Provider Alerts

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.

• Regional Quality Improvement Committee Meetings

Access to Care

• AAPS Outcome Form for FY 09 Sample
• AAPS Outcome Form for FY 09
• Access to Care Calculations Sample
• Access to Care Standards and KCPC Guide
• Barriers and Interventions Sample Form

Claims/Finance

• Service Class Grid
• 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
• 03/05/08: Medicaid Spendown

Clinical/Utilization Management

• Final Transition Letter
• KS KCPC Transition of Care Request Form
• PCCM Training Manual
• 02/19/08: KCPC Training

Compliance

• Provider Fraud and Abuse
• Provider Handbook Update: Claims Billing Audits

Education

• ASAM Training
• ASAM Training Video (Part 1) (1.35 GB)
• ASAM Training Video (Part 2) (1.58 GB)

Frequently Asked Questions

• 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
• CM Case Management Grid (8/11/2008)
• CM PCCM Support Services FAQ
• Criticial Incidents Reporting Categories
  
• Grievance and Appeals tip sheet
• HIPAA Tips for Providers
• Member Grievances
• Provider Grievances
• Regional Quality Improvement Committee Meetings
• Standard Turn Around Time for Appeals
• 03/25/08: KCPC Enhancement release
• 03/25/08: Invitation for Regional QI Committees
• 03/14/08: New KCPC Enhancements Scheduled for Access to Care Standards
• 02/13/08: Access Standards based upon Federal Regulations
  

Provider Relations

• Deficit Reduction Act
• National Provider Identifier
• Third Party Liability (TPL)
• ValueOptions of Kansas Provider Handbook Supplement
• ValueOptions of Kansas Claims and Billing Instructional Manual
• 03/19/08: Training Alert
• 03/06/08: Kansas Block Grant Award Network Notifications
• 02/21/08: Kansans with Medicaid Receiving Substance Abuse Services
• 01/15/08: Block Grant RFP Announcement
• 01/15/08: Block Grant RFP
• 01/14/08: Kansas Rate Increase for Block Grant Funds Reprocessing Methodology
• 01/11/08: Kansas Rate Increase for Block Grant Funds

Provider Resources

• ProviderConnect Helpful Resources

Provider Tools

• Alcohol Screening Tool (interactive) or (PDF)