Please note the following changes were made to the CMS 1500 online claim screen in the Cenpatico Secure Provider Portal effective May 15th, 2015. These changes will align and assist with the 10/01/15, implementation of ICD-10 and ensure compliance with claims submissions. Please review the document below for more details.
Cenpatico is pleased to announce web-based training sessions on the secure web portal functionality for all Cenpatico providers. In addition to basic web navigation training, there will be an overview of the following topics:
Member Eligibility Verification
Claims Submission – Tracking & Correction
Authorization Request Submission & Review
Please review the document below for more information and instructions on our new online webinar registration:
Effective February 1, 2015, CeltiCare Health will no longer be offering Commonwealth Care health insurance coverage. The State of Massachusetts has discontinued this line of health insurance; and on January 31, 2015, all members enrolled in CeltiCare Health’s Commonwealth Care plan will have their coverage terminated.
Effective January 1, 2014, Cenpatico Behavioral Health, LLC, (Cenpatico) has expanded our services to manage the behavioral health benefits, authorization processes, utilization management and claims payment for MassHealth CarePlus members enrolled with CeltiCare Health Plan of Massachusetts, Inc. It is the goal of Cenpatico to continue to partner with local providers to make the transition as efficient as possible.
Cenpatico has adopted a “transition period” beginning on the date of each member’s eligibility for up to 30 days after. What this means is that you can continue providing covered behavioral health services, for up to 30 days, to any CeltiCare Health member already in your care prior to their effective date with CeltiCare, regardless of your participation status in Cenpatico’s Massachusetts provider network. Click below for frequently asked questions:
Cenpatico is committed to compliance with the Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008 and the Interim Final Rule and subsequent Final Ruling. Please click below for more information.
Great News! Effective November 1st, 2013, Cenpatico will be launching a NEW Provider Portal with important time saving features. New users can create an account now and existing users can migrate their existing account on 10/7/2013 at http://provider.cenpatico.com For information regarding training sessions and instructional guides on account creation please visit our new Provider Portal Resources page under the Provider Tools menu below.