Provider Website. The Contractor shall develop and maintain a website in an FSSA-approved format (compliant with Section 508 of the US Rehabilitation Act) to ensure compliance with existing accessibility guidelines for network and out-of-network providers. The website shall be live and meet the requirements of this section on the effective date of the
Provider Website. The Contractor shall develop and maintain a website in an FSSA-approved format (compliant with Section 508 of the US Rehabilitation Act) to ensure compliance with existing accessibility guidelines for network and out-of-network providers. The website shall be live and meet the requirements of this section on the effective date of the Contract. OMPP shall pre-approve the Contractor’s website information and graphic presentations. The Contractor may choose to develop a separate provider website or incorporate it into the home page of the member website described in Section 4.4.2. To minimize download and wait times, the website shall avoid techniques or tools that require significant memory or disk resources or require special intervention on the user side to install plug-ins or additional software. The Contractor shall date each web page, change the date with each revision and allow users print access to the information. The provider website may have secured information available to network providers but shall, at a minimum, have the following information available to all providers: Contractor’s contact information; Provider Policy and Procedure Manual and associated forms; All of Contractor’s provider communication materials, organized online in a user-friendly, searchable format by communication type and topic; A link to the State’s preferred drug list (Hoosier Healthwise only); Claim submission information including, but not limited to the Contractor submission and processing requirements, paper and electronic submission procedures, emergency room auto-pay lists and frequently asked questions; Provider claims dispute resolution procedures for contracted and out-of- network providers; Prior authorization procedures, including a complete list of services which require prior authorization; Appeal procedures; Entire network provider listings; Links to FSSA and OMPP websites for general Medicaid and Hoosier Healthwise information; HIPAA and 42 CFR Part 2 Privacy Policy and Procedures
Provider Website. The TPA must provide a secure provider service website where routine provider service inquiries can be handled. Information available through this website must include, but is not limited to, eligibility and benefits information, deductible accumulation, claim status, medical and coding policy, and online viewing of provider payment vouchers.
Provider Website. Contractor shall maintain a provider website that contains information about its Medicaid line of business. Contractor may choose to develop a separate provider website or incorporate it into the home page of the member website described in Section 4.4.2. To minimize download and wait times, the website shall avoid techniques or tools that require significant memory or disk resources or require special intervention on the user side to install plug-ins or additional software. Contractor shall allow users print access to the information. The provider website may have secured information available to network providers but shall, at a minimum, have the following information available to all providers:
Provider Website. Provider shall utilize Health Plan’s online Provider website through which Provider may, among other things, access relevant Covered Person information (e.g., eligibility and enrollment); confirm Covered Person’s primary language and other special communication needs; access Claims and utilization history; file and track status of pending Provider Claims disputes and External Medical Reviews. (SC App. A.§7.c.)
Provider Website. The Contractor shall maintain a website for use by Providers describing the key Program elements and requirements, including, at minimum, the information required in the Provider Manual as described in Section E.1.03 and Provider training as described in Section E.04. This website shall be accessible and functional via cell phone. The Contractor shall update the Provider Relations regional maps at least quarterly, or more frequently as staffing changes occur.
Provider Website. The CONTRACTOR shall have a Provider page on its website that is accessible to Providers and the general public without any log-in requirements. The Provider page shall include all pertinent information prominently placed on the Provider page, including but not limited to, alerts of any changes to the CONTRACTOR’s coverage policies or procedures, a link to the Provider directory, the Provider manual, sample Provider agreements, updated newsletters and notifications, and information about how to contact the CONTRACTOR’s Provider services department. The CONTRACTOR must ensure its website is Americans with Disabilities Act Section 508 compliant and meets health equity requirements. The CONTRACTOR must have a mobile version of the MCO’s Provider website content. The CONTRACTOR must ensure that all Provider information is located on the MCO's website in a manner that Providers can easily find and navigate to and from the MCO’s home page. The CONTRACTOR shall have a secure Provider portal that includes the functionality to allow Providers to: Make inquiries, submit documentation, and receive responses from the CONTRACTOR regarding care for Members and payment, including electronic prior authorization request and approval, electronic claims submission and tracking, and electronic submission of Provider complaints; Access relevant Member information, including real-time eligibility and enrollment and claims and utilization history; and Access relevant Provider information, including the information provided on the public Provider page and Provider-specific information (e.g., Provider profiles, geographic regions where Providers are located, including satellite office locations). Upon implementation of MMIS-R, the CONTRACTOR shall integrate its Provider portal with HSD’s Unified Portal. The CONTRACTOR shall have policies and procedures in place to ensure the Provider public page and secure portal are updated regularly and contains accurate and up-to-date information.
