Sunday, July 14, 2024, 1:28 PM
Site: Healthy Connections Medicaid E-Learning
Course: Learning Resources (Learning Resources)
Glossary: Frequently Asked Questions

How far back can you bill?

Within 12 months

How far back can you file a void?

15 - 18 months

How long do I have to complete the provider revalidation process?

You have 30 days from the date on the revalidation notification letter to complete and submit your provider revalidation application in its entirety with all current information. Revalidation FAQs PDF

How long do you have to request a hearing for an appeal?

You have 30 days to request a hearing.

How long does it take to process an adjustment?

It takes approximately 30-45 days to process an adjustment - the same as a normal claim in process.

How long does the enrollment process take?

Enrollment applications will be processed within thirty (30) business days from the date of receipt. The thirty (30) business day timeframe may be exceeded for enrollment applications that require: additional information, a site visit, a contractual agreement, or are submitted with sanction information.

How long will a Web Tool claim stay out as a draft?

Three months.

How long will it take me to complete the provider revalidation application?

Each provider type is different. Your provider type and your preparation before beginning the application will factor into the time it takes you to complete the provider revalidation application. The process will take a minimum of 30 minutes, but it may take several hours. Revalidation FAQs PDF

How often are provider manuals updated?

Provider manuals are usually updated monthly based on program area.

How soon does information show up in Web Tool’s Status?

After payments process