Updates and Reminders: Medically Urgent PA on the Portal- Portal Survey - Keep Records for Five Years
Maine Department of Health & Human Services sent this bulletin at 11/06/2017 03:39 PM EST
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Medically Urgent Prior Authorization (PA) Requests through the Health PAS Online Portal: Medically Urgent Field Added, CR 61353
An urgent field has been added to the Direct Data Entry (DDE) PA Request Screen on the Health PAS Online Portal. You now have the option to mark your PA as medically urgent before submitting the PA. Prior to this change, you were required to submit medically urgent PA request through fax or mail. We now encourage you to submit them through the portal.
Please note that this field should be utilized for medically urgent PA requests, not time sensitive ones.
If you have questions, please contact Provider Services at: 1-866-690-5585.
MaineCare Health PAS Online Portal Survey Available
MaineCare appreciates the care given to our members by MaineCare providers. We are dedicated to providing quality service to our healthcare community. Please help us improve our online portal by completing the short Health PAS Online Portal Survey by 5:00 PM on Monday, November 20, 2017. The survey should only take 5 to 10 minutes to complete and responses are confidential. Thank you in advance for your time and participation!
Maintain Financial, Provider, and Professional Records Reminder: Keep Records for Five Years
All providers are required to maintain and retain contemporaneous financial, provider, and professional records sufficient to fully and accurately document the nature, scope, and details of the healthcare and/or related services or products provided to each individual MaineCare member. These records are to be kept for a period of not less than five (5) years in order to meet statutory requirements. At all reasonable times during the prescribed retention period, authorized persons from the Department of Health and Human Services or the federal government shall be given access to such records. Failure to comply with any request to examine or receive copies of such records shall be grounds for immediate suspension from participation in the MaineCare program. Please refer to the MaineCare Benefits Manual, Chapter 1.03-8 (M) for more details about record keeping requirements. If you have any questions, please contact your provider relations specialist.