The payers listed below are implementing system conversion changes. The clearinghouse is currently working to obtain transition details and will send additional notifications as soon as they are available.
•CPID 4489 Alaska Medicaid
•CPID 5524 Alaska Medicaid
Providers must be aware of the following:
•The payer is moving from the existing legacy Medicaid Management Information System (MMIS) claims processing system to the new processing system called Alaska Medicaid Health Enterprise, also referred to as Health Enterprise, effective October 1, 2013.
•Providers already approved to submit transactions through the clearinghouse do not need to complete a new agreement for claims or electronic remittance advice (ERA). However, currently enrolled providers must complete a re-enrollment application using the payer’s online Provider Enrollment Portal (PEP).
•Provider re-enrollment applications must be approved in advance of October 1 in order to submit electronic claims and receive ERA through the new system.
•Beginning September 1, 2013, approved re-enrolled providers will receive letters containing their new MMIS login credentials from the payer.
•If providers do not have an approved re-enrollment application, claims submitted for service dates on or after October 1, 2013 will deny.
•For questions regarding provider re-enrollment, please contact Alaska Medicaid’s re-enrollment staff at 907-644-5993 or in-state, toll-free at 888-944-6877.
•New providers need to complete a new agreement. To access the claim and remittance agreement forms, please visit our website at http://www.collaborationcompass.com
, click Payer, and Payer Agreements Library.
•9/3/2013 Last day for submission of adjustments to claims and prior authorizations
•9/10/2013 Last day for submission of paper claims
•9/16/2013 Last day for submission of electronic claims
•Claims must be submitted to the clearinghouse no later than 3:00 PM CT on 9/16/2013 to meet the payer’s cutoff time
•9/17/2013 Last financial cycle in legacy system for claims received by 9/16/2013 cutoff; claims not paid will be denied
•10/1/2013 First day for submission to Health Enterprise
•For electronic claims from: 3:00PM CT on 9/16/2013 through 10/1/2013
•For electronic remittance from 9/17/2013 through 10/8/2013
Action Required: None at this time, however, providers should be aware of the transition and watch for future notifications regarding this transition.
If you have any questions, please contact Client Services at 1-888-348-8457, option 2.