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! This indicates that you are leaving our site and these links to other sites are for informational purposes only. (800) 888-1965, TTY 711 (800) 888-1965, TTY 711 %%EOF 12 0 obj We are working to fix this issue as soon as possible. An Optum Maryland dedicated line to assist with questions related to general information, eligibility, verification, and claim payment status. %%EOF OPTUM Remaining Authorization Units Feature in Incedo Provider Portal OPTUM Timely Filing Waiver OPTUM Updates to Clinical Request Form OPTUM Vaccine Administration Information Form OPTUM Maryland PBHS LOC Appendix BH2555 FINAL OPTUM Changes to CARC Codes OPTUM Provider Alert - Individual Provider License Expiration Reference the charts below to identify the acceptable proof of loss for claim submission based on the service type specifics. October 2022 Provider Training Calendar. Box 30532 Optum generates both 999 and 277 files. Please click the drop-down icon to view contact information. 9-8-8 (Available 24/7), Optum Crisis Line Available 24/7: endstream endobj startxref Email: krbeall@som.umaryland.edu. How should providers with off-site facilities, such as hospitals, receive a token to register . Optum Maryland has provided a listing of Mental Health, Substance Use Disorder and other specific levels of care by fee schedules for Providers to use. 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. CSA Training. Incedo Provider Portal (IPP): Utilizing Client-Level COVID-19 Vaccine Status Data Files. P.O. Clinical Manager. Please note that all access and activity on this site is monitored and by using this site you agree to the confidentiality provisions of both HIPAA and HITECH. Eligibility Criteria and Requirements for Uninsured Consumers, Psychiatric Rehabilitation Program - Adult, Psychiatric Rehabilitation Program Child and Adolescent, General Information and Resources Monkeypox, Incedo Provider Portal Quick Reference Guide. More information and resources can be found throughout the website. 43 0 obj ` =3 For full details, please see this provider alert. 1-866-234-8913. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). We invite you to look through this site to see the many ways we can serve you. Our mission and values guide the way we treat our providers, members and each other. Claims may be submitted online using Incedo Provider Portal, through a clearinghouse using Electronic Data Interchange (EDI) with 837batch files or by U.S. Mail. Claims covered by Medicare should not be sent to Optum Maryland. Maryland 2-1-1, Provider Questions Call Toll-Free: Get customer support. Call for patient support, or email or sign in to your account. TheProvider Manualis where you will find important information about the services offered in Maryland. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). CHAMPION-ECHO is an educational research project aiming to increase prescriber knowledge and competence in using clozapine. This indicates that you are leaving our site and these links to other sites are for informational purposes only. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). Important: Use only for submitting supporting documentation to appeal a claims denial. CHAMPION-ECHO is an educational research project aiming to increase prescriber knowledge and competence in using clozapine. Toll-free number:1-800-888-1965, TTY 711 - Providers should press two andfollow prompts. Providers can choose any clearinghouse vender to submit claims using EDI. (800) 888-1965, TTY 711. If the original claim was filed with Optum Maryland within 12 months of the date of service and denied, the provider may resubmit the claim with additional information for consideration to Optum Maryland within that same 12 month period, or if after the 12 month period, within 60 days of the last received date by Optum Maryland or last rejected date by Optum Maryland. Monday - Friday: 8:00 AM to 6:00 PM EST, Participant Help to Find a Provider: 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. Please enable JavaScript in your browser. Box 30531 Salt Lake City, UT 84130 Key Phone Numbers: Please click the drop-down icon to view contact information. Optum Maryland FAQs 1 BH2567_01/2020 United Behavioral Health operating under the brand Optum Optum Maryland . Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. . On October 1, 2013, a . Sign In | Optum Products & Services Sign in or register Whether you're a patient, health care organization, employer or broker, find the site you want to sign into below. Please click each item for further details. Find out what that means for you! It looks like your browser does not have JavaScript enabled. About Us:Learn more about the MDH/BHA and Optum Maryland partnership. Please enable scripts and reload this page. The website has sections for participants and families as well as providers of mental health services. 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.If you are not authorized to use this website by the sponsoring health plan, or if . News and Events:Stay up-to-date on the upcoming Maryland mental health news and training and events. Click on either the Participants and Families or the Providers tab to see the information that applies to you. 1-855-427-4682. Copyright Maryland.gov. 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: 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. Specific file names of claim files are not required by Optum Maryland. The provider may then register with Optum Incedo Provider Portal - Once approved, the provider may also complete the Provider Referral . Category: Health Detail Health . 2017 All rights reserved. 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. 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 Optum Maryland Call Center Optum Maryland Fax Number Optum Maryland Claims Appeal Fax Number Provider Enrollment Recipient Enrollment - Maryland Health Connection EVS - Eligibility Verification Email Addresses: If Medicare benefits are exhausted or if Medicare will deny benefits for another reason, the provider must submit claims to Medicare within Medicares timely filing limits and submit the claim and Explanation of Medicare benefits (EOMB) to Optum Maryland within 12 months of date of service or 120 days from the Medicare remittance date as shown on the EOMB, whichever is later. For the Incedo Provider Portal guide, click here. The website has sections for participants and families as well as providers of mental health services. Eligibility Criteria and Requirements for Uninsured Consumers, Psychiatric Rehabilitation Program - Adult, Psychiatric Rehabilitation Program Child and Adolescent, General Information and Resources Monkeypox, Incedo Provider Portal Quick Reference Guide, PBHS Reimbursement Schedule B (Eff-07-01-18 Rev-03-14-19).pdf, PBHS Reimbursement Schedule A (Eff-07-01-18 Rev-03-14-19).pdf, PBHS PRP and Special Services Rates (Eff-07-01-19).pdf, PBHS Individual Practitioner and OMHC Rates (Eff-07-01-19).pdf, Maryland Association of Behavioral Health Authorities (MABHA), Maryland Association of Behavioral Health Authorities (MABHA) - Core Service Agencies (CSAs)/Local Addiction Authorities (LAAs) (pdf). 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. Providers received this payment via physical check that was distributed . O4 Utility Nav Items. Monday - Friday: 8:00 AM to 6:00 PM EST, Optum Public Toll Free Help Line: endobj Top 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. (COMAR 10.09.36.06 B (3)). We invite you to look through this site to see the many ways we can serve you. endstream Salt Lake City, UT 84130. .e Skip to main content. March 2023 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. 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. A.3 Yes, in Optum's Incedo Provider Portal, you can find the status of claims. News /Events. Login or register with Incedo Provider Portal, an online tool that allows you to submit and check claims status, check member eligibility, update your provider profile, request inpatient and outpatient authorizations and more. (800) 888-1965, TTY 711 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. 159 0 obj <> endobj 0 Q.4 For corrected claims submission for DOS prior to date 12/29/19 submitted to Beacon, do Optum Maryland ASO Overview Training Slide Deck (pdf) Incedo Provider Portal Quick Reference Guide, The March Provider Council Meeting will be held onFriday, March 10th at 10:00 am EST. Note: You may choose any clearinghouse vendor to submit claims using EDI. EDI / Electronic claims: Electronic Data Interchange (EDI) is the exchange of information for routine business transactions in a standardized computer format. A registration link will be posted at the beginning of the month. Please click. Its performance in Maryland to date does not suggest that its demonstrated technology or project management limitations have been resolved. P.O. Eligibility Criteria and Requirements for Uninsured Consumers, Psychiatric Rehabilitation Program - Adult, Psychiatric Rehabilitation Program Child and Adolescent, General Information and Resources Monkeypox, Maryland Incedo Provider Portal Dashboard Overview, Maryland Incedo Provider Portal Password Update, Maryland Incedo Provider Portal Self Registration, Maryland Incedo Provider Portal ID and Token Request, Maryland Incedo Provider Portal Participant Search, Maryland Incedo Provider Portal Web Forms Menu, Maryland Incedo Provider Portal Creating an Authorization Request for a Speciality Service, Maryland Incedo Provider Portal Completing a Clinical Form, Maryland Incedo Provider Portal Adding an Attachment to a Participant Record, Maryland Incedo Provider Portal Basic Authorization Entry, Maryland Incedo Provider Portal Concurrent Authorization Entry, Maryland Incedo Provider Portal Managing Users, Maryland Incedo Provider Portal Provider Discharges, Maryland Incedo Provider Portal Troubleshooting, Maryland Incedo Provider Portal CMS-1500 Form Claim Entry, Estimated Payments Reconciliation Training Video Part 2, Estimated Payments Reconciliation Training Video, Optum Maryland ASO Overview Training Slide Deck (pdf), SUD Residential for Court Ordered Placement, SUD Providers for Pregnant Women and Women with Children, Estimated Payments Reconciliation Quick Reference Guide. Contact us O4 Utility Nav Items. Monday - Friday: 8:00 AM to 6:00 PM EST, Optum Public Toll Free Help Line: Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. hb`````2a VY8!1&>sO{wxu50N[fII`Nj@ It is the responsibility of the facility to update MDH when a rate change occurs so that claims are paid at the correct amount. February 2023 Provider Training Calendar. The Incedo Provider Connect system is designed to work with the Google Chrome browser. Optum Nondiscrimination Notice and Language Services, see here. startxref <> 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. Provider Resources - Optum. hbbd```b``U i&d/#` "l.>dqA$WX2$wE4ev=$Q x Out-of-state psychiatric hospitals are paid at a Host State Medicaid Rate. %PDF-1.5 % This indicates that you are leaving our site and these links to other sites are for informational purposes only. tVMvC JavaScript is required to use content on this page. Note: Providers should press two and follow prompts. Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. A.3 Yes, in Optum's Incedo Provider Portal, you can find the status of claims. Optum Maryland will accept paper CMS - 1500 forms for practitioner/professional services or Uniform Billing (UB)-04 forms for inpatient and outpatient facility claims. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). 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. Check the website often as it continues to grow to better serve you! "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. Address:Send postal mail to the following address: Optum Maryland They are at the heart of all we do. For current HSA, FSA and HRA account holders, find support at the link below or call us today. . Eligibility Criteria and Requirements for Uninsured Consumers, Psychiatric Rehabilitation Program - Adult, Psychiatric Rehabilitation Program Child and Adolescent, General Information and Resources Monkeypox, Physician for Emergency Room Evaluation Services, Emergency Vehicle / Peace Officer Transportation, Provider Type 50 Programs - Partial Hospitalization - ASAM Level 2.5, Community Providers- Withdrawal Management, Hospital-based programs-Partial Hospitalization - ASAM Level 2.5, Intermediate Care Facilities (ICF) for Individuals under 21 - Withdrawal Management, Provider Type 50 Programs - Partial Hospitalization ASAM Level 2.5, Hospital-based programs-Partial Hospitalization ASAM Level 2.5, Withdrawal Management -Acute General Hospital claims. November 2022 Provider Training Calendar. MDH/BHA and Optum Maryland offer education and community events. (866) 342-6892. National Human Trafficking Hotline - 24/7 Confidential. Authorizations are required for services not covered or exhausted by Medicare for those services that typically require an authorization (COMAR 10.09.36.06 B (2) a b). June 2020 Training Schedule. An Incedo Provider ID will be issued to your assigned administrator in order to access Provider Connect. Toll Free Phone Number : 1-800-888-1965, TTY 711 To view the September Provider Council Meeting Presentation. 11 0 obj 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. Provider Referral the optum maryland incedo Provider Portal - Once approved, the Provider may also the... The month, UT 84130 Key Phone Numbers: please click the drop-down icon view! Call Toll-Free: Get customer support or project management limitations have been resolved or the providers tab see! 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