Nov 14, 2022 | Blog, News
For those of you who are frustrated, confused, or otherwise not happy with Medicaid’s online provider system, this may be of interest:
Gainwell Technologies would like to invite you to join our Provider Management Module (PMM) Master Class webinar on Tuesday, November 29th, from 11:00 AM – 12:30 PM EST. This webinar is intended for all providers and staff that interact with PMM for enrollment and data maintenance in the Vermont Medicaid provider network. During this time, we will cover a multitude of topics from starting a new application, to revalidation, to navigating the Provider Portal, and everything in between.
To register for this event, please go to https://attendee.gotowebinar.com/register/1867029445044870926. Participation is limited, so sign up early!
For more information on this event or future events hosted by Gainwell Technologies and the Department of Vermont Health Access, please reach out to your Provider Relations Representative at 800-925-1706.
Sep 12, 2022 | News
For dates of service on or after August 1, 2022, providers who have been certified as Preferred Providers by the Division of Substance Use Programs (DSU) will receive a rate increase for specific codes. To find out if a provider is certified by DSU, visit https://www.healthvermont.gov/alcohol-drug-abuse/how-get-help/find-treatment. To find out which codes are eligible and updated rates, visit: https://www.healthvermont.gov/sites/default/files/documents/pdf/ADAPMedicaidRateSheet.pdf.
Aug 3, 2022 | Insurance & Reimbursement
The federal Consolidated Appropriations Act requires that health plans and insurers verify the demographic information for providers every 90 days. BCBSVT has been sending emails requesting this update/verification to providers this year; you may get similar requests from MVP, Cigna, or other health insurers–IT IS NOT SPAM.
If you are on the BCBSVT panel, you will get an email at the email address you gave BCBSVT at enrollment (or updated email address), and the email will be from noreply@bcbsvt.com. Please check your spam/junk folder for these previous emails and designate that email address as legitimate or “not junk,” depending on your email service.
The email will contain a link to your practice information/provider(s) which will allow you to accept or change the reported data.
For questions about the process or any technical difficulties you have updating or approving your information, you can contact BCBSVT Provider Relations by email at providerrelations@bcbsvt.com or phone them at (888) 449-0443, option 1.
If you have questions about the details related to your information, you will need to contact Provider Files either by email at providerfiles@bcbsvt.com or phone them at (888) 449-0443, option 2.
If you don’t respond to the requests for updated information, you can be removed from the provider directory, and the IRS, HHS, and in some cases your patients can enforce these requirements (usually with a hefty monetary fine).
Jul 5, 2022 | News
In 2020, Congress designated the new 988 dialing code to be operated through existing National Suicide Prevention Lifeline. This provides a universal entry point so that no matter where you live, you can reach a trained crisis counselor who can help. This is a step towards a transformed crisis care system in America.
What does this mean? On July 16, 2022, Vermont will join the rest of The United States in launching 988, the new three-digit number for the National Suicide Prevention Lifeline. This service will provide compassionate, accessible care and supports for anyone experiencing mental health related distress. Access is available 24 hours, seven days a week.
Source: United Counseling Service
Mar 23, 2022 | Insurance & Reimbursement
Providers submitting reconsideration requests to Gainwell Technologies should use the new form that is now located on the Vermont Medicaid website (http://www.vtmedicaid.com/#/forms). This form is to be used for non-timely filing reconsideration requests only; there is a separate form for timely filing reconsideration requests. Effective 4/25/2022, old versions of the Reconsideration Request Form will no longer be accepted and will be returned to the provider.
