Saturday, September 23, 2017       
     
 
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  REVISED Outpatient Treatment Report (OTR) Forms  

Purple.jpgThese revised OTR forms are now in use! Please update immediately because after April 30, 2012, only these revised OTR forms will be accepted.

All Maryland providers: Please continue to use your mandated State of Maryland Uniform Treatment Plan Form to request outpatient authorizations. The new standard OTR does NOT replace any mandated form (e.g. Maryland) or specialized OTR forms (KY CMHC OTR, Autism OTR, PA Substance Abuse OTR).

  • Standard OTR Form

  • Pennsylvania Substance Abuse OTR Form

  • CoventryCares of Kentucky OTR Form [This form is for KY CMHC providers only. KY non-CMHC providers: please use the Standard OTR Form.]

  • Autism OTR Form

    For additional information including an OTR instructional tool, click here.


    Any questions? Please call Provider Relations at our new direct, toll-free Provider Relations number: 855.995.4086.

  •   Billing Information  

    green.jpgBilling information is available here.  You will find forms for filing, instructions on filing, and contact information.

    Bill Coding information: click here to review.

      Claims System Updated  

    purple.jpgMHNet migrated to our new claims processing system as of 29 August 2011. The first check run on the new system occurred during the week of 6 September. Additional information related to claims and the conversion are available by clicking on the following:

  • Timely Filing and Conversion Update

  • Network Provider Communication

    If you have additional questions not addressed by this communiqué, please contact your MHNet Provider Relations Representative or our Claims Department: 866.992.5246.
  •   FHP Transition  

    orange.jpgEffective July 1, 2012: MHNet is pleased to be the new partner managing the behavioral health benefits for the former Children’s Mercy Family Health Partners (FHP) members who are transitioning to Coventry of Missouri, Inc.

    Transition Letter

    Provider

      General Information  

    Green.jpgMHNet believes that the best way to ensure enrollees are provided with the highest quality of care is to foster a collaborative relationship with providers.  Our company was founded and is managed by clinicians, so we understand how to meet the needs of providers without being intrusive.  In order to better meet your needs, we have provided information and resources about our company. 

    (Primary Care Physicians please click here for specifically tailored information.)

      Our Network  

    Orange.jpgFor information on joining our network as well as information on our standards, policies and philosophy, please click here.

      Attention Providers: Important NPI information  

    Cyan.jpgProviders: Don't forget that you must submit your NPI number to MHNet to ensure the continued prompt payment of claims.  For more information on NPI numbers, click here.

      Provider Resources  

    Cyan.jpgResources to help Providers expedite the process of working with MHNet are available here.

      Mental Health Parity 2010  

    orange.jpgAs you may be aware, on February 2, 2010, the Departments of Health and Human Services, Labor, and the Treasury jointly issued interim final regulations on the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008. MHNet have been working with its customers to change Behavioral Health benefit requirements to bring them into compliance with these regulations.

    Effective July 1, 2010, MHNet is pleased to announce several positive changes. Please click here for these updates.

    Continue to check here for updated information.

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