Missouri Network Management Systems Agreement
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How to fill out Network Management Systems Agreement?
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FAQ
Network adequacy standards specify that at least 90% of enrollees in each county should have access to at least 1 in-network hospital within the travel distance standard.
The claim must meet the MO HealthNet timely filing requirement by being filed by the provider and received by the state agency within twelve (12) months from the date of service. 2.
All paper Health Net Invoice forms and supporting information must be submitted to: Email: CalAIM_CS_invoicesubmission@centene.com. Address: Health Net ? Cal AIM Invoice. PO Box 10439. Van Nuys, CA 91410-0439. Fax: (833) 386-1043. Web Portal.
If a claim is not submitted within 60 calendar days, or the requested information is not returned to Health Net within 60 calendar days, the claim will be denied.
Effective January 1, 2020, providers will only be able to submit the new MBI number with all claims that are submitted to MO HealthNet. Please inform participants of the following, if they ask: New cards protect their identity by removing social security numbers. New cards have a unique number that is unique to them.
Providers may submit claims via the Internet. The web site address is .emomed.com. Providers are required to complete the on-line Application for MO HealthNet Internet Access Account. Please reference and click on the Apply for Electronic/Internet System Access link.
Call the provider and ask them to bill MO HealthNet. If the provider still bills you, send the bill or a copy of the bill to the Participant Services Unit, P.O. Box 3535, Jefferson City, MO 65102. Include a note with the patient name and MO HealthNet number.
MMAC is responsible for administering and managing Medicaid (Title XIX) audit and compliance initiatives and managing and administering provider enrollment contracts under the Medicaid program.