Provider Revalidation NH Medicaid NH Department of Health and Human - PowerPoint PPT Presentation

NH Department of Health and Human Services Provider Revalidation NH Medicaid NH Department of Health and Human Services, Medicaid Services 1

 In accordance with the Affordable Care Act, the New Hampshire Why Title XIX Medicaid Program requires providers to verify enrollment information at least every five years. Revalidate? NH Department of Health and Human Services, Medicaid Services 2

 To simplify the process, New Hampshire developed a quick and How do I easy electronic process. revalidate? NH Department of Health and Human Services, Medicaid Services 3

 Name  Address  Contact Information  License/Certification  SSN/FEIN  You must validate the data in What your existing provider record.  Medicare Information information  You can leave the information  NPI must I as it is, edit the existing data or  Exclusions/Sanctions add new information. provide?  Ownership  Authorized Representative  Authorized Validator NH Department of Health and Human Services, Medicaid Services 4

 When it is your turn to Revalidate you will receive a letter indicating your revalidation due date and actions to take.  Upon receipt of the letter, please visit https://nhmmis.nh.gov to begin the process. Once logged in, select Revalidation from the Quick Links What should I and an instruction page will be presented. Click on START Revalidation . Your current enrollment data will be displayed. You will be given the do now? option to keep or edit the existing information, or add new information.  If your NH MMIS user login credentials have lapsed, you must complete the NH MMIS Health Enterprise Portal Registration Form . The form is available in the NH MMIS portal under QUICK LINKS, Documents and Forms. Once completed, please fax the form to 866-446-3318. NH Department of Health and Human Services, Medicaid Services 5

Go to ‐ https://nhmmis.nh.gov Let’s walk through the process. Select ‐ Provider NH Department of Health and Human Services, Medicaid Services 6

Enter – User ID If your NH MMIS user login credentials have lapsed, you must complete the NH MMIS Health Enterprise Portal Registration Form which is available in the NH MMIS portal under QUICK LINKS, Documents and Forms. Once completed, please fax the form to 866-446-3318. NH Department of Health and Human Services, Medicaid Services 7

Enter – Password Enter – Characters Displayed Select – Login NH Department of Health and Human Services, Medicaid Services 8

After successful login… Select ‐ Revalidation NH Department of Health and Human Services, Medicaid Services 9

Select – Start Revalidation NH Department of Health and Human Services, Medicaid Services 10

 You have logged in using your credentials  Selected Revalidation  Chosen to Start Revalidation What have I done so far? Now it’s time to review the information on your provider record. NH Department of Health and Human Services, Medicaid Services 11

Once “Start Revalidation” is selected the information on your current provider record displays. You must review each section… and either keep or edit the existing information, or add new information. NH Department of Health and Human Services, Medicaid Services 12

There are multiple sections (portlets) on each page. Portlet 1 Portlet 2 Portlet 3 Portlet 4 Portlet 5 NH Department of Health and Human Services, Medicaid Services 13

To edit or add information click ‐ Edit Information . ID: 7036129 ID: 7036129 Name: Jason Bowen Name: Jason Bowen Type: 031 – Dentist, Group Jason Bowen Type: 031 – Dentist, Group 603 ‐ 555 ‐ 5555 NH Department of Health and Human Services, Medicaid Services 14

The portlet opens; existing information is displayed on the top row, and fields for editing on the bottom row. ID: 7036129 Jason Bowen Name: Jason Bowen Existing General Information Type: 031 – Dentist, Group Fields for modifying the General Information NH Department of Health and Human Services, Medicaid Services 15

Blue underlined data indicates a link to additional information. Click on the link to see the 001231 001231 additional information 001231 This Expands to this 16 NH Department of Health and Human Services, Medicaid Services

A + sign indicates more information is available. Click the + to see the additional information ID: 7036129 Name: Jason Bowen Jason Bowen Type: 031 – Dentist, Group 603 ‐ 555 ‐ 5555 NH Department of Health and Human Services, Medicaid Services 17

Once clicked, the full address displays. 97 Main Street 603 ‐ 555 ‐ 5555 603 ‐ 555 ‐ 5555 Clifton NH Department of Health and Human Services, Medicaid Services 18

There are three types of addresses. Each address has an associated telephone number, fax number and contact person. Servicing Location –The physical address, telephone number, fax number and contact person where the services are preformed. Cannot be a P.O. Box Why are there so many address types? Billing Address–The address, telephone number, fax number and contact person for billing issues or inquiries. Clifton 603 ‐ 555 ‐ 5555 Mailing Address–The address, telephone number, fax number and contact person for materials that are mailed to the provider (excluding billing items.). The address, telephone number, fax number and contact can be the same in each portlet. 19

There are multiple “Saves” on each page. Portlet Save Header Save It’s all about the Header Save ID: 7036129 Jason Bowen Name: Jason Bowen Type: 031 – Dentist, Group SAVE ! Portlet Save When making changes you MUST save both at the Portlet and Header level. NH Department of Health and Human Services, Medicaid Services 20

What are the green check marks?   Indicates completed sections. NH Department of Health and Human Services, Medicaid Services 21

001231 001231 What does a red X mean? 001231 001231 X Indicates required information is missing. NH Department of Health and Human Services, Medicaid Services 22

 Review existing information  Initiate the edit process Let’s walk  Expand a portlet to view all In this example you available information through a will learn how to:  Modify existing information change  Save at the portlet level together.  Save at the header Level  Collapse a portlet NH Department of Health and Human Services, Medicaid Services 23

Step 1: Review the existing information ID: 7036129 Bowen Jason Name: Jason Bowen Type: 031 – Dentist, Group Jason Bowen NH Department of Health and Human Services, Medicaid Services 24

Step 2: Select Edit Information ID: 7036129 Bowen Jason Name: Jason Bowen Jason Bowen Type: 031 – Dentist, Group Bowen Jason Jason Bowen NH Department of Health and Human Services, Medicaid Services 25

Step 3: Make modifications We added a Doing Business As (DBA) name ID: 7036129 Jason Bowen Name: Jason Bowen Type: 031 – Dentist, Group Jason Bowen Jason Bowen Changed Date of Birth from 6/26/1950 to 6/ 20 /1950 NH Department of Health and Human Services, Medicaid Services 26

Step 4: Save at the portlet level Notice the successful SAVE message It appears inside the portlet ID: 7036129 Bowen Jason Name: Jason Bowen Jason Bowen Type: 031 – Dentist, Group Jason Bowen Click Save There is one more step to successfully save….. NH Department of Health and Human Services, Medicaid Services 27

Step 5: Save at the header level Notice the successful SAVE message It appears at the top “HEADER” of the page ClickSave Bowen ID: 7036129 Jason Name: Jason Bowen Jason Bowen Type: 031 – Dentist, Group Jason Bowen Now your change is successfully saved. NH Department of Health and Human Services, Medicaid Services 28

Step 6: Collapse the portlet Deselect the “Edit Information” box ID: 7036129 Bowen Jason Name: Jason Bowen Jason Bowen Type: 031 – Dentist, Group Now you are ready to move to the next section! NH Department of Health and Human Services, Medicaid Services 29

In the previous example you learned how to modify existing information. Let’s add new information. In this example you will learn how to add new information. NH Department of Health and Human Services, Medicaid Services 30

In this example we are adding new licensure information. Step 1: Select Edit Information ID: 7036129 Name: Jason Bowen Type: 020 – Physician, Individual (MD) 001231 001231 001231 001231 Step 2: Select Add Licensure/Certification NH Department of Health and Human Services, Medicaid Services 31

The ADD portlet 0pens and all fields are blank. 001231 001231 NH Department of Health and Human Services, Medicaid Services 32

Complete all required fields. 001231 001231 Select Save 001231 NH Department of Health and Human Services, Medicaid Services 33

The newly added information is saved and added to the revalidation record. 001231 001231 001231 Remember to save at the HEADER level. NH Department of Health and Human Services, Medicaid Services 34

Where is that Header Save again? ID: 7036129 Name: Jason Bowen Type: 031 – Dentist, Group Header Save 001231 001231 001231 001231 NH Department of Health and Human Services, Medicaid Services 35