Provider Non-Homecare Portal Training. January 4, 2018
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1 Provider Non-Homecare Portal Training January 4, 2018
2 Overall Objectives for NHP Defining the NHP How to Access/Navigate the Portal Log in and Access Supporting Materials Portal (Home) Pending Placements Authorization Message Center Member Search 1
3 HHAX PA CHC Provider Information Center 2
4 HHAeXchange: At a Glance A Web-based system to help Providers effectively interact with MCOs Member Management Communication With MCOs Visit Entry EVV Manual EDI Billing 3
5 Requesting HHAeXchange User Access New User: to Send: Agency Tax ID, Agency Legal Name, User s First Name, Last Name, and unique Address Requestor Receives: Confirmation, HHAX Username(s) New User Receives: with Temporary Password Changing Temporary Passwords Deactivate User: to PAsupport@hhaexchange.com Send: User s Username, First Name, Last Name, Address, and Date to deactivate Username 4
6 What is the Non-Homecare Portal? Designed to accommodate Providers who offer services outside the homecare sphere MCOs issue Case Authorizations to Non-Homecare Providers Provider accepts the Case and logs Services for payment Member requests installation of (home) ramps to the MCO The MCO processes the installation request and issues a Case Authorization to the Provider Provider accepts the Case Authorization and logs associated Service records for payment 5
7 Access and Login Open browser to access HHAeXchange: Login with provided credentials First time users are required to accept terms and conditions as system prompts. 6
8 Home (The Portal) 7
9 Pending Cases The Pending Cases section contains any Case Authorizations issued by an MCO to the Provider for consideration and possible acceptance. Each one has an associated expiration time. To view a pending case, click the eye icon to the right of the pending case summary. 8
10 Pending Cases The Pending Case window contains case details such as Placement Sent Date and Cut-Off Time, Member Information, Service Location Code, and the Service Authorization summary. 9
11 Case Placement Accepting or Declining a Case Accepting a Service Case Accepted Cases move into the Recent Authorizations section (covered in the next section). Declining a Service Case The system prompts a User to select a decline reason from the options provided. MCO receives notification and the Case Authorization is then moved back to the MCO for placement with another Provider. 10
12 Recent Authorizations Accepted Cases move from Pending Cases to Recent Authorizations. The top 5 Recent Authorizations are displayed on the Homepage. 11
13 Authorizations Page All Case Authorizations are displayed on this page. Search for Authorizations on the Portal using the available search filters. View a specific Authorization by clicking the eye icon. 12
14 Authorizations Page Viewing a Case The details page provides Member Information and Authorization parameters. To add a Service to a case, click the Add Service button. 13
15 Authorizations Page Adding a Service Use the Authorization parameters as guidance when invoicing. Specify the invoice details: Date of Service, number of Units, the Dollar Amount, and a brief Description. 14
16 Authorizations Page Adding a Service The Authorization details recalculate as services (invoices) are added. The added service appears in green indicating that the invoice is within Authorization. 1 of the 3 Units are used. Click the Add Service button to add other invoices. 15
17 Authorizations Page Additional Invoices Authorized vs. Not Authorized Top two invoices are within Authorization (green) Third invoice (pink) exceeds the authorized Units (3) and Auth Limit ($1,500). Users may choose to edit or delete pending Invoices to make adjustments. 16
18 Message Center Communication hub between Provider and MCO Unread Remain on the Home screen pending attention. Once read, it moves to the Read box. Notes are read-only; User cannot reply or forward. Sent Record of Sent messages using the NHP Users can send a Note from the Sent box Read Record of messages received and read. 17
19 Message Center Reading a Received Note Received Note From the Unread box, click on the message to access. The Note Detail window opens indicating the Sender, the Member (if applicable), the Subject, and Note (content). Click the Close button or X on the top-right corner to close the window. Notes are read-only. 18
20 Message Center Sending a Note New Note Click the New Note button. Complete applicable fields and click the Send button. 19
21 Member Search Locate a Member in the System Use the search filters and click the Search button to generate results. Search by Member s Last Name, First Name, Member ID, or MCO 20
22 Billing - Summary View Billing Summary Use the search filters to view Billing Summary Information. 21
23 Billing - Details View Billing Details View Billing Details by Service Date for a Member 22
24 System Demo of Non Homecare Portal 23
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