If you are a recipient or a recipient advocate and have questions about Medicaid coverage, please call 800.780.9972 toll-free statewide Monday through Friday between 8:00 a.m. and 5:00 p.m. After hours, Room for growth. A Recipient Services representative can answer questions about what services are covered by Medicaid and can provide you with a list of health care professionals, health facilities, and other providers that are enrolled with the Alaska Medicaid program.If you have a question about what services Medicaid covers or about using your Medicaid, you may find the answer in the Alaska Medicaid Recipient Handbook. Healthcare Provider - Conduent After hours, leave a message and your call will be returned the following . 12/06/2022. Provider Billing Manuals CPT copyright 2021 American Medical Association. We welcome the opportunity to collaborate with you in service delivery. Case Management - Infant Learning Program, Inpatient 431 for administration of Alaska's Medicaid program. Plan of Care Form with Guidance. excuses voor het ongemak. Chronic and Acute Medical Assistance - CAMA. Caso continue recebendo esta mensagem, Disculpa message, contactez-nous l'adresse The following divisions of DHSS play key roles in the administration of Medicaid in Alaska. The Alaska Department of Health and Social Services (DHSS), "the Department", is the single state agency responsible under 42 C.F.R. Prior Authorization Request Form (See Service Authorization Request Form ) Private-Duty Nursing Service Authorization Request. This means supporting the work of multiple agencies, exchanging information, and providing a single-entry point to access services in a well-coordinated and seamless way. As the ASO, Optum will eventually assume many of the responsibilities that you currently conduct with Conduent and Comagine Health. Alabama Medicaid 00000000817 Alan Sturm and Associates - Dental 10798: Alaska Medicaid 11016. Trainings are posted at the Optum Alaska website on the Provider Meetings & Trainings page. Payer ID. If you continue to see this Whether you're starting your career or are a seasoned veteran, Conduent has opportunities for you. Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. The momentum to move healthcare forward requires collaboration and insights. Dental Carrier List. Our people, process and technology can help you serve a more connected healthcare ecosystem that drives positive health outcomes for individuals and entire communities. If you have questions about how Optum will serve you as a provider, please email Optum Provider Relations at akmedicaid@optum.com. Prior Authorization - Alaska Department of Health and Social Services All Savers Life Insurance 11027. Alaska Medical Assistance Health Enterprise Portal On average, the nations Medicaid programs pay about $600 billion annually to physicians, hospitals, nursing facilities, health plans and other providers. Please complete and return the attached questionnaire to help us understand your populations served, hours of operation, accessibility, and treatment options. CPT is a registered trademark of the American Medical Association. Conduent - manuals.medicaidalaska.com 800.770.5650, option 2 MemberHelp@conduent.com If you are a recipient or a recipient advocate and have questions about Medicaid coverage, please call 800.770.5650, option 2, toll-free statewide Monday through Friday between 8:00 a.m. and 5:00 p.m. . Ajude-nos a manter o Glassdoor seguro confirmando que voc uma pessoa de Flexible Rx completely adjudicates claims submitted via POS, paper, or batch and offers true prescription benefit management capabilities with real time performance and reliability. Please enable Cookies and reload the page. Aidez-nous protger Glassdoor en confirmant que vous tes une personne relle. Early Title Last Modified Current Dental Carrier List . A modular, innovative and outcomes driven one stop solution for State Medicaid agencies to move to a service-based MMIS. The self-audits and overpayments are to be sent to: DOH/Medicaid Program Integrity pour nous faire part du problme. Conduents business process solutions enable providers to reimagine the patient journey, advance health equity and reduce cost of care. Updated 06/12 Division of Health Care Services Service Authorization Request Form. Medicaid Provider Self-Audits - Alaska Department of Health and Social Use this spreadsheet to find Alaska Medicaid-enrolled providers. Please call HMS (Healthcare Management Solutions, LLC): 907-644-6800 or in-state toll-free number: 800-770-5650.Provider Inquiry/Provider Services: 907-644-6800 (option 1) or toll-free: 800-770-5650 (option 1, 1). Nous sommes dsols pour la gne occasionne. We have in-depth knowledge of MMIS and Medicaid claims processing systems as well as Medicaid programs and providers. Provider Audits in Alaska These scams are often done via social media and other internet tools, and scammers often times use a company's logo and/or photos to appear legitimate. Family Planning. Alaska Medicaid Recipient Handbook | Revised June 1, 2020 | Page 4. Lets collaborate to reimagine healthcare. Se continui a visualizzare HMS (Healthcare Management Solutions, LLC): For additional contact information, please visit the Alaska Medicaid Assistance website, all non-emergent, medically necessary transportation and accommodation services, Division of Senior and Disabilities Services (DSDS), Total stay from admit to discharge is 2 days or less, Delivery/Birth is the day after admission, but discharge is within 2 days of delivery/birth, Either delivery/birth is more than one day after admission OR discharge is more than 2 days following date of delivery/birth, Total stay from admit to discharge is 4 days or less, Delivery/Birth is the day after admission, but discharge is within 4 days of delivery/birth, Either delivery/birth is more than one day after admission OR discharge is more than 4 days following date of delivery/birth, selected professional services (physician, advanced nurse practitioner, medical clinic, dentist, etc) as indicated in billing manuals/fee schedules, services in excess of annual or periodic service limitations stipulated in regulations (vision, mental health, substance abuse rehabilitation, etc) as indicated in manuals/fee schedules, most Durable Medical Equipment, selected medical supplies, and selected hearing aids as indicated in billing manuals/fee schedules, Chronic & Acute Medical Assistance (CAMA) program recipients requiring outpatient radiation and chemotherapy, certain maternal/newborn admissions (see chart below), selected pharmaceutical drugs as specified on Drugs Requiring Prior Authorization, administrative wait and swing bed stays at acute care facilities and all long term care (LTC) facility admissions and continued stays, selected inpatient and outpatient procedures and diagnoses, regardless of length of stay (see Select Diagnoses and Procedures PRE-CERTIFICATION List), all inpatient hospital continued stays exceeding three (3) days, Outpatient Magnetic Resonance Imaging (MRI), Magnetic Resonance Angiography (MRA), Positron Emission Tomography (PET), and Single-Photon Emission Computed Tomography (SPECT), Psychiatric admissions and continued stays, Residential Psychiatric Treatment Center (RPTC) admissions and continued stays. The Conduent staff has been fully trained to answer most of your questions immediately. 08/26/2022. naar Maternal/Newborn Stay Prior Authorization (PA) Chart, Monday - Friday 8:00am - 4:30pm (AK time)907-269-3666 or 800-478-9996907-269-3688 Facsimile. PDF EDI Gateway Eligibility Payer List - Conduent Each of the CMdS modules perform critical functions to realize the states modularity vision, efficiently operating together as well as integrating seamlessly in the MES multi-vendor ecosystem. If you need technical assistance, our website provides helpful tools or you can email QAPIProgramIntegrity@alaska.gov. Medicaid Program Integrity 3601 C Street, Suite 902 Anchorage, AK 99503 Or email: QAPIProgramIntegrity@alaska.gov Utilize these resources for these self-audits: per informarci del problema. If your self-audit identifies an overpayment, please DO NOT submit AK-05s (adjustment/voids form) to Conduent for processing. Applicable FARS/DFARS Restrictions Apply to Government Use. real person. If you are a Medicaid recipient or the parent or guardian of a Medicaid recipient and have questions about Medicaid coverage, call toll free 800-780-9972 statewide Monday through Friday between 8 a.m. and 5 p.m. After hours, please leave a message and your call will be returned the following business day. Optum, a Division of UnitedHealth Group, is pleased to inform you we have been awarded the State of Alaska's Department of Health (DOH), Division of Behavioral Health (DBH) behavioral health administrative services organization (ASO) contract. You may also e-mail the Helpline staff . Please call Conduent at (907) 644-6800 or our in-state toll free number, (800) 770-5650, about your participation in Alaska Medical Assistance. Our people, process and technology can help you serve a more connected healthcare ecosystem that drives positive health outcomes for individuals and entire communities. Medicaid Recipient Helpline - Alaska Department of Health and Social Date: Enter the date the CMN is completed. Sie weiterhin diese Meldung erhalten, informieren Sie uns darber bitte per E-Mail Conduent implemented the solution and is the fiscal agent for MMIS operations. offers real-time comprehensive NCPDP-compliant claims adjudication functionality that automatically evaluates eligibility, drug coverage, benefit limitations and pharmacy network enrollment prior to dispensing, eliminating conflicts and inappropriate use, and includes: offers comprehensive reporting functionality to meet federal reporting requirements. PDF Alaska Medicaid Management Information System (AK MMIS) Includes health insurance benefits, Medicare recoveries, HIPP, casualty/accident claims, product liability claims, medical malpractice, workers compensation claims, and estate recovery to ensure Medicaid is the payer of last resort. Payer Name - 270/271 Transactions. Many health care services require authorization prior to services being administered. Leverage expertise, services and technology to pinpoint social determinants of health and drive positive community health outcomes, People, process and technology to deliver patient-centric, connected, omnichannel experiences throughout the entire patient journey, Solutions to manage HR programs while empowering and engaging employees in their health, wealth and careers. Providers should register for Provider email Alerts by completing registration in this link. You may also use this link to unsubscribe from email Alerts. We strive to create a culture where our associates feel appreciated and can thrive - both personally and professionally. P.O. CDT is a trademark of the ADA. You may also e-mail the Helpline staff at memberhelp@gainwelltechnologies.com. Instead, please include a check for the amount of the overpayment made payable to the State of Alaska.
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