Cenpatico is pleased to offer web claims training webinars on the secure web portal for all Cenpatico providers. In addition to basic Claims tabs navigation, web claim submission and follow-up, the training will include claims-related ICD-10 information. Webinar topics will include, but not limited to:
Centene Corporation and Cenpatico are dedicated to conducting business in an ethical and legal manner. As a key partner, it is critical that you understand that we are committed to preventing, detecting and responding to fraud, wrongdoing or any type of misconduct. If you ever have any concerns or are ever asked by anyone, including a Cenpatico employee, to engage in any behavior that you believe is wrong, unethical or illegal, please immediately contact Centene or Cenpatico at the numbers in the attached document.
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.
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.
The National Uniform Claim Committee (NUCC) has approved the conversion to the 02/12 version of the CMS 1500 form. This change is being made to accommodate the additional reporting needs related to the implementation of ICD-10.
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.