eprep for fqhcs fqhc...electronic provider revalidation and enrollment portal (eprep) at: agenda. 2...

ePREP for FQHCs

3/30/2018

Welcome

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Please access the Electronic Provider Revalidation and Enrollment Portal (ePREP) at:

https://eprep.health.maryland.gov/

Agenda

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1. Overview of ePREP Features and Terminology

2. Managing Accounts

3. Application Walkthrough

4. Work session and Application Submission

ePREP Terminology – Profiles, Roles, and Accounts

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• User Profile: Your individual username, used to log in to ePREP.

• Business Profile: A centralized environment that houses your enrolled Medicaid provider accounts and applications. A user may have access to one or more business profiles.

• Account: ePREP record for an enrolled provider, associated with a single NPI, provider type, practice location, and provider Medicaid (MA) number.

• Linking: Connecting your Business Profile to an existing account so that you can view and manage it.

ePREP Terminology

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Application Types

• New Group: Application to enroll a new practice location with at least one affiliated rendering provider – A.K.A. “Uncollapsing.”

• New Rendering: An application to enroll an individual practitioner, new to Medicaid, to be affiliated with one of your group locations.

• Rendering-S: A simplified application to affiliate a group with a rendering provider, both of whom are already enrolled in Medicaid.

• Supplemental: A change in a provider’s account information or required documenting, such as correspondence address or an updated professional license.

ePREP Terminology

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Application Types

• Revalidation

Application to renew your Medicaid enrollment every 5 years (both FQHC and rendering providers).

Scheduled automatically in ePREP when they are due. You may only submit a reval when you receive a notification that it is time to do so.

You will receive a printed reval notification in the mail for your initial notification. After your ePREP account is set up, you will receive electronic reval notifications.

First things first: let’s start by Signing Up

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https://eprep.health.maryland.gov/

Select the hyperlink sent to your email to continue

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You will start by setting up your Business Profile and entering a corresponding NPI

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Verify NPI to Link Account to Business Profile

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Go ahead and set up a User Profile and Business Profile, (or log in if you already have a profile set up).

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ePREP Overview

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This is your User Profile

This is your Business Profile

Messages Notifications

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Applications

Your list of submitted and in progress apps.

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Use this option to add a rendering provider to your practice location - Either a New Rendering or Rendering-S

Use this option to create a New Group application for a new (or previously enrolled FQHC location (Uncollapse).

Use this option to start a Supplemental application to make changes to an account (e.g. correspondence address, contact information, rendering provider license, etc.)

Applications

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ePREP Account ID. – A number beginning with 8000 indicates a legacy group imported from an existing enrollment. New accounts will begin with 1000. Click to see Account details, including affiliated rendering providers.

Make changes to your account, including new affiliations here.

Accounts

Additional practice locations and dental groups will appear on other rows.

Reminder: Use In-Context Tutorials

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Click for help.

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Accounts

***IMPORTANT REMINDER*** You should NEVER link a rendering provider’s NPI to the same Business profile as the FQHC. Each rendering provider should have a separate email address, User Profile, and Business Profile.

Now let’s add a rendering provider to your FQHC.

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Use the Add Affiliation button.

Rendering Provider Affiliation

HINT: To add a rendering provider, start in the Accounts screen.

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Fill out the application fields in each section. You may complete fields in both the group and rendering provider sections… up until it’s time to sign.

Complete the Application

Keep an eye on the completion prompts to guide you.

Electronic Signature

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• All applications must be electronically signed. Who can sign? Depends on the application!

• You can sign for your existing FQHC accounts that were

already enrolled.

• For new accounts, the person signing must add themself as an owner or managing employee in the Disclosure section.

• New rendering providers need to sign their own applications

Electronic Signature

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• When you have completed the group signature, send the application to the rendering provider.

• The rendering provider must sign their part of the application.

• On a Rendering-S application only: You may sign on behalf of a rendering provider if you are an Administrator on the provider’s Business Profile.

Electronic Signature

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New Group Application (Uncollapsing)

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• FQHCs currently bill for services under a single NPI for all of their locations – but that is changing.

• In the future, FQHCs will need to “uncollapse” their locations - enroll each location under a separate NPI.

• New Group applications require some additional steps.

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Use this option to create a New Group application for a new (or previously enrolled FQHC location (Uncollapse). Using this option will save time by auto-populating some of the application fields.

New Group Application (Uncollapsing)

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New Group Application (Uncollapsing)

Select this option to enroll a new service location for your FQHC.

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New Group Application (Uncollapsing)

Enter the NPI of the new service location. The NPI should be different than your location that is already enrolled.

Then, select the existing account that most closely resembles the new location, (i.e. same provider type).

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New Group Application (Uncollapsing)

Operational info about your practice location, (hours, age of patients, managed care participation, etc.)

Owners, partners, managing employees, etc. You must add the person who will sign the application in this section.

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New Group Application - Disclosures

Whoever signs the application must be disclosed in this section.

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New Group Application - Addendum

You must upload an addendum for each FQHC location you enroll.

FQHC Addendum

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Download the addendum here

Go to: https://health.maryland.gov/providerinfo Click on “Provider Application and Agreement Forms”.

FQHC Addendum

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Fill out the fields on the addendum.

FQHC Addendum

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Save the addendum as a PDF, along with the HRSA Grant Award documentation.

Dental Addendum

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If you are enrolling a new dental practice location instead of a new clinic location, you must submit a different addendum.

Go to: https://health.maryland.gov/providerinfo Click on “Provider Application and Agreement Forms”.

Addendum for rendering dentist

Addendum for new FQHC dental location

Dental Addendum

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On the dental addendum, make sure you answer “YES” to the question: “Are you rendering services in an FQHC?” in Section III.

Next attach your Addendum by clicking the paper clip

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Upload the addendum and HRSA document.

Next you will be prompted to select a file

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Upload the addendum and HRSA document.

Uploaded file will be indicated by number next to the paper clip

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Work session – Let’s submit some applications.

Questions & Contacts

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ePREP Portal: eprep.health.maryland.gov

Resources and frequently asked questions: health.maryland.gov/eprep

ePREP Call Center: 1-844-4MD-PROV (1-844-463-7768)

Monday – Friday 7AM- 7PM

***Closed on State holidays***