[Provider] Update from APS Healthcare

[Provider Notification]

ATTENTION:  MaineCare Providers working with the Administrative Services
Organization

 

The APS Healthcare Service Grid is being revised effective 8/1/08.

 

The Provider Update explaining the revisions to the Service Grid is
posted at this link:
http://www.qualitycareforme.com/MaineProvider_Update080108a.htm

 

The revised Service Grid is posted at this link:
http://www.qualitycareforme.com/documents/provider_providermanual_servic
egrid.pdf

 

Another Provider Update explaining the new, simplified APS
CareConnection review requirements for Outpatient and Medication
Management Services is posted at this link:
http://www.qualitycareforme.com/MaineProvider_Update080108b.htm

 

The simplified Outpatient/Med Management Only Continued Stay Request
Form is posted at this link:
http://www.qualitycareforme.com/MaineProvider_ProviderManual.htm

 

What does this mean for providers?

In response to MaineCare policy changes, procedure codes have changed
for a number of services including Outpatient Therapy and Medication
Management.  The Provider Update explains the process to re-register
certain services.  In addition, PNMI "Bed Hold" or "Leave Days"
procedure codes have been removed from the Service Grid.  

 

Outpatient and Med Management providers now have a simplified Continued
Stay Review request process in APS CareConnection.

Please review the updates to see if the changes apply to you and your
program.

 

What does this mean for MaineCare Members?

MaineCare Members should ask their provider if any of these changes
impact their services.  These changes in the Service Grid will not
affect members.  Members can call the APS Healthcare Member Services
Liaison (Simonne Maline) at 1-866-521-0027 ext. 4915 if they have
questions about these changes.

 

 

This is a one-way communication.  Please do not respond to this message.

 

 

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