Effective October 1, 2015, Cenpatico will no longer require pre-authorization for at least 14 consecutive days for acute treatment and stabilization services (ASAM Levels 4, 3.7 & 3.5).
Cenpatico is pleased to offer two, topic-specific webinar series: (1) Web Claims Training; and (2) Web Authorizations Training on the secure web portal for all Cenpatico providers. In addition to basic portal navigation, the training will include how to access ICD-10-related information. Webinar topics will include, but not limited to:
• Web Claims – Submission (including secondary claims), Tracking & Correction
• Web Authorizations – Submission, Tracking, & Viewing Processed Authorizations
Please review the document below for more information and instructions on our online webinar registration:
Cenpatico recently notified you of a requirement to submit the Rendering Provider in Box 24J on a CMS-1500 claim form. The notification also requested provider rosters.
Cenpatico has made a decision to revert back to billing requirements prior to the requested Sept. 1, 2015 changes. This was a result of additional research, as well as, input and questions received from our provider community.
Effective immediately, YOU ARE NOT REQUIRED to submit the Rendering Provider NPI in Box 24J on a CMS-1500 claim form. You should submit claims as you were prior to September 1, 2015.
As of January 1, 2016 , All Home Health Services for Physical, Occupational and Speech Therapy for Celticare Health members will be authorized through Cenpatico Specialty Therapy and Rehab Services. Providers will continue to get the first 6 visits (1 evaluation and up to 5 treatments) by providing notification. All subsequent requests for additional visits require prior authorization and will be approved per medical necessity.
Cenpatico is pleased to announce the Secure Provider Portal web authorization submissions will be enhanced in order to streamline the web authorization process. The enhancement is tentatively effective August 21, 2015. This new functionality supports web authorization submissions via mobile devices. Cenpatico will be offering dedicated webinar training for this new functionality. Please review below for detailed information on training offerings, as well as documentation outlining these changes and visit the Provider Portal Resources page to review the Enhanced Web Authorization Workflow. To access the Provider Portal Resources page, click Provider Tools > Provider Portal Resources.
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.