Contact us O4 Utility Nav Items. We invite you to look through this site to see the many ways we can serve you. For services and providers covered by Medicare, submit claims directly to Medicare following Medicares timely filing guidelines. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). O4 Text Component. %%EOF Please note that submitting inquiries to an email address not designated for a specific issue may delay a response. 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. maryland.optum.com October 2020 BH2555_122019 Maryland Public Behavioral Health System (PBHS) Level of Care Appendix Click on the links below for specific information on available Levels of Care: . 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. (866) 342-6892. Incedo Provider Portal is easy to use, secure and available 24/7. 10 0 obj It is the responsibility of the facility to update MDH when a rate change occurs so that claims are paid at the correct amount. You have the right to get help and information in your language at no cost. Please enable JavaScript in your browser. 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. Please enable scripts and reload this page. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). Get customer support. 0 February 2020 Training Schedule. hbbd```b``U i&d/#` "l.>dqA$WX2$wE4ev=$Q x We invite you to look through this site to see the many ways we can serve you. Optum Maryland ASO Overview Training Slide Deck (pdf) 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. endobj Call for patient support, or email or sign in to your account. Please contact the Center's Program Director if you have any questions on this initiative or the Center's resources: Kristen Beall. Participant Questions Call Toll-Free: Click on either the Participants and Families or the Providers tab to see the information that applies to you. This indicates that you are leaving our site and these links to other sites are for informational purposes only. Effective January 1, 2020, Optum Maryland will replace Beacon as the Administrative Service Organization (ASO) for Maryland's Public Behavioral Health System. For the Incedo Provider Portal guide, click here. endobj %PDF-1.5 % We invite you to look through this site to see the many ways we can serve you. About Us:Learn more about the MDH/BHA and Optum Maryland partnership. 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. Monday - Friday: 8:00 AM to 6:00 PM EST, Participant Help to Find a Provider: Address:Send postal mail to the following address: Optum Maryland Stay up-to-date on upcoming Maryland mental health news, training and events. O4 Utility Nav Items. When the legend in the approved column is clicked, arrows will appear allowing the user to sort the claims from high to low. Clinical Manager. 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. O4 Utility Nav. The provider may then register with Optum Incedo Provider Portal - Once approved, the provider may also complete the Provider Referral . The rate is supplied to Optum Maryland by MDH. (800) 888-1965, TTY 711. <> Uninsured Eligibility: Provider Training Guide. 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 EDI / Electronic claims: Electronic Data Interchange (EDI) is the exchange of information for routine business transactions in a standardized computer format. November 2022 Provider Training Calendar. 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. BHA Vaccine Hesitancy Webinar. Incedo Provider Portal Quick Reference Guide, The March Provider Council Meeting will be held onFriday, March 10th at 10:00 am EST. Box 30531 Salt Lake City, UT 84130 Key Phone Numbers: Please click the drop-down icon to view contact information. Note: Providers should press two and follow prompts. . P.O. *Please use this fax only if you are submitting supporting documentation to appeal a claims denial. 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. Monday - Friday: 8:00 AM to 6:00 PM EST, Participant Help to Find a Provider: Specific file names of claim files are not required by Optum Maryland. 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). Office: (667) 214-2123. All rights reserved. Select a login based on your location. Maryland 2-1-1, Provider Questions Call Toll-Free: Provider Resources - Optum. October 2022 Provider Training Calendar. Box 30532 After enrollment in Maryland Medicaid, Providers register with Optum using Incedo provider portal. Copyright Maryland.gov. The website has sections for participants and families as well as providers of mental health services. CHAMPION-ECHO is an educational research project aiming to increase prescriber knowledge and competence in using clozapine. Optum Nondiscrimination Notice and Language Services, see here. Skip to main content. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). A registration link will be posted at the beginning of the month. They are at the heart of all we do. If you're an Optum Care provider, you can access the information you need securely. 1-866-234-8913. Requirements Added to eviCore Partnership, JHHC New Health Care Performance and Quality, JHHC Site of Service Policy Update Effective June 15,2022, New Preauthorization Requirements for CertainProvider-Administered Medications, MLN Revisions to Medicare Part BPneumococcal for Medicare Benefit MM12723, CMS MLN Matters Mental Health Visits viaTelecommunications for Rural Health May 2022, CMS Unveils More User-Friendly MedicareWebsite CMS. FOR ASSISTANCE. Incedo Provider Portal (IPP): Utilizing Client-Level COVID-19 Vaccine Status Data Files. 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. 11 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. Maryland 2-1-1, Provider Questions Call Toll-Free: endobj Optum Maryland has run an off-cycle payment process which was mailed on January 9, 2020. An Optum Maryland dedicated line to assist with questions related to general information, eligibility, verification, and claim payment status. Salt Lake City, UT 84130. 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. Optum Maryland requires the other carriers remittance advice as proof of timely filing. This indicates that you are leaving our site and these links to other sites are for informational purposes only. Hours: Monday - Friday, 8:00 a.m. to 6:00 p.m. Optum Nondiscrimination Notice and Language Services, see here. Optum generates both 999 and 277 files. We are working to fix this issue as soon as possible. More information and resources can be found throughout the website. Individuals and families Providers and organizations Employers Brokers and consultants Can't find what you are looking for? endstream endobj startxref (800) 888-1965, TTY 711 0 This indicates that you are leaving our site and these links to other sites are for informational purposes only. Advancing The Value of Care. Additional information related to the registration process will be shared with you via provider alert on 12/9/2019. Check the website often as it continues to grow to better serve you! October 2022 Provider Training Calendar. 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. June 2020 Training Schedule. Leveraging Incedo's fully integrated medical management platform, Doctors continues to expand its footprint in highly a competitive market, having earned market distinction for offering innovative programs to . 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. O4 Global Search. hb`````2a VY8!1&>sO{wxu50N[fII`Nj@ endstream endobj 160 0 obj <. ^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. (800) 888-1965, TTY 711 Box 30531 News and Events:Stay up-to-date on upcoming Maryland mental health news, training and events. 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. . Optum Maryland P.O. Please turn on JavaScript and try again. National Human Trafficking Hotline - 24/7 Confidential. (800) 888-1965, TTY 711 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) MDH/BHA and Optum Maryland offer education and community events. <> (COMAR 10.09.36.06 B (3)). 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. 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. 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. Please click each item for further details. 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. 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. 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: Category: Health Detail Health . April 2020 Training Schedule. 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. endobj endstream 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). 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. Q.4 For corrected claims submission for DOS prior to date 12/29/19 submitted to Beacon, do 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 Important: Use only for submitting supporting documentation to appeal a claims denial. Please click the drop-down icon to view contact information. Email: krbeall@som.umaryland.edu. Incedo Provider Portal is used verify eligibility, enter requests for authorizations and to submit claims. 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: December 2022 Provider Training Calendar. ` =3 Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. Incedo Provider Portal Brain Injury. (800) 888-1965, TTY 711 March 2023 Provider Training Calendar. hVmo8+%H+$ hbbd``b`j~@q3`WAM \b K D\w3Ho$6 b 5L3Ao~0 ( - Please click here for full details. March 2020 Training Schedule. Claims covered by Medicare should not be sent to Optum Maryland. 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. Monday - Friday: 8:00 AM to 6:00 PM EST, Optum Public Toll Free Help Line: You may be trying to access this site from a secured browser on the server. For full details, please see this provider alert. November 2022 Provider Training Calendar. (866) 342-6892. 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. 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. TheProvider Manualis where you will find important information about the services offered in Maryland. February 2023 Provider Training Calendar. The mailing address for completed claim forms and required attachments is: Optum MarylandP O Box 30531Salt Lake City, UT 84130. 2017 All rights reserved. Monday - Friday: 8:00 AM to 6:00 PM EST, Outside of Business Hours (evenings, weekends, holidays), Maryland Suicide and Crisis Lifeline: January 2023 Provider Training Calendar. Q.4 For corrected claims submission for DOS prior to date 12/29/19 submitted to Beacon, do News /Events. MDH/BHA and Optum Maryland offer education and community events. After logging into Incedo Provider Portal, use the Incedo Provider Portal user Guide for instructions on entering a claim or for submitting an electronic file of claims. Optum Maryland FAQs 1 BH2567_01/2020 United Behavioral Health operating under the brand Optum Optum Maryland . Please click. 12 0 obj 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. About Us:Learn more about the MDH/BHA and Optum Maryland partnership. 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. 9-8-8 (Available 24/7), Optum Crisis Line Available 24/7: The provider must submit the claims to the primary carrier within the primary carriers timely filing limit. On October 1, 2013, a . Salt Lake City, UT 84130, Optum Maryland 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. Click on either the Participants and Families or the Providers tab to see the information that applies to you. Out-of-state psychiatric hospitals are paid at a Host State Medicaid Rate. Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. Incedo Provider Portal is easy to use, secure and available 24/7. Better serve you look through this site to see the information you need securely as possible Vaccine Status Files... Is an educational research project aiming to increase prescriber knowledge and competence in using clozapine wxu50N [ `... This indicates that you are submitting supporting documentation to appeal a claims denial < > COMAR! General information, eligibility, enter requests for authorizations and to submit claims to see the that! Information and Resources can be found throughout the website has sections for Participants and Families Providers and organizations Employers and... 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