Medicaid Management Information Systems Maine Integrated Health Management Solution Health PAS Online: Public Portal User Guide
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1 Medicaid Management Information Systems Maine Integrated Health Management Solution Health PAS Online: Public Portal User Guide Date of Publication: 02/25/2014 Document Number: UM00039 Version: 3.0
2 Revision History Version Date Author Action/Summary of Changes Status /29/2010 K. Weaver / Maria Smith Created original / Quality Assurance Draft /02/2010 R.J. Roy Updated based on system design and functionality; incorporated Molina name and logo. Draft /10/2010 Karleen Goldhammer Make final changes reflecting both systems validation and State Review comments Draft /14/2010 R.J. Roy QA Draft /16/2010 Karleen Goldhammer Responded to QA questions and suggestions. Draft /16/2010 R.J. Roy QA Draft /27/2010 S. Savage Updates based on Linda Riddell comments/total rewrite based on 6 grade reading level because this will be available to member community Draft /30/2010 / 10/04/2010 Linda Riddell / S. Savage Updates based on 6 grade reading level / Updated Copyright Information Draft /18/2010 Maria Smith Finalized after receiving State Approval on 10/16/2010 Final /22/2010 RJ Roy Renamed Final /28/2014 Darcy Casey Updates per CR Draft /17/2014 Darcy Casey Updates per State comment log v2.1 dated 2/11/2014 Draft
3 Version Date Author Action/Summary of Changes Status /25/2014 Darcy Casey Finalization per State acceptance dated 02/25/2014 Final
4 Usage Information Documents published herein are furnished As Is. There are no expressed or implied warranties. The content of this document herein is subject to change without notice. HIPAA Notice Secure portions of the Maine Health PAS Online portal are for the restricted use of authorized users only. Public users do not have access to these restricted areas. Authorized users of the Maine Health PAS Online portal may have access to protected and personally identifiable health data. As such, the Maine Health PAS Online portal and its data are subject to the privacy and security regulations within the Health Insurance Portability and Accountability Act of 1996, Public Law (HIPAA). By accessing the Maine Health PAS Online portal, all users agree to protect the privacy and security of the data contained within as required by law. Access to protected information on this site is only allowed for necessary business reasons, and is restricted to those persons with a valid user name and password.
5 Table of Contents Maine Integrated Health Management Solution 1. Introduction Your Computer Home Page Provider Tab or Link Secure Portion of Provider Tab Public Portion of Provider Tab Member Tab or Link Secure Portion of Member Tab Public Portion of Member Tab Home Useful Links Home Documents Home Lists Frequently Asked Questions Public Notices and Announcements Surveys Contact Us Site Map...13 List of Figures Figure 3-1: Internet Browser Address... 2 Figure 3-2: Home Page... 2 Figure 3-3: Provider Tab... 3 Figure 3-4: Provider Manuals... 4 Figure 3-5: MyHealth PAS User Guides... 4 Figure 3-6: Member Tab... 5 Figure 3-7: Member Documents... 6 Figure 3-8: Home Useful Links... 7 Figure 3-9: Home Documents... 8 Figure 3-10: Home Lists... 9 Figure 3-11: FAQs... 9 HPO_ONL_UG0027X_v3.0_ docx.doc Page i
6 Figure 3-12: Public Notices and Announcements Figure 3-13: OnLine Website Survey Figure 3-14: OnLine Website Survey New Item Figure 3-15: Contact Us Figure 3-16: Contact Us Member Figure 3-17: Contact Us- Provider Figure 3-18: Site Map HPO_ONL_UG0027X_v3.0_ docx.doc Page ii
7 1. Introduction This User Guide shows you how to use the MIHMS Health PAS Online Portal (online portal). The online web portal gives you: Useful links Useful Documents Lists and Announcements Surveys Contact Information A Site Map 2. Your Computer To get the most out of the web portal, make sure that your computer has: A reliable online connection A web browser- The latest version of Microsoft Internet Explorer is recommended. As versions of Internet Explorer become available it is recommended that these versions are used. The latest version of Adobe Acrobat Reader 3. Home Page The Home Page gives helpful information about: Office of MaineCare Services (brings you to the Office of MaineCare Services website) DHHS Regional Offices (provides contact information for each office location) Contact DHHS (provides contact information for all office locations and departments) Community Resources (Brings you to the Maine 211 website for community resources) Notices and Announcements (gives any important notices or announcements for MaineCare) Contact Information (links to contact information for MaineCare members, providers, billing agents, and clearinghouses) Frequently Asked Questions Surveys To get to the Home Page you must open a web browser or internet browser (Internet Explorer is one type of web browser) on your computer. Once you open a web or internet browser: 1. Enter into the browser address area, as shown in Figure 3-1: Internet Browser Address. HPO_ONL_UG0027X_v3.0_ docx.doc Page 1 of 14
8 Figure 3-1: Internet Browser Address 2. Press the Enter key or click the Go button. 3. The online portal home page screen will then appear, as shown in Figure 3-2: Home Page. Figure 3-2: Home Page NOTE: The information on this page will change sometimes. 3.1 Provider Tab or Link You may click the Provider tab or link for more information. Figure 3-3: Provider Tab shows the page that appears when you click the Provider tab or link and provides examples of the HPO_ONL_UG0027X_v3.0_ docx.doc Page 2 of 14
9 information that can be found without logging in as a trading partner. For more information, see Section 3.1.1: Secure Portion of Provider Tab and 3.1.2: Public Portion of Provider Tab. Figure 3-3: Provider Tab Secure Portion of Provider Tab The Provider tab allows registered users to access secure portions of the portal by logging in as a trading partner. A variety of functions are available to registered users on the secure section of the online portal, such as claim submission, member eligibility verification, and prior authorization (PA) submission. Only eligible entities may register as a trading partner. Eligible entities include billing providers, billing agents, clearinghouses, and health plans. For instructions on registering as a trading partner, you may access the Trading Partner Guides at the following link: For more information on what functions are available in the secure provider section, follow these steps: 1. Click on Provider tab or link. HPO_ONL_UG0027X_v3.0_ docx.doc Page 3 of 14
10 2. Click on Provider Manuals to show the links. See Figure 3-4: Provider Manuals. Click on MyHealth PAS User Guides. The guides will show, as seen in Figure 3-5: My Health PAS User Guides. NOTE: This is only a sample list of the guides. 3. Click on a User Guide for help or more information. Figure 3-4: Provider Manuals Figure 3-5: MyHealth PAS User Guides Public Portion of Provider Tab The following information may be found on the Provider tab without logging in as a trading partner: Important Updates Helpful topics to Keep in Mind ICD-10 Information A MaineCare Event Calendar A Welcome to MIHMS area that provides quick links to useful provider related documents Provider Useful Links Provider Enrollment Links Provider Manuals Provider Documents HPO_ONL_UG0027X_v3.0_ docx.doc Page 4 of 14
11 Provider Lists (FAQs and a Provider Directory) Surveys Contact Information Site Map 3.2 Member Tab or Link You may click the Member tab or link for more information. Figure 3-6: Member Tab shows the page that appears when you click on the Member tab or link and provides examples of the information that can be found without logging in as a member. For more information, see Section 3.2.1: Secure Portion of Member Tab or 3.2.1: Public Portion of Member Tab. Figure 3-6: Member Tab Secure Portion of Member Tab The Member tab allows MaineCare members to access secure portions of the portal by signing in as a member. Signing into the online portal allows MaineCare to request a Letter of Credible Coverage and/or a Claims History Report. To access the secure member portion of the online portal, you must be a MaineCare member and enter in your first and last name, your date of birth, and the last four numbers in your social security number. HPO_ONL_UG0027X_v3.0_ docx.doc Page 5 of 14
12 For more information on the Member Sign In or to see more on what is in the secure part of the member section, follow the steps below or click on the following link to get to the Member Online User Guide: 1. Click on the Member tab or link. 2. Click on Member Documents to show the links. See Figure 3-7: Member Documents. 3. Click on Online User Guide. 4. Two (2) user guides will show. Click on either one for more information. Figure 3-7: Member Documents Public Portion of Member Tab The following information may be found on the Member tab without signing in as a MaineCare member: Information on how to apply for MaineCare MaineCare card information MaineCare Coverage Changes Member News and Updates Member Useful Links Member Documents Surveys Member Lists (such as FAQs and a Provider Directory) Contact information Site Map To see more on what is in the public part of the member section, follow the steps below or click on the following link to get to the Member Online User Guide: 1. Click on the Member tab or link. 2. Click on Member Documents to show the links. See Figure 3-7: Member Documents. HPO_ONL_UG0027X_v3.0_ docx.doc Page 6 of 14
13 3. Click on Online User Guide. Maine Integrated Health Management Solution 4. Two (2) user guides will show. Click on either one for more information. 3.3 Home Useful Links The Home Useful links, located on the Home tab and shown in Figure 3-8: Home Useful Links, give you contact and resource information. The links are: Office of MaineCare Services (brings you to the Office of MaineCare Services website) DHHS Regional Offices (provides contact information for each office location) Contact DHHS (provides contact information for all office locations and departments) Community Resources (brings you to the Maine 211 website for community resources) Definition of Benefits (gives any important notices or announcements for MaineCare) Maine Medicaid Policy Figure 3-8: Home Useful Links 3.4 Home Documents The Home Documents, located on the Home tab and shown in Figure 3-9: Home Documents, give you reading and training material. The links are: Portal Guides Other Publications HPO_ONL_UG0027X_v3.0_ docx.doc Page 7 of 14
14 Figure 3-9: Home Documents 3.5 Home Lists The Home Lists choices, located on the Home tab and shown in Figure 3-10: Home Links, are: Frequently Asked Questions (FAQs) Notices and Announcements HPO_ONL_UG0027X_v3.0_ docx.doc Page 8 of 14
15 Figure 3-10: Home Lists Frequently Asked Questions FAQs are questions commonly asked by providers, trading partners and/or members. See Figure 3-11: FAQs for examples. Figure 3-11: FAQs To see provider or member FAQs, go to the provider or member tab and click on Frequently Asked Questions. HPO_ONL_UG0027X_v3.0_ docx.doc Page 9 of 14
16 3.5.2 Public Notices and Announcements Public Notices and Announcements will be updated often. See Figure 3-12: Public Notices and Announcements. Figure 3-12: Public Notices and Announcements 3.6 Surveys To give feedback on the online portal, click on the OnLine Website Survey link, as shown in Figure 3-13: OnLine Website Survey: Figure 3-13: OnLine Website Survey To fill out the survey: Click in the circle to choose your answer. Type in your answer using the space. When done, click the Finish button. NOTE: Use the scroll bar to move down the page. See Figure 3-14: OnLine Website Survey- New Item for help. HPO_ONL_UG0027X_v3.0_ docx.doc Page 10 of 14
17 Figure 3-14: OnLine Website Survey New Item 3.7 Contact Us The Contact Us link, shown in Figure 3-15: Contact Us, goes to a page that lists contact information for members and providers. The Contact Us page gives: Addresses Phone Numbers Address Information Figure 3-15: Contact Us HPO_ONL_UG0027X_v3.0_ docx.doc Page 11 of 14
18 Figure 3-16: Contact Us- Member gives an example of contact information for members. Figure 3-16: Contact Us Member Figure 3-17: Contact Us- Provider gives an example of contact information for providers. HPO_ONL_UG0027X_v3.0_ docx.doc Page 12 of 14
19 Figure 3-17: Contact Us- Provider Site Map The Site Map is a quick way to find what you are looking for. Clicking a link on the Site Map screen will open up to that screen. For example, clicking the Contact Us link will open up the Contact Us screen. Figure 3-18: Site Map shows the Site Map. HPO_ONL_UG0027X_v3.0_ docx.doc Page 13 of 14
20 Figure 3-18: Site Map HPO_ONL_UG0027X_v3.0_ docx.doc Page 14 of 14
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