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Read the provider manual, download and print forms, see our latest newsletters, and watch videos from our one-stop resource center.

Provider Portal

Our new Provider Portal is now available for use. To access the portal, please download and complete our Authorized User Access Request Form. For more information, including our User Manual and FAQs, read our Provider Portal Training resources.

Provider Manual

Provider Manual

Quick Reference Guides

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Provider Forms

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Medical Management

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News and Updates

Behavioral Health

Effective July 1, 2017, Memorial Hermann Health Plan (MHHP) will begin transitioning mental health and chemical dependency services to United Behavioral Health, operating under the brand Optum. Optum will be responsible for the professional provider and facility network, utilization management services and claims administration. Employer groups will transition to Optum on their renewal date. MHHP’s Medicare Advantage HMO and Medicare Advantage PPO plans will transition to Optum effective January 1, 2018. The behavioral health vendor information will be included on the member’s ID card for groups who have transitioned to Optum.

If you are interested in joining the United Behavioral Health network, please contact the United Behavioral Health Network Management Department at txbnsop@optum.com or 877-614-0484.

January 31, 2017 - Medicare Outpatient Observation Notice

On December 8, 2016, the Centers for Medicare & Medicaid Services (CMS) released the OMB-approved Medicare Outpatient Observation Notice (MOON). The MOON is mandated by the Federal Notice of Observation Treatment and Implication for Care Eligibility Act (NOTICE Act), passed on August 6, 2015. The MOON is a standardized, written notice explaining that a Medicare beneficiary, including a Medicare Advantage enrollee, is receiving outpatient observation services, and is not an inpatient.

The notice must include the reasons the individual is an outpatient receiving observation services and the implications of receiving such services. Hospitals and critical access hospitals (CAHs) must deliver the notice no later than 36 hours after initiation of observation services. All hospitals and CAHs are required to start providing this statutorily required notification no later than March 8, 2017. Medicare Outpatient Observation Notice and accompanying form instructions are available by clicking here.

September, 2015 - ICD-10 Transition

The transition to ICD-10 will be implemented on October 1, 2015. Please read this letter from CMS regarding the transition. You may also visit CMS.org and the American Medical Association for more information on the transition.

The CMS Blog: One Week Out

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