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10-6-10 Medicaid Webinar Agenda _ Notes

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AGENDA FOR 10-6-2010 GEORGIA MEDICAID UPDATE



9:50

10:00





10:05









10:50

Answers to todays questions and notes will be posted on the Medicaid page at www.hometownhealth.wikis

AGENDA FOR 10-6-2010 GEORGIA MEDICAID UPDATE



Webinar Etiquette & Tools Welcome Page

Welcome Donna Meeks





State Medicaid Update Kathy Whitmire, HomeTown Health CEO

Provider Enrollment Status

First Provider Tax Payment Due September 2010

MEDICAID Rate Increase - 11.1% Payment update

CASH - KEY TO CONSERVE CASH - NEED cash contingency plan to prepare for next 90 days

ICTF Program - Effort to pay Interim Payment by Dec 31, 2010





HP/EDS System Update on Nov. 1, Go Live Date - Mary Ann Barndt-Williams - HP

http://providerinfo.mmis.georgia.gov/providerprereadiness/home.aspx

EDI HELP DESK - 770-325-9590 OR 877-261-8785

PES Software will be available on Oct 1, 2010 -





POLL Question - Readiness POLL





Medicaid CMO Updates

Peach State Cindy Distephano / Deborah Martin - DEMARTIN@

http://www.pshpgeorgia.com/providers/

Amerigroup Jacinta Manning - jmannin@amerigroupcorp.com

https://providers.realsolutions.com/pages/home.aspx

Wellcare Dora Wilson - Dora.wilson@wellcare.com

http://georgia.wellcare.com/provider/resources





Banner Message on Medicare Part B Inpatient Claims

https://www.ghp.georgia.gov/wps/output/en_US/public/Provider/BannerMessages/!ACSBNR09152010_1_Medicare_Part_B_Inpatie





More about EHR Incentives under Medicaid - Difference between Medicare Incentive and Medicaid Inc

https://www.cms.gov/EHRIncentivePrograms/Downloads/EHRIncentProgtimeline508.pdf

https://www.cms.gov/MLNProducts/downloads/EHR_Final_Rule-Medicaid.pdf





Discussion Questions / Clarifications

wers to todays questions and notes will be posted on the Medicaid page at www.hometownhealth.wikispaces

MICROSOFT OFFICE 7 FREE OFFER - Register at www.hthu.net



Mark your Calendar for Medicare Webinar next week on 10/13/10

to get the latest on CAHABA and CONNOLLY RAC ACTIVITY



CHECK OUT HTHU.NET - Hospital PFS & Complaince Training & OPATH.NET - Physician Practice Training

Call Donna Meeks at 706-886-4541 for a Free Trial Promo code

CEO









- DEMARTIN@CENTENE.COM





roupcorp.com









e_Part_B_Inpatient_Claims.pdf





d Medicaid Incentive









th.wikispaces.com

HPP EDS CONVERSION DATA



HTH Fall Meeting - 11/09



Update from Mary Ann





6-Jan-10









Update from Mary Ann









3-Mar-10









31-Mar-10



From: Barndt-Williams, Mary Ann

5/10/2010 13:38







To: Barndt-Williams, Mary Ann

Subject: MMIS Communication

mary-ann.barndt-williams@hp.com









From: Barndt-Williams, Mary Ann [mailto:mary-ann.barndt-williams@hp.com]

Sent: Wednesday, July 21, 2010 3:12 PM

To: Barndt-Williams, Mary Ann

Subject: Medicaid Alert_Implementation Workshop Letter









Key implementation dates that may affect your daily operations

New billing requirements

New mailing addresses and contact information

New EDI requirements that need to be shared with your billing agents, software vendors a

How to submit and review various transactions on the new Web Portal including:

Claims

Prior Authorizations

Referrals

Provider Enrollment

New claims submission software 

Sessions will also provide an opportunity for you to meet your new HP Field Representativ





To register on line please go to the Provider Readiness Web Portal located at









If you have any questions regarding the Training and Implementation Workshops please c

GAworkshopregistration@hp.com.

Basic Conversion PPT with training dates in file



BETA Testing:

DCH has a number of hospitals on the list as interested in BETA testing, however if there are others, as I

mentioned during the Callaway meeting, let me know and these will be added to the list. At this time, DCH has

not finalized the list.



Web Portal:

HP Web Portal will be available as soon as conversion from ACS has been completed. We are currently

converting data to reduce the length of time the final conversion will take. We anticipate the web portal being

available for claim submission on July 1, 2010. Other methods of claim submission will be available to the

provider community between June 25, 2010 when the ACS website for claim submission is turned off and July 1,

2010 when the HP website will be available. Providers using their own software, clearinghouses, vendors,

etc. will see no disruption in service and can begin submitting electronic claims June 26, 2010 which will be

processed in the July 2, 2010 payment cycle.



HIPAA 5010 Standards:

HP will conduct provider workshops on 5010 standards between October, 2010 - December, 2010.



On January, 2011, HP will accept both the new 5010 format and the current format for all claims, Institutional,

Professional, Dental and crossovers, as well as HIPAA transactions for eligibility and claims. HP will continue

accepting either format between January 1, 2011 and December 31, 2011.







Spoke with Mary-Ann Barndt-Williams to discuss status of HP conversion/implementation and she said everything

seems to be on track; however, none of the providers have received the first communication regarding the

training scheduled to begin April 1,2010. She said that they are waiting on approval from DCH to mail the

introduction letter with invitations to the training events. None of the training events have been scheduled in the

field to date.



In addition, she also informed us that in order for them to provide more than one field rep for all the hospitals in

the state, that the hospitals would need to make a formal request to DCH for them to add additional staff for the

conversion. It is vital that more than one person be on the HP/Medicaid staff to work through all the conversion

issues! Not sure who we should instruct the hospitals to make the request to. Should it be Jerry Dubberly since

he is Medicaid Director?



WINASAP Proprietary software will need to be changed to PES



Providers will be able to upload attachments via the HP web portal / waiving opriginal signature requirement



HP/EDS Implementation extension (Go-Live Date Unknown



Dear Association,



The Georgia Department of Community Health (DCH) and HP Enterprise Services, formerly EDS, are

collaboratively designing a new Medicaid Management Information System (MMIS) to begin processing Medicaid

Fee-for-Service (FFS) claims for the state of Georgia.

DCH and HP have mutually agreed to change the go-live date to accommodate additional time for system

testing. The new go-live date for the MMIS is November 1, 2010.



In the coming weeks, expect to receive invitations from HP to attend transition workshops on the new MMIS

application. Registration for the workshops will be e-mailed, mailed and available on the HP readiness Web site:

http://providerinfo.mmis.georgia.gov/providerprereadiness/home.aspx.



If you require immediate assistance or have general comments or questions about the transition, feel free to

contact us via the ‘Contact Us’ link on the Web site or send an e-mail to GAWorkshopregistration@hp.com. HP

will respond directly to all inquiries. We look forward to working along side you in the coming months as we

continue our transition from the current fiscal agent to HP.



ary Ann [mailto:mary-ann.barndt-williams@hp.com]

, 2010 3:12 PM



mplementation Workshop Letter



Dear Georgia Medicaid Provider:

The Georgia Department of Community Health (DCH) has contracted with HP Enterprise Services (HP) to serve

as the new Medicaid fiscal agent to begin November 1, 2010. During the period prior to the changeover, DCH will

be transitioning functionality from the ACS website/system to HP’s website/system.

You are invited to participate in one of the Training and Implementation Workshops scheduled August 2010

through October 2010 to learn about critical transition information and preview the new Georgia Health

Partnership Web Portal and billing software.

Providers are urged to bring or send their practice managers, billing staff, office administrators and front office

staff to at least one of these workshops.

In order to ensure all Georgia Medicaid providers can attend at least one workshop, sessions will be held at

various locations throughout the state of Georgia. Workshops will provide important information you will need to

know in order to be prepared for the November 1, 2010 transition. This information includes the following:

Changes in Fiscal Agent Responsibilities

Key implementation dates that may affect your daily operations

New billing requirements

New mailing addresses and contact information

New EDI requirements that need to be shared with your billing agents, software vendors and trading partners

How to submit and review various transactions on the new Web Portal including:

Claims

Prior Authorizations

Referrals

Provider Enrollment

New claims submission software 

Sessions will also provide an opportunity for you to meet your new HP Field Representatives.

Attendees must individually register to reserve a seat. Registration can be completed online or via United States

Postal Service (USPS).

To register on line please go to the Provider Readiness Web Portal located at

http://providerinfo.mmis.georgia.gov/providerprereadiness/home.aspx select the workshop registration link. Upon

receipt of your registration, a confirmation notice will be sent via email to the address provided on the registration.

To register via USPS return the registration form enclosed.



If you have any questions regarding the Training and Implementation Workshops please contact HP via email at

GAworkshopregistration@hp.com.

Please monitor future communications for related information posted at

http://providerinfo.mmis.georgia.gov/providerprereadiness/home.aspx.

adams, allison allison.adams@tycobbhealthcare...

adams, glenda gsadams@burkemedical.net

Alderman, Joyce aldermanj@appling-hospital.org...

ALLEN, CINDY callen@dorminymedical.org

Amdur, Laurie laurie.amdur@lpnt.net

Anders, Martha manders@emanuelmedical.org

atwell, nick nick.atwell@hma.com

Atwell, Pauline patwell@burkemedical.net

Austin, Carl carl.austin@tycobbhealthcare.c...

Barrett, Patricia pbarrett@archbold.org

Best, Hari haribestloch@aol.com

Boswell, Jeff bosweje@effinghamhospital.org

bradshaw, brenda bbradshaw@smithhospital.com

Brady, Donna donna.brady@sunlinkhealth.com

brantley, jodi brantjo@effinghamhealth.org

Breningstall, Alison abreningstall@libertyregional....

Bright, Michelle michelle.bright@wellstar.org

Brinson, Nichole nbrinson@pineland.net

Brogdon, Diane dianeb@berrienhospital.com

Buchanan, Wayne wbuchanan@urmc.org

Busbee, Lara l.busbee@flintriverhospital.co...

CANTRELL, DEBRA dcantrell@tattnallhospital.com...

Cheramie, Lynn lcheramie@bjcmc.org

CHILES, YASHICA ychiles@tattnallhospital.com

Clark, Karen kclark@burkemedical.net

Claxton, Wanda wclaxton@smithhospital.com

COBB, VICKIE vcobb1961@yahoo.com

Coker, Tilda tcoker@armc.org

cooper, prissilla coopepr@effinghamhospital.org

Cooper, Robbie robbie.cooper@hma.com

Davis, Barbara bdavis@willsmemorialhospital.c...

devoe, joann jdevoe@tattnallhospital.com

Distefano, Cindy cdistefano@centene.com

Downie, Teresa downiet@appling-hospital.org

Dykes, Tina tdykes@bleckleymemorial.com

Flanders, Susan susan.flanders@sunlinkhealth.c...

Fleming, Sandra sandra.fleming@tycobbhealthcar...

folds, jimmy jimmy.folds@sunlinkhealth.com

Ford, Andreia asford@archbold.org

fowler, Lynan lpfwch@hotmail.com

garrett, shelia sheliagarrett@uniongeneral.org...

gassett, sonia sgassett@urmc.org

Gibbons, Rebecca gibbore@effinghamhoslpital.org...

Gray, Becky rgray@tanner.org

gray, daphene dgray@tanner.org

Greenway, Sandra sgreenway@evansmemorial.org

Gregory, Carolyn gregoca1@memorialhealth.com

Griffin, Barbara bgriffin@burkemedical.net

GRIFFIS, LYNNE griffisl@appling-hospital.org

Guinn, Brenda bguinn@hhcs.org

Guthrie, Bonnie bguthrie@smithhospital.com

HALL, DIANE dhall@burkemedical.net

Hall, Gina ghall@tanner.org

Hamrick, Jan jhamrick@bleckleymemorial.com

harper, pat pat.harper@tycobbhealthcare.co...

Hartsfield, Sharon shartsfield@archbold.org

HERNDON, LYNN lynn.herndon@tycobbhealtcare.c...

Hester, Tonya hesteto@effinghamhospital.org

Jarrett, Brenda bjarrett@putnamgeneral.com

Jenkins, Lisa lisa.jenkins@lpnt.net

jenks, sandy skjenks@bellsouth.net

Johnson, Carole bjohnson@millercountyhospital....

JONES, BRENDA bjones@emanuelmedical.org

Kelly, Kim kellyli@effinghamhospital.org

King, Kelly kelly.king@sunlinkhealth.com

Kirkham, Sally sally.kirkham@sunlinkhealth.co...

Lee, Marcia mlee@putnamgeneral.com

Mansour, Judie jmansour@tattnallhospital.com

marshall, anne anne.marshall@hacc-ga.com

Martin, Darlene dmartin@tattnallhospital.com

McCallum, Ed ed.mccallum@hma.com

McGreger, Debbie debbie.mcgreger@sunlinkhealth....

McNair, Alicia amcnair@tanner.org

Meeler, Jennifer jenniferm@berrienhospital.com

Miller, Julia jcmiller@archbold.org

Mitchell, Lynn l.mitchell@flintriverhospital....

MULLIS, MARY ANN mmmullis2002@yahoo.com

OGILVIE, STACI sogilvie@jdhosp.org

Owens, Charles cowens@dch.ga.gov

Petty, Melody melody.petty@warmspringsmc.org...

PRESSBURG, CINDI cpressburg@tattnallhospital.co...

Prosser, Barbara prossba@effinghamhospital.org

PULLEN, JULIE jpullen@tanner.org

Quinn, Kim quinnk@appling-hospital.org

ROBERTS, DIANA diana.roberts@lpnt.net

robinson, renee renee.robinson@piedmont.org

Rood, Wilma roodwil@effinghamhospital.org

Royal, George groyal@tanner.org

Runions, Lisa lrunions@mrhs.com

Schuster, Sheena sheena.schuster@warmspringsmc....

Shaw, Crissa crissaw@millercountyhospital.c...

Shore, Ann ashore@tanner.org

SIRMANS, JANE jane.sirmans@sgmc.org

smith, christine csmith@shpllc.com

SNYDER, WENDY wendy.snyder@hma.com

Spelas, Marina mspelas@libertyregional.org

Spoto, Elizabeth spotoea@att.net

Steele, Alec asteele@dch.ga.gov

Stephens, Tasha tstephens@mrmc.org

Taylor, Sandy sandy.taylor@taylorregional.or...

Theobald, Rebecca rtheobald@archbold.org

Thomas, Barbara bthomas@tanner.org

Thomas, Sherry thomash3@memorialhealth.com

TRUETT, TINA ttruett@tanner.org

Truitt, Keela ktruitt@tanner.org

Turner, Frances kkeeny@archbold.org

Turner, Jenny jturner@archbold.org

val, james james.val@acs-inc.com

Vice, Ashantia ashantia.vice@piedmont.org

Walls, Stacy swalls@crispregional.org

Waters, Amber wateram@effinghamhospital.org

Welch, Rachel rwelch@quantumhs.net

williams, helen williamsh@ppmatl.com

Williams, Marlene mbwilliams@archbold.org

Williams, Rosemary rosemary@smithhospital.com

Worthy, Cathi cworthy@millercountyhospital.c...

Wright, Tana tana.wright@sunlinkhealth.com

Young, Cheryl cyoung@tattnallhospital.com

YOUNG, DEBRA dyoung@urmc.org

Zilka, Dina dina.zilka@lpnt.net

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