Provider Training Information

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• Prior Authorization and Extension of Benefit Webinars
• Medicaid 101 Webinars
• Recorded Webinars
• Training Materials for Download
• MMIS Job Aids
• Contact AFMC

Prior Authorization and Extension of Benefit Webinars

Vendors for certain prior authorizations (PAs) and extension of benefits (EOBs) will change effective January 1, 2019. To help you prepare for this change, training will be offered via the web.

Register now to learn more at these upcoming webinars!

• Occupational, Physical, and Speech Therapy Services
  PAs and/or EOBs will be requested through eQHealth Solutions beginning on 1/1/19.
  • December 13, 2018 at 9 a.m.
  • December 13, 2018 at 2 p.m.
  • December 20, 2018 at 11 a.m.
  
  
• Early Intervention Day Treatment (EIDT)
  PAs and/or EOBs will be requested through eQHealth Solutions beginning on 1/1/19.
  • December 14, 2018 at 9 a.m.
  • December 14, 2018 at 2 p.m.
  • December 19, 2018 at 11 a.m.
  
  
• Outpatient Behavioral Health Services (OBHS) Tier 1
  PAs and/or EOBs will be requested through eQHealth Solutions beginning on 1/1/19.
  • December 12, 2018 at 9 a.m.
  • December 12, 2018 at 2 p.m.
  • December 19, 2018 at 5 p.m.
  
  
• School-Based Mental Health Services
  PAs and/or EOBs will be requested through eQHealth Solutions beginning on 1/1/19.
  • December 12, 2018 at 9 a.m.
  • December 12, 2018 at 2 p.m.
  • December 19, 2018 at 5 p.m.
  
  
• Infant Mental Health
  PAs and/or EOBs will be requested through eQHealth Solutions beginning on 1/1/19.
  • December 12, 2018 at 9 a.m.
  • December 12, 2018 at 2 p.m.
  • December 19, 2018 at 5 p.m.
  
  
• Inpatient Acute for Under Age 21
  PAs, certifications of need, continued stays, and/or EOBs will be requested through eQHealth Solutions beginning on 1/1/19.
  • December 11, 2018 at 9 a.m.
  • December 11, 2018 at 2 p.m.
  • December 20, 2018 at 2 p.m.
  
  
• Outpatient Behavioral Health Services (OBHS) Tier 2 and 3
  Confirmations and/or EOBs should continue to be requested through Beacon Health Options until 2/28/19.


• Psychiatric Residential for Under Age 21
  Confirmations and/or EOBs should continue to be requested through Beacon Health Options until 2/28/19.

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Medicaid 101 Webinars

AFMC will host a Medicaid 101 webinar each month. Each webinar is scheduled from 9:30 - 10:30 a.m. on the dates below. A registration link will be added for each session closer to its date.

November 27, 2018	December 18, 2018 (HTML, new window)	January 29, 2019
February 26, 2019	March 26, 2019	April 30, 2019
May 28, 2019	June 25, 2019	July 30, 2019
August 27, 2019	September 24, 2019	October 29, 2019
November 26, 2019	December 31, 2019

Webinar Agenda:

• the new MMIS
• Who and what make Medicaid
• Billing matters (provider manuals, billing tips, RA, Front Line and Job+Aids)
• HealthCare Provider Portal features demonstration (eligibility overview, how to access your RA, how to check claim status and PA request)
• PES upgrade information
• Things to know (capitated fees, timely filing, how to submit pseudo claims and benefit plans)
• Contacts (PAC, EDI Support Center and provider rep map)
• Questions and answers

Recorded Medicaid 101 webinars (HTML, new window)

Webinar presentation file (PDF, new window)

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Recorded Webinars

View previously recorded webinars to learn at your convenience!

Audience	Content
All Providers	2018 DXC/AFMC Annual Provider Billing Workshop Recording and Presentation (HMTL, new window)
All Providers	EDI Webinar Recorded November 8, 2017 (HMTL, new window) View or print frequently asked questions from the recent EDI webinars. (PDF, new window)
All Providers	MMIS Refresher Webinar: Navigating the HealthCare Provider Portal (HMTL, new window)
All Providers	HealthCare Provider Portal Registration (HMTL, new window)
All Providers	New Provider Workshop dated June 6, 2018 (HMTL, new window)
All Providers	Provider Enrollment Revalidation Webinar (HMTL, new window)
ARChoices Providers	Maneuvering Through the Changes with Confidence (HTML, new window)
Dental Providers	MMIS Dental HealthCare Provider Portal Workshop (HMTL, new window)
Dental Providers	Submitting and Reviewing Dental Claim Form (HMTL, new window)
Living Choices Assisted Living Providers	Navigating the HealthCare Provider Portal Webinar – Assisted Living (HTML, new window)
Nursing Homes	Nursing Home Claims and Census Forms (HMTL, new window)
Personal Care	New Prior Authorization Process for Personal Care Providers (Provider Type 32 only, for 21 and over) (HMTL, new window)
Providers Billing with an Institutional Claim Form	Submitting and Reviewing Institutional Claim Form (HMTL, new window)
Providers Billing with a Professional Claim Form	Submitting and Reviewing Professional Claim Form (HMTL, new window)

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Training Materials for Download

The following materials are available for download and can help you learn at your own pace.

Topic	File Name
ARChoices - Maneuvering Through the Changes with Confidence	ARChoices.pdf (PDF, new window)
Assisted Living Survey Findings	AssistedLivingSurv.pdf (PDF, new window)
Attendant Care	AttendCare.pdf (PDF, new window)
Home Delivered Meals	HomeMeals.pdf (PDF, new window)
New Provider Worshop Presentation	MMIS_NewProvWrkshp.pdf (PDF, new window)
Personal Care Presentation	MMIS Training and Education Personal Care Webinar Presentation (HTML, new window)
Personal Care Response System	PersEmerRespSys.pdf (PDF, new window)
Provider Enrollment Revalidation Presentation	Provider Enrollment Revalidation Presentation (HTML, new window)
Targeted Case Management - Providing Needed Resource Information for ARChoices Waiver Beneficiaries	TargetedCaseMgmt.pdf (PDF, new window)

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MMIS Job Aids

Training Materials	File Name	File Size
Eligibility Verification	MMIS_JobAid_Eligibility.pdf	5.4MB
MAPIR	MMIS_JobAid_MAPIR.pdf	1.5MB
Prior Authorization	MMIS_JobAid_PriorAuthorization.pdf	3.9MB
Registering on the HealthCare Provider Portal – Provider	MMIS_JobAid_ProvPortalReg.pdf	6.4MB
Registering on the HealthCare Provider Portal – Delegates	MMIS_JobAid_DelegatePortalReg.pdf	4.7MB
Registering on the HealthCare Provider Portal – Trading Partners	MMIS_JobAid_TradingPartnerPortalReg.pdf	2.3MB
Frequently Asked Questions Regarding Registering on the HealthCare Provider Portal	MMIS_JobAid_PortalRegFAQs.pdf	92k
Trading Partner ID Enrollment	MMIS_JobAid_TrdngPrtnrIDEnroll.pdf	1.8MB
How to Link Your Trading Partner ID	MMIS_JobAid_LinkTPID.pdf	1.8MB
Frequently Asked Questions for Trading Partner ID Enrollment	MMIS_TradingPartnerEnrollFAQ.pdf	98k
Search Payment History	MMIS_JobAid_SearchPaymentHistory.pdf	1.2MB
Submitting and Reviewing a Claim	MMIS_JobAid_SubmittingReviewingClaim.pdf	3.9MB
How to Check Claim Status	MMIS_JobAid_CheckClaimStatus.pdf	1.3MB
Treatment History	MMIS_JobAid_TreatmentHistory.pdf	1.8MB
Updating PCP Caseload	MMIS_JobAid_UpdatingPCPCaseload.pdf	1.8MB
Uploading Documents	MMIS_JobAid_UploadingDocuments.pdf	1.4MB
Using the HealthCare Provider Portal	PortalTraining.pdf	15MB

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