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Arkansas WebRA

Arkansas WebRA. Continue to do Amazing Let’s go Green! Don’t wait on the postal service! Is your RA lost in the mail? Save a tree, get it free! At your fingertips!. WebRA Overview. Remittance Advices (RAs) will now be in a PDF format, referred to as WebRAs.

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Arkansas WebRA

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  1. Arkansas WebRA Continue to do Amazing Let’s go Green! Don’t wait on the postal service! Is your RA lost in the mail? Save a tree, get it free! At your fingertips!

  2. WebRA Overview Remittance Advices (RAs) will now be in a PDF format, referred to as WebRAs. Providers will be automatically switched from paper RAs to WebRAs. Providers will be phased in and notified 30 days prior to their implementation date.

  3. WebRA Registration • Providers will have to register in order to have access to their WebRAs. A link to the registration site will be available through the Provider Portal. • Providers may not receive both paper and WebRAs. • Providers may invite non-providers to have access to their WebRAs. • WebRAs will be mandatory for hospitals and acute care hospitals – no opting out.

  4. WebRA Registration • Providers who do not have Internet access or have limited access may opt out by submitting a Hardship Waiver form 15 days BEFORE their implementation date. • Providers may opt out after the mandatory 30-day trial period during implementation. Providers may opt out on the Medicaid website.

  5. Viewing/Downloading WebRAs There are two access points for viewing and downloading WebRAs: • Arkansas Medicaid Provider Portal • External website (Non-Providers) WebRAs will only be available on the website for 30 days.

  6. WebRA Screens

  7. The Main Screen has 5 Links: Account Document Access Invite Non-Providers Document Library Manage

  8. WebRA Main Screen

  9. Medicaid Website Welcome back Provider

  10. Provider Registration Screen

  11. Password Criteria • Minimum of 8 characters • Contain at least 1 uppercase alpha character • Contain at least 1 lowercase alpha character • Contain at least one number • Contain at least one special • Cannot contain the same character more than twice

  12. Logon Screen

  13. Document Library

  14. Document Library

  15. Document Library

  16. WebRA Image

  17. Invite Non-Provider Screen

  18. Non-Provider Invitation • You have been invited to view Medicaid Remittance Advice documents by MEDICAL CENTER -SCHOOL, Provider ID: 0000000XX. • Please make sure this is your correct EIN number: 11-11111111. If it is not, request that the provider send another invitation with the correct EIN. • Click this link to register (if you haven't already done so). • If the above link does not work, copy and paste this link to your browser's address bar: https://xxxxxxxxx • If you have already registered, please log on to WebRA to accept or decline the invitation.

  19. Document Access (Provider)

  20. Non-Provider Registration Screen

  21. Document Access (Non-Provider)

  22. Account Screen (Non-Provider)

  23. Provider Invitations (Non-Provider)

  24. WebRA Review • Log on to Medicaid website • Select View WebRA • Log on to WebRA with your new secure password • View/Download WebRAs • Invite Non-Providers • Contacts

  25. Who Do I Contact When I Have a Question about My WebRA? • Electronic Data Interchange (EDI) • The HP Enterprise Services EDI Support Center is open weekdays from 8 a.m. to 5 p.m. to assist providers with electronic claim submission issues, 997 batch responses, PES software delivery and setup support, software training, and data transmission failures. • Toll-free in Arkansas (800) 457-4454 • Local or out-of-state (501) 376-2211

  26. Medicaid Organization

  27. Arkansas MedicaidWho Does What? • County Offices (DCO) • Arkansas Foundation for Medical Care (AFMC) • ConnectCare • QSource • Value Options • Health Management Systems (HMS) • Division of Medical Services (DMS) • HP Enterprise Services

  28. DHS County OfficesCounty Case Workers • Work directly with beneficiaries • Determine eligibility, plan description, and eligibility timeframe • Assist with Primary Care Physician (PCP) selection

  29. AFMCReview and Authorization • Provides Primary Care Case Management, ARKids, and waiver quality assurance reviews • Provides utilization and quality review for various Medicaid Programs • Reviews emergency, assistant surgeon, and personal care claims

  30. AFMCReview and Authorization • Authorizes hospital stays and certain procedures identified by the Division of Medical Services as needing prior authorization • Authorizes inpatient stays over 4 days • www.afmc.org • Receives beneficiary comments at: (888) 987-1200 (option 2)

  31. ConnectCareManaged Care Helpline • Enrolls beneficiaries with a PCP • Educates beneficiaries, county case workers, and providers about Medicaid • www.seeyourdoc.org • (800) 275-1131

  32. QSource of ArkansasReview and Authorization Therapy Review, Prior Authorization for Personal Care, and ePrescribing Initiative Address: 124 W. Capitol, Suite 900 Little Rock, AR 72201 Contact: Nancy Archer, Executive Director Phone: (501) 801-6910 Email: narcher@qsource.org For more information about QSource and the services weprovide, please visit us online atwww.qsource.org.gg

  33. Value OptionsMental Health • Provides utilization management, continuing education, and inspections of inpatient and outpatient mental health facilities for Medicaid beneficiaries enrolled in the Under 21 Program • Approves prior authorizations, Certifications of Need (CON), and Continuing Stay Reviews • www.valueoptions.com/providers/Providers.htm • Receives general questions at: (800) 888-3944

  34. HMSThird Party Recovery • Health Management Systems (HMS) provides services that identify third party payment sources (such as commercial insurance and health plans, Medicare, and TRICARE) and recovers public health plan expenditures when third party liability exists • info@hmsy.com • www.hmsy.com • (877) HMS-0184

  35. DMSAdministrators of Medicaid • Medical Services – establishes policy for all programs • Provider Reimbursement – establishes reimbursement rates • TPL – validates Third Party Liability information • Program Development and Quality Assurance – distributes policy

  36. HP Enterprise ServicesFiscal Agent • Provider Enrollment • Claims Processing • Remittance Advice • Provider Relations • Medicaid Management Information System (MMIS)

  37. What’s New

  38. Arkansas IncentivePayment Project It is called ARRA (American Recovery and Reinvestment Act.) It is a payment incentive program for providers who are using EHR (electronic health records) or EMR (electronic medical records) in an effort to encourage the use of EHR/EMR to improve health outcomes of Arkansas residents.

  39. Arkansas IncentivePayment Project The program will have specific criteria each provider must meet as defined as “meaningful use of EHR/EMR.” These criteria are still being defined but an example may be: At least 80% of all unique patients seen by an eligible provider or admitted to the eligible hospital have demographics recorded as structured data. At least 50% of all clinical lab tests ordered whose results are in a positive/negative or numerical format are incorporated in certified (EHR) technology structured data.

  40. Who Will ProcessMy Payments? HP is responsible for processing the payments for the Arkansas Incentive Payment Project. Providers must be eligible for this incentive program. An application will be required. Workshops will be scheduled accordingly. For further information, please refer to https://www.medicaid.state.ar.us/.

  41. National Correct CodingInitiative (NCCI) • Mandatory State use of NCCI requires State Medicaid programs to incorporate “NCCI methodologies” into their claims processing systems. The purpose of the NCCI edits is to prevent improper payments when incorrect code combinations are reported. • Arkansas Medicaid will begin using the NCCI edits on April 1, 2011.

  42. Introduction of 5010 Effective January 1, 2012, Arkansas Medicaid will convert to HIPAA X12 version 5010 for electronic transactions. This will include the following: Eligibility (270/271) Claims (837D, P &I) Claims Status (276/277) Prior Authorizations (278) Electronic Remittance Advices (835) Changes to PES and DDE are required to comply with the new standards. Additional information will be available in the upcoming months. If you use a vendor: Testing will be scheduled to begin October 1, 2011. Changes will be published in the Companion Guides on the Arkansas Medicaid website prior to testing.

  43. HP Enterprise Services Monday through Friday (8 a.m. – 5 p.m.) Toll-free in Arkansas (800) 457-4454 Local or out-of-state (501) 376-2211 Dedicated fax (501) 374 - 0549 Medicaid Provider Enrollment Unit HP Enterprise Services PO Box 8105 Little Rock, AR 72203-8105 Dedicated fax (501) 374-0746

  44. Questions?

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