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UPDATES

Published

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7/5/2022 The third issue of the Alaska Medicaid Newsletter is now available 07/05/2022  (Click here for the July 2022 Newsletter)
6/28/2022 Optum Pay Alert: Optum Pay Holiday Payment Schedule Independence Day 07/04/2022
6/16/2022 Optum Pay Alert: Optum Pay Holiday Payment Schedule Juneteenth (06/19/2022) Observed on 06/20/2022
6/10/2022 Optum Pay Pre-Release Announcement: June 11, 2022, Release
6/6/2022 Claims Rejection When Submitted with No EOB – Effective July 1, 2022
6/1/2022 Optum Pay Alert: EPRA and Payer PRA Document Availability - May 25, 2022 - UPDATE
5/25/2022 Optum Pay Alert: EPRA and Payer PRA Document Availability - May 25, 2022
5/16/2022  Retroactive Service Authorization - May 16, 2022
4/28/2022 NPI Alignment Project for Optum Claims PAID Prior to April 22, 2022
4/26/2022 Amended Guidance for Telehealth Services Using Modifier FQ - SFY 2022
4/25/2022 Claims Submitted with a Missing or Invalid NPI Number - Effective April 14, 2022
4/25/2022 Tribal Encounter Rate CY 2022 - April 25,2022
4/20/2022 Provider Self-Audits Due December 31, 2022
4./18/2022 Growing Access for Alaska - May 4th & 5th, 2022
4/14/2022 Change to Optum Recovery of an Overpayment Process
4/14/2022 Guidance Document for 1115 Contraindicated Services
4/13/2022 Extension of the Public Health Emergency
4/13/2022 Guidance Document for Telehealth Services Using Modifier FQ
4/8/2022 Alaska Medicaid Newsletter Announcement April 2022     (Click here for April 2022 Newsletter)
3/24/2022 Optum Alaska Behavioral Health Collaborative Conference Save The Date
3/1/2022 Optum Alaska – New Location
3/1/2022 Reporting of Telehealth Services – Effective April 1, 2022
2/9/2022 Primary Modifier Guidance for Alaska Medicaid 1115 Waiver Services
2/7/2022 Division of Finance System Upgrade and Outage
01/07/2022 Alaska Medicaid Newsletter Announcement January 2022
2021
12/30/2021 Provider Enrollment Changes in Information as of 12.30.2021
12/30/2021 Section 1115 Waiver Substance Use Disorder Update as of 12.30.2021
12/30/2021 Guidance Document for 1115 Substance Use Disorder Level 3.1 as of 12.30.2021
12/16/2021 Changes in EFT Payment Schedule as of 2.10.22
12/7/2021 Remittance Advice code and Denial Reason List as of 12.6.21
12/2/2021 Review Your Online Remittance Advice Access and Download Options by January 30, 2022
10/5/2021 Review Your Optum Pay Access Options
9/30/2021 Remittance Advice code and Denial Reason List
8/27/2021 Independent Licensed Professional Counselors 

8/23/2021

Alaska DBH Guidance Document for 1115 Substance Use Disorder Providers:  Treatment for Clients Ages 18 to 21 in Adolescent Programming

8/13/2021

Important Information for Alaska Medicaid Behavioral Health Providers Regarding Optum Pay and Provider Express Services

8/13/2021

Provider Express PRA Quick Refence Guide (QRG)

8/13/2021

Optum Pay Quick Reference Guide (QRG) Cancelling Premium Service

7/30/2021

Division of Behavioral Health Disaster Declaration flexibilities set to end November 1, 2021

7/28/2021

Optum Alaska Case Management Program Overview

7/1/2021

Optum Primary Modifier Guidance for Alaska Medicaid Community Behavioral Health Services

7/1/2021

Provider Contact Information

7/1/2021 Optum Modifier XE XP and XU Guidance

6/28/2021

Optum Pay Portal

6/21/2021

Alaska DBH Autism Concurrent Services Guidance

6/21/2021

Alaska DBH Autism Rendering Providers Guidance

6/18/2021

Alaska Medicaid Provider Update Sunset Services

6/15/2021 Mental Health Physician Clinic (MHPC) transition to Optum
5/24/2021 Mental Health Physician Clinic (MHPC) transition to Optum
5/21/2021 Mental Health Physician Clinic (MHPC)
5/14/2021 Optum Claim Adjustment Projects 

4/15/2021

Billing Rules for Telehealth Services Effective

4/14/2021

Alaska DBH Autism Concurrent Services Guidance

4/1/2021

Alaska Medicaid Provider Update Transitioning Services Effective

10/4/2020

Optum Primary Modifier Guidance for Alaska Medicaid 1115 Waiver Services

7/1/2020

Optum Primary Modifier Guidance for Alaska Medicaid Community Behavioral Health Services

7/1/2020

Reading a Remittance Advice

Announcements

We Want To Get to Know You Better

Please complete and return the attached questionnaire to help us understand your populations served, hours of operation, accessibility, and treatment options.

Dear Alaska Medicaid Provider,

Optum, a Division of UnitedHealth Group®, is pleased to inform you we have been awarded the State of Alaska’s Department of Health and Social Services (DHSS), Division of Behavioral Health (DBH) behavioral health administrative services organization (ASO) contract.

We welcome the opportunity to collaborate with you in service delivery.

What You Need to Know

We know that new systems of doing business can be confusing.  As the ASO, Optum will eventually assume many of the responsibilities that you currently conduct with Conduent and Comagine Health.   We, along with DBH, will provide you with all the necessary information as you transition to our services.   We have developed a dedicated Optum Alaska webpage https://alaska.optum.com to assist you and your beneficiaries.

To get started on participating with Optum as a provider the very first step is to obtain an Optum ID.   Go to our provider portal at providerexpress.com Register for Access:  Select the “First-time User” link in the upper right hand corner of the home page and follow the prompts.

Get Paid Faster with Electronic Payments & Statements (EPS)

Today's health care environment doesn't afford the luxury of wasted time or waiting longer than necessary to be paid, which is why you need to enroll in Optum Financial Services Electronic Payments & Statements (EPS). This will allow you to receive direct deposit of claim payments into your designated bank account(s) and access explanation of benefits (EOBs) online or via 835 ERA files, please sign up for EPS.

Provider Meetings and Trainings

Trainings are posted at the Optum Alaska website on the Provider Meetings & Trainings page.

Technical Assistance Teleconferences are held on the 2nd and 4th Wednesday of every month.  You may register by visiting the Provider Meetings & Trainings page.

Please go to this site to register for Technical Assistance Teleconferences and other training sessions.

We Are Here to Help

We look forward to building our relationship. If you have questions about how Optum will serve you as a provider, please email Optum Provider Relations at akmedicaid@optum.com

We believe a strong provider system is the key to providing the highest quality of care to our customers and their members. We have enclosed some materials to get you started.

 

Provider Alerts

Optum will email Provider Alerts to distribute important information, such as trainings for Optum Behavioral Health Alaska Medicaid, announcements and important updates.

Providers should register for Provider email Alerts by completing registration in this link.

You may also use this link to unsubscribe from email Alerts.