Provider Information
Provider Alerts
| 01/12/12: | Women’s Recovery Conference |
| 01/13/12: | HIPAA 5010 |
| 01/13/12: | Updates to Service Code Definitions |
| 12/14/11: | Office of Inspector General free compliance training |
| 02/24/11: | Provider Conference Call Regarding Clinical Oversight |
| 01/12/11: | New KCPC Interim Services Indicator |
| 01/10/11: | Expanded Authorization Parameters |
| 12/20/10: | New Clinical Fax Number |
Upcoming Events
Click on http://www.valueoptions.com/providers/Training.htm to register for upcoming Provider Forums, review presentations and handouts from past events, and complete an online evaluation for the event you attended.
Access to Care
- How to Access
- Changes to Standards
- Access to Care Calculations Sample
- Barriers and Interventions Sample Form
Claims/Finance
- Service Class Grid Updated 10/20/10
- Covered Diagnosis Codes for Kansas
- Mailing Address for Paper Claims
- HIPAA Resources and Software Downloads
- Guide to Using Single Claim Submission (PDF)
- ValueOptions® of Kansas Offers Electronic Funds Submission
- PaySpan© Health: Healthcare Payment and Remittance Advice
(A free service to providers for EFT and ERA receipt) - How to Register as a Provider in PaySpan Health
- Medicaid Eligibility and Spenddown (10/20/10)
- Kansas Addiction Summit II Claims Q&A (10/20/10)
Clinical/Utilization Management
- KHS Care Coordination Presentation
- KS KCPC Transition of Care Request Form
- New TIP Addressing the Specific Needs of Women (4/28/10)
- PCCM Training Manual
- Performance Improvement Committee (PIC) Minutes
- PRTF Reference Guide 7/20/09
Credentialing
Education
- ASAM Training
- Data Integrity Claims Example
- Data Integrity Documentation Example
- Data Integrity Documentation Training (PPT)
- Kansas Medicaid and CHIP 101
- Substance Abuse Prevention and Treatment Block Grant Overview (PPT)
- The Role of Peer Mentors June 2010
Frequently Asked Questions
- Kansas Clinical Models and Other Questions
- Provider Credentialing Requirement FAQ
- 4th Time DUI FAQ
- AAPS Eligibility Policy FAQ Updated April '09
- Kansas Block Grant Rate Increase (2/13/08)
- FAQs
- How to Bill in 15-minute Increments (07/29/08)
- Statewide Contacts for Medicaid-Related Issues
Quality Improvement
- Adverse/Critical Incident Reporting Form
- Admin Appeal Policy
- Clinical Appeal Policy
- Adverse Incident Reporting Requirements (8/18/11)
- Grievance and Appeals Tip Sheet (10/20/10)
- HIPAA Tips for Providers
- How to Bill for Telemedicine (7/20/09)
- Member Grievances (2/23/11)
- Provider Grievances (2/23/11)
- Standard Turn Around Time for Appeals
Provider Relations
- FY10 Block Grant Addendum
- FY11 Block Grant Addendum
- Deficit Reduction Act
- National Provider Identifier
- Third Party Liability (TPL)
- ValueOptions® of Kansas Provider Handbook Supplement
- ValueOptions® of Kansas Claims and Billing Instructional Manual
- 02/21/08: Kansans with Medicaid Receiving Substance Abuse Services
Provider Resources
Provider Tools
