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Advancing Healthcare Improving Health
Advancing Healthcare Improving Health
How to Register for the Qualis Health Provider Portal for Wyoming - - PowerPoint PPT Presentation
How to Register for the Qualis Health Provider Portal for Wyoming - - PowerPoint PPT Presentation
How to Register for the Qualis Health Provider Portal for Wyoming Medicaid Teresa Kirn, RN Manager, Care Management Department Sept 18, 2017 Advancing Healthcare Improving Health One of the nations leading healthcare consulting
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Qualis Health
- A private nonprofit organization
established in 1974
- Corporate Office located in
Seattle, Washington with regional
- ffices in Alabama, Alaska,
District of Columbia, Idaho, Kansas, and New Mexico
- Have provided care management
to Medicaid and Private contracts since 1984
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What We Do
- Contract with Wyoming Medicaid to review for select
- utpatient services:
– Durable Medical Equipment (DME), – Home Health Services (HHS) and soon to add Physical Therapy (PT), – Occupational Therapy (OT) and Speech Therapy (ST) and Behavioral Health visits.
- We will use InterQual and organizational policies to conduct
- ur review
- Offer telephonic provider education
- Provider review support resource accessibility on our webpage
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What We Don’t Do
We do not receive financial incentives to deny or limit services
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Objectives
- How to register for the Qualis Health Provider
Portal (QHPP)
- Review upcoming training sessions specifically
for Therapies (PT, OT and ST) and Outpatient Behavioral Health on how to submit a request.
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How to Get Started
- Go to http:www.qualishealth.org
- At top of the page hover over
‘Healthcare Professionals’ and choose ‘Wyoming Medicaid’
- Left side navigational panel: select
‘Provider Resources’
- Scroll to middle of ‘Provider Resources’ page to
download the registration packet
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What to return to Qualis Health
- Executive Agreement
- Provider Portal Administration Agreement
- Provider Portal Administration Registration Form
After Qualis Health processes your registration packet, you will receive an email with your QHPP access information.
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Where to Send your Packet
Submit via:
- Email: jorgw@qualishealth.org and
teresak@qualishealth.org
- r
- Fax: 206-288-2356 (1-877-523-1148)
- r
- Mail: Qualis Health
Attn: WY Medicaid PO Box 33400 Seattle, WA 98133
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To Launch the QHPP
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Lost Password
- Qualis Health Provider Portal enables users to reset their user password
by answering a predefined password reset question. This password reset question is created in Edit My Profile. If you have not created a password reset question and answer in your Profile page, you will not be able to generate a new password yourself.
- In this case, you will need to ask your Provider Portal Administrator
to reset your password for you.
- If you are the Provider Portal Administrator and you need your password
reset, please email Qualis Health: jorgw@qualishealth.org and teresak@qualishealth.org.
- In the case of lost password or to reset your password, in the Qualis
Health Provider Login screen, click the Forgot Password link. This displays the Login Details screen.
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QHPP User Guide
- The Qualis Health Provider Portal user guide is
located on our home page just below the download
- f the registration packet.
(http://www.qualishealth.org/sites/default/files/WY-Medicaid-QHPP-User-Guide.pdf)
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Qualis Health Website Wyoming Medicaid Provider Resources
- www.qualishealth.org
- Click on Healthcare Professionals (top of page)
- Select Wyoming Medicaid
http://www.qualishealth.org/healthcare-professionals/wyoming-medicaid
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Training WebEx Schedule
Date Time (MST) Training Topic 9/18/2017 11am-12pm How to register for the QHPP 10/3/2017 10-11am Provider Review Request for Therapy (PT,OT & ST) 10/5/2017 10-11am Provider Review Request for Behavioral Health 10/10/2017 2-3pm Provider Review Request for Therapy (PT,OT & ST - repeat of 10/3/17 morning session) 10/12/2017 2-3pm Provider Review Request for Behavioral Health (repeat of 10/5/17 morning session) 11/2/2017 1-2pm Question and Answer session after 11/1/2017 go live
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Qualis Health Contact Information
Qualis Health
Phone: (800) 783-8606 Fax: (877) 810-9255 Teresa Kirn RN Manager, Clinical Care Management (208) 383-5960 teresak@qualishealth.org Deon Westmorland RN BSN CCM Director, Wyoming Medicaid Services (206) 288-2347 deonw@qualishealth.org
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Qualis Health Contact Information
Utilization Review
- Toll-free Phone
(800) 783-8606
- Toll-free Fax
(877) 810-9265 Utilization Review Hours
- 8:30am to 7:00pm MST
- Monday through Friday
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