Claims and Block Grant Submission Policy

1. ValueOptions^® will process claims for dates of service on or after July 1, 2007.
   
   
2. If claims are not being submitted electronically, original paper claims for covered services must be submitted directly to:

   ValueOptions^®
   P.O. Box 12698
   Norfolk, VA 23502

3. Detailed instructions on required data elements for completing the claim forms are outlined in sections C1 and C2, below.
   
   
4. ValueOptions^® accepts claims submitted electronically; please see Section D.
   
   
5. Please refer to your provider agreement for the covered services that you have been contracted for, and the definition of services included in the reimbursement rates.
   
   
6. Medicaid Claims should be submitted with the Member’s Medicaid ID Number; failure to use this permanent ID number may result in the denial the claim on the provider summary voucher (EOB).
   
   
7. Block Grant claims should be submitted with the Member ID Number issued in the KCPC. This number consists of the MH Unique ID (11 characters) and the last four (4) digits of the Member’s Social Security Number.  There should not be any spaces entered between these numbers; the total length of this number should be 15 characters.
   
   
8. Claims must be submitted with valid and complete ICD9 diagnosis codes.  Claims submitted with any other diagnosis code may be zero paid/initially denied on the ValueOptions^® provider summary voucher (EOB).
   
   
9. Before any payments can be made to any provider or facility, the minimum of a completed W9 Form must be on file with ValueOptions^®.

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