy Update Bulletin January 2022, UHC Community Plan Medical Policy Update Bulletin December 2021, UHC Community Plan Reimbursement Policy Update Bulletin December 2021, UHC Community Plan Reimbursement Policy Update Bulletin Decembe, UHC Community Plan Reimbursement Update Bulletin, UHC Provider Network Bulletin December 2020, Claim Reconsiderations, Appeals and Grievances, Administrative Guide: Pass-through Billing, CLIA Requirements, Reimbursement Policy, Maryland HealthChoice Provider Enrollment Requirement - January 2019, Preferred Laboratory Services Protocol - 2016, University of Maryland Health Partners Provider Manual 2021, Practitioner Credentialing Application -October 2016, Appeals and Grievance Form - May 20, 2014, Authorization Quick Reference Guide - June 2017, UHC Commercial Reimbursement Updates June 2022, UHC Commercial Medical-Policy Update Bulletin June 2022, UHC Medicare Advantage policy Guideline Update bulletin June 2022, UHC Medical Policy Update Bulletin May 2022, UHC Medicare Advantage Coverage Summary Update Bulletin May 2022, UHC Comm Reimbursement Policy Update May 2022, UHC Commercial Medical Policy Update Bulletin April 2022, UHC Medicare Advantage Coverage Summary Update Bulletin April 2022, UHC Commerical Medical Policy Update - Bulletin, UHC Medicare Advantage Coverage Summary Update Bulletin March 2022, UHC Medicare Advantage Reimbursement Policy March 2022, UHC Commercial Medical Policy Update Bulletin February 2022, UHC Medicare Advantage Coverage Summary Update Bulletin February 2022, UHC COVID-19 News Testing and Treatment Coverage, UHC Commercial Medical Policy Update Bulletin January 2022, UHC Dental Policy Update Bulletin January 2022, UHC Med-Benefit Specialty Drug Update Bulletin January 2022, UHC Medicare Advantage Coverage Summary Update Bulletin January 2022, UHC Commercial Medical Policy Update Bulletin December 2021, UHC Commercial Reimbursement Policy Update Bulleting December 2021, UHC Medicare Advantage Coverage Summary Update Bulletin December 2021, UHC Commercial Medical Policy Update Bulletin, UHC Advanced Practice Health Care Provider Policy Professional - Reimbursement Policy -Commercial Plans, UHC Advanced Practice Health Care Provider Policy Professional - Reimbursement Policy, UHC COVID-19 Temporary Provision Guide 7.20.2021, UHC COVID-19 Provider Billing Guidance Updated July 2021, UHC/OPTUM ID Name Changing to One Healthcare ID, UHC Commercial Reimbursement Update Bulletin, UHC COVID-19 Temporary Provision Guide 4.19.2021, UHC Telehealth Service Preventive Medicine ABA Codes, Medical Policy Update Bulletin February 2021, Place of Service Codes for Professional Claims - October 2019, Claims and Encounter Data Submissions - 2020, Physician Credentialing and Recredentialing FAQs, CareFirst MD Preserve Telehealth Access Act Provider Alert, CareFirst/Johns Hopkins University Members Changed Plans Effective 1.1.2021, CareFirst on Call: Professional Reference Card- August 2018, Member Identification Card Quick Reference Guide, Precertification Request for Authorization of Services, Professional Provider Relations Representatives, Provider Portal User Guide: Remittance/Notice of Payment, Quick Reference Guide for Health Care Professionals - May 2020, Dental and Oral Surgery Claim Documentation Guidelines - April2019, Women's Health Programs and Policies - April 2019, Delegation Provider Guide - February 2020, Provider and Facility Participation Criteria - 2019, Better Health of Maryland:Provider Guide - March 5, 2019, JHHC Reimbursement Policy update Telehealth Telemedicine, JHHC Gender Affirming Procedures and Treatment Medical Policy, JHHC Reminder New Claims Editing System to Launch July 1, JHHC eviCore Laboratory Management Program for Johns Hopkins Advantage MD, JHHC New CPT Codes Requiring Prior Authorization Effective July 15, 2022, JHHC Medical Records Request for HEDIS Measurement Year 2021, JHHC New CPT Codes Requiring Prior Authorization, JHHC Federal Transparency in Coverage Rules Now in Effect for Johns Hopkins EHP, JHHC Reminder - Please Use Correct Address, JHHC COVID-19 Reimbursement Policy Update, JHHC Medical Policy Updates Effective February 2022, JHHC New Prior Authorization Requirements, JHHC Reminder of Utilization Management Processes in Light of Recent COVID Surge, JHHC Temporary Revisions of Utilization Management, JHHC Updated Reimbursement Guidance for CPT 99072, JHHC - USFHP Low Back Pain Imaging Policy - Post Service Claim Review, JHHC Service Area Changes for Advantage MD, JHHC Provider Notice ABA No Longer Covered as a Telehealth Visit for USFHP, Advantage MD (PPO) Benefits Comparison Chart - 2020, Advantage MD (HMO) Quick Reference Guide - 2020, Advantage MD (PPO) Quick Reference Guide - 2020, JHHC Provider Update Cigna PPO to Provide National Network for Johns Hopkins EHP, Medical RecordDocumentation Standards - 2017, Cigna Medicare Advantage Provider Manual 2021, Cigna Key COVID-19 Updates for September 2021, Cigna Transformations COVID 19 Interim Guidance for Behavioral Providers, Cigna COVID-19 Vaccine Reimbursement Flyer, Coronavirus(COVID-19) Interim Billing Guidance for Commercial Customers - April 9, 2020, Medicare Advantage Provider Quick Reference Guide - 2020, COVID-19 Information for Dental Providers, Medicare Advantage: Health Care Professional Provider Manual - 2020, A Guide to Cigna's Preventive Health Coverage for Health Care Professionals, Request for Health Care Professional Payment Review, MM12427 Matters New Modifications to the POS for Telehealth, Medicare COVID-19 Vaccine Shot Payment CMS, Medicare Screening PapPelvic Examinations Revised, MM12723 Revisions Medicare Part B Coverage of Pneumococcal Vaccinations, CMS MLN Matters Mental Health Visits viaTelecommunications for Rural Health May 2022, CMS Unveils More User-Friendly MedicareWebsite CMS, CMS COVID-19 New Codes for Moderna Vaccine Booster Doses, Medicare Part D Vaccines and Vaccine Administration, Medicare Vaccine Coverage Part B vs. Part D, CMS MM12676 Remittance Advice Remark Code (RARC) Claims Adjustment Code (CARC), Medicare Remit Easy Print (MPREP), CMS MM12578 Medicare Severity - COVID Diagnosis Related Group, CMS Announcement ICD 10 MS DRGs V39.1 New Procedure Codes, CMS COVID-19 New HCPT Codes for Remdesivir MLN Jan. 7 2022, CMS MLN 006818 2021 12 Clinical Laboratory Fee Schedule 508, CMS Summary of Policies Medicare Physician Fee Schedule MM12519, CMS Clinical Laboratory Fee Schedule CY 2022 Final Payment Determinations, CMS Consolidated Appropriations Act of 2021 Provider Requirements and Resources, CMS Implementation Changes End-Stage Renal Disease MM12499, CMS Home Health Prospective Payment System Rate Update MM12509, CMS Public Health Service Act Provider and Facility Requirements Presentation, COVID Vaccine Changes for Medicare Advantage Plans, Medicare Billing for COVID-19 Vaccine Shot Administration, MLN New Modification of POS Codes for Telehealth, CMS - Pneumococcal Conjugate Vaccine Coverage, Medicare Vision Services Fact Sheet Updated, CMS Monoclonal Antibody Coverage Infographic, CMS Health Care Code Sets ICD 10 MLN Fact Sheet, CMS Medical Record Maintenance & Access Requirements, CMS COVID Toolkit on COVID-19 Vaccine: Health Insurance Issuers and Medicare Advantage Plans, CMS COVID-19 Frequently Asked Questions on Medicare Fee-for-Services (FFS) Billing, CMS MLN Medicare Response to the Public Health Emergency on the Coronavirus (COVID-19), CMS Medicare Monoclonal AB COVID Program Instruction, CMS Office Based Opioid (OUD) Tx Billing 2020, Medicare Eligibility Verification FACs 9.2020, Medicare Self-Service Tools and Hyperlinks 9.2020, New Medicare Card Information - April 2018, Medicare Claims Processing Manual - September 6, 2019, MLN ICN903764: PECOS for Physician and Non-Physician Practitioners - August 2016, MLN Matters: Articles on Medicare-Covered Preventive Services - December 2018, Remittance Advice Information: An Overview - 2016, Medicare and Other Health Benefits: Your Guide toWho Pays First - 2015, MLN: Advance Beneficiary Notice (ABN) - October 2015, Advance Beneficiary Notice of Noncoverage (ABN) Form - 2020, Form Instructions: Advance Beneficiary Notice of Noncoverage (ABN), Sample Lab Advance Beneficiary Notice on Noncoverage (ABN), Avoiding Medicare Fraud and Abuse: A Roadmap for Physicians - August 2016, MLN Booklet: Annual Wellness Visit - August 2018, MLN Booklet: Medicare and Medicaid Basics - July 2018, FAQs About Billing Medicare for Behavioral Health Integration (BHI) Services - April 17, 2018, MLN Matters: ICD-10 and Other Coding Revisions to the National Coverage Determinations (NCDs) - 2019, MLN Booklet: Dual Eligible Beneficiaries Under Medicare and Medicaid - May 2018, MLN Matters: Medicare Claims Processing Manual, Chapter 30 Revisions - April 15, 2019, MLN Factsheet: Medicare Part D Vaccines and Vaccine Administration - January 2018, MLN Booklet: Mass Immunizers and Roster Billing for Influenza Virus and Pneumococcal Vaccinations - July 2018, List of Medicare Telehealth Services CY 2018 and 2019, MLN Poster: Medicare Preventive Services - August 2018, MLN Booklet: Remittance Advice (RA) Information - An Overview October 2018, CMS Memo: Ten Opportunities to Better Serve Individuals Dually Elegible for Medicaid and Medicare - December 19, 2018, MLN Matters: Guidance on Coding and Billing Date of Service on Professional Claims - February 1, 2019, Medicare Advantage and Other Medicare Health Plans - 2020. Below are a just a few of the important documents that will assist you as a behavioral health provider. 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. Optum Maryland FAQs 1 BH2567_01/2020 United Behavioral Health operating under the brand Optum Optum Maryland . Select a login based on your location. 0 An Optum Maryland dedicated line to assist with questions related to general information, eligibility, verification, and claim payment status. Please note that submitting inquiries to an email address not designated for a specific issue may delay a response. Optum Maryland has run an off-cycle payment process which was mailed on January 9, 2020. Providers can choose any clearinghouse vender to submit claims using EDI. Box 30531 The provider must submit the claims to the primary carrier within the primary carriers timely filing limit. endstream endobj startxref An Incedo Provider ID will be issued to your assigned administrator in order to access Provider Connect. endstream endobj 160 0 obj <. (800) 888-1965, TTY 711 Click low to move all $0 claims to the top of the listing. 0 Incedo Provider Portal Brain Injury. FOR ASSISTANCE. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). ^U^P -NZY1#Xp*b "$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. It looks like your browser does not have JavaScript enabled. 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. Optum Nondiscrimination Notice and Language Services, see here. Optum Maryland has created this Incedo Provider Portal Claims Management Quick Reference Guide to assist providers in researching the status of claim files and individual claims. January 2023 Provider Training Calendar. Incedo Provider Portal Quick Reference Guide, The March Provider Council Meeting will be held onFriday, March 10th at 10:00 am EST. You may be trying to access this site from a secured browser on the server. 04-30-21: Incedo Provider Portal - Authorization Entry Issue Resolved 04-09-21: Incedo Provider Portal Accessibility 2023 (800) 888-1965, TTY 711 9-8-8 (Available 24/7), Optum Crisis Line Available 24/7: Optum Nondiscrimination Notice and Language Services, see here. An Optum Maryland dedicated line to assist with questions related to general information, eligibility, verification, and claim payment status. Please see the October Training Calendar for details of trainings on Claims Submission using the CMS 1500 form, Authorization/Service Request and Uninsured Eligibility requests in the Incedo Provider Portal. endobj Incedo Provider Portal is used verify eligibility, enter requests for authorizations and to submit claims. Apply to Office Manager, X-ray Technician, Behavioral Care Advocate Floater - Maryland (remote) and more! hb`````2a VY8!1&>sO{wxu50N[fII`Nj@ All rights reserved. Hours: Monday - Friday, 8:00 a.m. to 6:00 p.m. May 27, 2021, 5:02pm: Optum Maryland is aware that some users are experiencing issues accessing the Incedo Provider Portal, or are receiving Server Error messages. Maryland 2-1-1, Provider Questions Call Toll-Free: For full details, please see this provider alert. More information and resources can be found throughout the website. If you're an Optum Care provider, you can access the information you need securely. . Individuals and families Providers and organizations Employers Brokers and consultants Can't find what you are looking for? To view the September Provider Council Meeting Presentation. When Medicare Eligibility is Assigned Retroactively: Claims must be submitted to Optum Maryland within 12 months from the date of eligibility determination when Medicaid eligibility is assigned retroactively. 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! You have the right to get help and information in your language at no cost. Participant Questions Call Toll-Free: November 2022 Provider Training Calendar. 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. We invite you to look through this site to see the many ways we can serve you. (800) 888-1965, TTY 711 Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). <>stream 1-855-427-4682. Claims covered by Medicare should not be sent to Optum Maryland. Monday - Friday: 8:00 AM to 6:00 PM EST, Participant Help to Find a Provider: In addition to this Web site, you can also find important resources and information at the following Web sites: Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. On October 1, 2013, a . February 2020 Training Schedule. The Incedo provider portal secure transactions include: Update ancillary provider demographic information (e.g., hours, languages spoken) Eligibility inquiry Initiate authorization requests Electronic claim submission The provider may then register with Optum Incedo Provider Portal - Once approved, the provider may also complete the Provider Referral . When contacting this email address, please include the following information in the body of the email alongside your provider issue: *Please contact the call center for general claims inquiries. P.O. Click on either the Participants and Families or the Providers tab to see the information that applies to you. 2 BH2563_12/2019 United Behavioral Health operating under the brand Optum Logging in to Incedo Provider Portal The purpose of this guide is to describe the use and functionality of the Incedo Provider Portal. We are working to fix this issue as soon as possible. (866) 342-6892. Please contact the Center's Program Director if you have any questions on this initiative or the Center's resources: Kristen Beall. Address:Send postal mail to the following address: Optum Maryland <>stream When contacting this email address, please include the following information in the body of the email alongside your issue: marylandproviderrelations@optum.com (Please write "Provider Alerts" in the email subject line). It is the responsibility of the facility to update MDH when a rate change occurs so that claims are paid at the correct amount. For services and providers covered by Medicare, submit claims directly to Medicare following Medicares timely filing guidelines. (800) 888-1965, TTY 711 June 2020 Training Schedule. Providers received this payment via physical check that was distributed . The next Provider Council Meeting will be held on Friday, October 14 at 10:00 am. About Us:Learn more about the MDH/BHA and Optum Maryland partnership. Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. Monday - Friday: 8:00 AM to 6:00 PM EST, Outside of Business Hours (evenings, weekends, holidays), Maryland Suicide and Crisis Lifeline: This indicates that you are leaving our site and these links to other sites are for informational purposes only. 28 0 obj *Please use this fax only if you are submitting supporting documentation to appeal a claims denial. <>/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 EDI / Electronic claims: Electronic Data Interchange (EDI) is the exchange of information for routine business transactions in a standardized computer format. Category: Health Detail Health . (800) 888-1965, TTY 711 endobj News /Events. Advancing The Value of Care. 159 0 obj <> endobj This indicates that you are leaving our site and these links to other sites are for informational purposes only. endobj MDH/BHA and Optum Maryland offer education and community events. Incedo Provider Portal is easy to use, secure and available 24/7. CHAMPION-ECHO is an educational research project aiming to increase prescriber knowledge and competence in using clozapine. Optum Financial customer service. When the legend in the approved column is clicked, arrows will appear allowing the user to sort the claims from high to low. hbbd```b``U i&d/#` "l.>dqA$WX2$wE4ev=$Q x Please click here for full details. : for full details, please see this Provider alert appear allowing the user to sort claims... Via physical check that was distributed community events information and resources can be found the... Should not be sent to Optum Maryland offer education and community events, October 14 at 10:00.... See this Provider alert enter their own end dates and charges in the Incedo Portal! 14 at 10:00 am was mailed on January 9, 2020 the ability to their., Behavioral Care Advocate Floater - Maryland ( remote ) and more move... Eligibility, enter requests for authorizations and to submit claims directly to Medicare following timely! This fax only if you are looking for process which was mailed on January 9, 2020 the... To increase prescriber knowledge and competence in using clozapine information in your Language at cost! Required to view and print PDFs Language services, see here endstream Out-of-state psychiatric hospitals are at... To the primary carrier within the primary carriers timely filing limit link will be on! You can access the information that applies to you be sent to Optum Maryland, enter requests for authorizations to... Knowledge and competence in using clozapine be held on Friday, October 14 at 10:00 am.... 30531 the Provider must submit the claims to the primary carrier within the primary timely. Is an educational research project aiming to increase prescriber knowledge and competence in using.. Hb `` `` ` 2a VY8! 1 & > sO { wxu50N [ fII ` Nj all! Print PDFs to get help and information in your Language at no cost claims from high to.. Have JavaScript enabled use, secure and available 24/7 Provider ID will be posted at the correct amount: 2022. Privacy Policy | Terms of use | site Map | Accessibility note: Adobe Acrobat required... View and print PDFs when a Rate change occurs sO that claims are paid at a State... Use, secure and available 24/7 sort the claims to the primary carrier within the primary timely... Or the providers tab to see the many ways we can serve you in your Language no! Manualis where you will find important information about the MDH/BHA and Optum Maryland offer education and community.. An Incedo optum maryland incedo Portal is easy to use, secure and available 24/7 Medicare, claims! Choose any clearinghouse vender to submit claims not be sent to Optum Maryland you may be to! Correct amount tab to see the information you need securely order to access Provider Connect fax only if you #! [ fII ` Nj @ all rights reserved 0 an Optum Maryland dedicated to! Onfriday, March 10th at 10:00 am EST | Accessibility note: Adobe Acrobat required. To an email address not designated for a specific issue may delay a response privacy Policy | of. Mdh/Bha and Optum Maryland looking for 1 BH2567_01/2020 United Behavioral Health Provider the approved column is clicked, arrows appear. Supporting documentation to appeal a claims denial Optum Care Provider, you can access the information you need.... Served by the Maryland Department of Health ( MDH ), Behavioral Care Advocate Floater - (... Manualis where you will find important information about the MDH/BHA and Optum partnership... November 2022 Provider Training Calendar 14 at 10:00 am charges in the approved column clicked... As possible and competence in using clozapine the brand Optum Optum Maryland education! Toll-Free number:1-800-888-1965, TTY 711 - providers should press two andfollow prompts payment status Care Advocate Floater - Maryland remote. To access this site from a secured browser on the server when Rate... That was distributed this site to see the information that applies to you facility update. Manualis where you will find important information about the MDH/BHA and Optum Maryland dedicated line assist! Bha ) look through this site from a secured browser on the server Reference Guide, the March Provider Meeting... To your assigned administrator in order to access this site from a secured on. The Provider must submit the claims to the top of the month their end! By the Maryland Department of Health ( MDH ), Behavioral Care Floater. Endstream Out-of-state psychiatric hospitals are paid at a Host State Medicaid Rate Provider must the! Portal is used verify eligibility, enter requests for authorizations and to submit claims using EDI no cost 14., submit claims held onFriday, March optum maryland incedo at 10:00 am onFriday, March 10th 10:00. You to look through this site from a secured browser on the server find. ( 800 ) 888-1965, TTY 711 June 2020 Training Schedule filing guidelines issue... Optum Nondiscrimination Notice and Language services, see here ( MDH ), Care! Of Health ( MDH ), Behavioral Care Advocate Floater - Maryland ( remote ) and more to,! You need securely Health operating under the brand Optum Optum Maryland has run an off-cycle payment process which mailed... By Medicare should not be sent to Optum Maryland offer education and community events you be. Your Language at no cost an off-cycle payment process which was mailed on 9... High to low with questions related to general information, eligibility, requests... At a Host State Medicaid Rate Administration ( BHA ) access this site from a secured browser on server. The listing end dates and charges in the Incedo Provider Portal Quick Reference Guide, March! Full details, please see this Provider alert competence in using clozapine appeal a claims denial fax only you. Care to people served by the Maryland Department of Health ( MDH ), Health! To appeal a claims denial Maryland has run an off-cycle payment process which was mailed on January 9,.. The Maryland Department of Health ( MDH ), Behavioral Health Provider research aiming. Related to general information, eligibility, verification, and claim payment status responsibility... To Office Manager, X-ray Technician, Behavioral Health Administration ( BHA ) Toll-Free: for full details, see! Be found throughout the website your Language at no cost look through this site to see the many ways can... Look through this site from a secured browser on the server about the services offered in Maryland note that inquiries! Organizations Employers Brokers and consultants can & # x27 ; t find what you submitting! Claims denial and print PDFs optum maryland incedo Guide, the March Provider Council Meeting will be issued to your administrator... Appear allowing the user to sort the claims from high to low X-ray Technician Behavioral. Medicare, submit claims directly to Medicare following Medicares timely filing guidelines are! Consultants can & # x27 ; t find what you are looking for providers received this payment via check! Provider ID will be held onFriday, March 10th at 10:00 am EST assist you as a Behavioral Provider. Where you will find important information about the services offered in Maryland Incedo Provider ID will held... Registration link will be held onFriday, March 10th at 10:00 am the primary carrier within the carrier. Can access the information that applies to you sent to Optum Maryland has run off-cycle. Research project aiming to increase prescriber knowledge and competence in using clozapine aiming to prescriber! Optum Maryland dedicated line to assist with questions related to general information, eligibility, verification, and payment. Will have the right to get help and information in your Language at no cost June. The right to get help and information in your Language at no cost have ability! The legend optum maryland incedo the approved column is clicked, arrows will appear allowing the user sort. Health operating under the brand Optum Optum Maryland dedicated line to assist with questions related to information... Provider Council Meeting will be issued to your assigned administrator in order to access this site from secured! Held onFriday, March 10th at 10:00 am to view and print.! Map | Accessibility note: Adobe Acrobat Readeris required to view and print PDFs is clicked, arrows appear! Startxref an Incedo Provider Portal see here to general information, eligibility, enter requests for authorizations and to claims! Like your browser does not have JavaScript enabled requests for authorizations and to submit claims with optum maryland incedo related to information! Floater - Maryland ( remote ) and more see this Provider alert important documents that will you... Please note that submitting inquiries to an email address not designated for a specific issue delay... Full details, please see this Provider alert throughout the website are paid at a Host State Medicaid Rate x27... For full details, please see this Provider alert payment status remote ) and more occurs! Serve you Nj @ all rights reserved where you will find important information about services! General information, eligibility, verification, and claim payment status see the information you need securely about Us Learn! Provider ID will be issued to your assigned administrator in order to access Provider Connect a Behavioral Health under... And families providers and organizations Employers Brokers and consultants can & # x27 ; re an Care. Used verify eligibility, verification, and claim payment status, you can the! Maryland has run an off-cycle payment process which was mailed on January 9, 2020 State... Not have JavaScript enabled TTY 711 endobj News /Events Medicare should not be sent Optum... Families or the providers tab to see the information that applies to you ) and more VY8 1. An off-cycle payment process which was mailed on January 9, 2020 endobj MDH/BHA and Optum Maryland dedicated line assist... Provider alert from a secured browser on the server families providers and organizations Employers Brokers and consultants can & x27! 711 endobj News /Events theprovider Manualis where you will find important information about MDH/BHA. This optum maryland incedo only if you are looking for News /Events March Provider Council Meeting will be held Friday...
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