MHP System Transition Update

Maryland Health Partner's recent transition to our new clinical system is now complete. We would like to thank everyone for your patience during this transitional period.

Treatment Plan Update

MHP has developed a dedicated treatment plan team who will be able to review and authorize all treatment plans submitted within 3 business days. It is important that providers fax all treatment plans accompanied with the MHP "confirmation of receipt" of treatment plan form to 410 953-1903.

Treatment Plans sent to this fax number are stored in a computer and are available for retrieval if needed. Faxing to this number and using the "confirmation of receipt" of authorization plans is the only way to guarantee that treatment plans have been received by MHP. Providers who send their authorization plans via mail should also use the "confirmation of receipt" of authorization plans.

Grayzone Grant Funding/Retro Eligibility Claims

MHP has begun processing the retro Medicaid claims from July 1st to November 30th, 2002. Please keep in mind the following:

• Authorization will be required on the date that you contact MHP for authorization.
• MHP will give retro authorizations for consumers who meet the medically necessary criteria only.
• Claims submitted for the grant program and subsequently denied will not be counted toward your grant totals issued by your CSA. Therefore, it is imperative that these claims are corrected and resubmitted as soon as possible.
• Payment of these claims will be for the retro eligibility period.
• Please resubmit claims that deny for legitimate errors, (e.g., social security, membership,etc..).
• Claims must be processed as 8G 's in order for claims to count against the grant funding.
  

Friendly Reminder

Please have all necessary information available when calling MHP to register a patient, conduct a review, or to check the status of claims.

• Provider's Medical Assistance Number
• Patient's Name
• Medical Assistance Number or Social Security number
• Patient's Date of Birth
  

Maryland PMHS Consumer Satisfaction and Outcomes Survey 2002: Update

The Maryland Public Mental Health System Consumer Satisfaction and Outcomes Survey has begun! Telephone interviews of adults selected for participation in the survey began on November 18th, interviews of parents/guardians of children began December 2nd . This direct consumer input is used to evaluate satisfaction with the public mental health system services and consumer outcomes as a result of those services. This survey is focusing on outpatient, psychiatric rehabilitation services and family support services. Telephone interviews will be conducted by the survey administrator, Northrop Grumman Information Technology Health Solutions and Services.

Surveying will continue for the next several months. Please feel free to contact Mary Shorter-Fahimi, Director of QI & Evaluation, MHP at (410) 953-1830 with any questions.

HIPAA Update

Maryland Health Partners has presented its plan of action to DHMH and MHA to comply with HIPAA requirements for Transactions and Code Sets, Privacy and Security. Final HIPAA compliant Transactions and Code Sets have been issued; compliance will be monitored by the Centers for Medicare and Medicaid Services. These codes include ICD-9, CPT, HCPCS, modifiers, place of service, type of bill and revenue codes. Use of standard code sets must be in place by October 16, 2003.

MHP currently requires the use of non-standard modifiers and local codes ("W" codes) for the pricing of claims. MHP, Maryland Medicaid, and MHA are working to map the local codes to new industry standard codes and to eliminate the non-standard modifiers and replacing them with CPT codes. (Please access APS healthcareProvider.com for more information regarding Universal code sets and the PMHS. In addition, MHP is working with WebMD on the standardization of transactions. Tentatively, providers can expect to receive new rates in March 2003.

Regarding HIPAA Privacy standards: MHP reminds you to use our secure fax number, (410)953-1903, when faxing treatment plans to our office. This fax machine is located in a secure area and allows MHP to comply with privacy requirements for this information.

MHP will keep you informed of progress on this HIPAA plan, and Providers will receive notice prior to the implementation of any changes related to HIPAA.

(EOPs) Paper vs. Electronic

There is now a programming change in place that will allow electronic EOPs (explanation of payment) to match the paper EOPs received by the providers. Previously, these report were being sorted differently, which caused confusion in the ability to read and post the reports. This change should now allow providers to post payments with more accuracy, as both reports should be identical.

Happy Holidays from MHP!

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