[Provider] A Letter from Tony Marple to All MaineCare Providers

[Provider Notification]

ATTENTION:  All MaineCare Providers

The following information is a letter from Tony Marple, Director of
MaineCare Services to all MaineCare providers.

 

Dear Provider,

 

Maine's Department of Health and Human Services and MaineCare have
embarked on a very significant project for us, for you and for our
mutual clients, MaineCare members.  We are now mid-way through the
project to build a new Medicaid claims processing system.  As you
probably know, the new system is named the Maine Integrated Health
Management Solution and is referred to as "MIHMS."

 

The first outward phase of this project is a full provider
re-enrollment.  This is being done to ensure the accuracy of provider
data in the new system and to allow use of National Provider Identifiers
(NPI).  It is important that all MaineCare providers of health care
services complete their enumeration and receive their NPI prior to
re-enrolling for MIHMS.  A wealth of NPI information is available on the
MaineCare web site and can found by scrolling to the "NPI Links" header
on the MIHMS Project
<http://www.maine.gov/dhhs/bms/fiscal_agent_project_index.html>  page.
If you still have questions, you can forward those to
MaineCare2010.DHHS at maine.gov

 

Providers have been scheduled, by provider type, for one of three
re-enrollment cycles in July, August and September.  Training will be
available in locations across the state in the month prior to each
cycle.  The first set of provider training will take place in June.
Training for the second cycle will be held in July and the third and
final set of training will be held in August and the first week of
September.  

 

Current MaineCare provider organizations will receive individual notices
of their training timeframe and re-enrollment cycle.

 

The grouping of provider types by cycle is also available on the
MaineCare web site at MIHMS Provider Re-enrollment
<http://www.maine.gov/bms/member/innerthird/fa_mihms_reenroll.html> .
Training locations and dates will be confirmed soon.  This information
will be posted to the site and providers notified.  Once this occurs,
electronic registration for training will also be available at this
link.  If your organization does not yet receive information from
MaineCare by listserv, I encourage you to sign up for this at MaineCare
provider listserv
<http://www.maine.gov/dhhs/bms/member/innerthird/listserv.shtml> .

 

This is an exciting time for Maine's Medicaid program.  We are building
a fully HIPAA-compliant claims processing system that will adhere to the
certification standards from the Centers for Medicare and Medicaid
Services (CMS).  MIHMS will offer you the ability to file all claims
electronically and to monitor claim status on-line.  You will have the
ability to update provider data and to access member eligibility
information via a web portal.  Operation of the MIHMS system will allow
MaineCare to join with you in focusing on the health and well-being of
our members.

 

Thank you for your commitment to the well-being of Maine's residents and
for your participation in the MaineCare program.

 

Anthony F. Marple

Director, Office of MaineCare Services

 

 

Is your mailing address up to date with MaineCare?  Please keep
MaineCare up to date so your Remittance Statements and checks arrive on
time.  Call Provider Enrollment at 1-800-321-5557 Option #6.  

 

If you would rather not get these e-mails, visit MaineCare's List Serve
Subscription page
<http://www.maine.gov/dhhs/bms/member/innerthird/listserv.shtml>   to
unsubscribe.

 

This is a one-way communication.  Do not reply to this e-mail.  Your
e-mail will not receive response.  If you have questions, please call 

1-800-321-5557.  

 

 

 

 

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