Help

MassHealth Provider Online Service Center

Provider Enrollment Application

Add/Modify Service Location - Primary Care Clinician PCC Information

The Primary Care Clinician (PCC) panel allows the applicant/provider to select a service location and view and maintain managed care contact and primary care clinician (PCC) information for the service location. The user selects a service location line from the List of Locations panel and then can add or update the managed care/primary care clinician detail and the related service location data from the Primary Care Clinician and Location Detail panels.

• Fields marked with a red asterisk (*) are required.

• Dates must be in mm/dd/ccyy format. Clicking on the calendar box creates a popup calendar to aid in date selection and entry.

• Error Resolution:

If an error is detected a statement is displayed in the upper portion of the panel. The statement indicates the problem and the method of correction and is preceded by a small red circle with a white "x" () in it. The small red circle with a white "x" () also appears next to required fields that are in error.

• Click to close this Help panel.

1

a) Click on a Location Record to be modified from the List of Locations panel.

OR

b) Use the numbers and arrows to Scroll through for more record choices.

a) A Primary Care Clinician Detail and Location Detail panel is filled with all the values for the selected record.

b) Additional lists of records for the List of Locations panel are displayed.

2

Directions for entering any of the values on the Primary Care Clinician Detail and Location Detail panel follow:

***** Primary Care Clinician Detail panel

Type Values

Type values in the

Managed Care Contact Name,

Email,

Phone Number, and

Fax Number fields.

***** Location Detail panel

Protected Field

The panel is displayed with the Service Location field already stored by the system and protected from modification.

Type Values

Type values in the Enter the maximum number of members requested, Any age less than, and Greater than fields.

Radio Buttons

Select an available option, values, etc by clicking on a radio button for the Will you be servicing current patients only? field (possible values are Yes and No).

Protected Field

The panel is displayed with the

Address,

Address Line2,

City,

State,

Zip Code, and

Phone Number fields already stored by the system and protected from modification.

Perform Steps 3 and 4 to Cancel Item or Remove on the Primary Care Clinician Detail and Location Detail Panel.

3

To back out any changes on this panel that have not been saved yet, click on Cancel Item on the Primary Care Clinician Detail and Location Detail panel.

OR

Any unsaved modifications to the Primary Care Clinician Detail and Location Detail panel are removed and the panel closes.

4

Click on Update on the Primary Care Clinician Detail and Location Detail panel.

The record is updated and the Primary Care Clinician Detail panel and Location Detail panel closes.

Perform Steps 5, 6, 7 and 8 to go Back to the previous panel, Continue to the next panel, Cancel, or Save on any unsaved data on any panels accessed during this process.

5

Click on Back on the List of Locations panel.

OR

The system navigates to the previous panel in the provider enrollment process and displays the Provider Relationships panel.

6

Click on Continue on the List of Locations panel.

OR

The system continues the provider enrollment process and displays the PCC Practitioners panel.

7

To back out any changes on any panels that have not been saved yet, click on Cancel Service on the List of Locations panel.

OR

Any unsaved modifications or deletes to any panels during this process are backed out and the system returns to the initial Start An Enrollment Application - Security Warning panel.

8

Click on Save on the List of Locations panel.

All information input on any panel for the provider enrollment application is saved. This allows the user to save the data and, exit the provider enrollment application process, and continue the provider enrollment application at another time. The system displays an Application Saved panel.