Help

MassHealth Provider Online Service Center

Provider Enrollment Application

Add/Modify Service Location - Provider Relationships

The Provider Relationships Detail panel allows the applicant/provider to enter, view, and maintain information for a provider at a service location, concerning the provider's association with managed care organizations (MCO), primary care clinicians (PCC), Covering Practitioners, and Massachusetts Behavioral Health Partnership (MBHP) programs. The user selects a doing business as service location for the List of Locations panel and then can enter and update the association to managed care organizations (MCO), primary care clinicians (PCC), Covering Practitioners, and Massachusetts Behavioral Health Partnership (MBHP) programs from the Provider Relationship Detail panel.

• 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 Provider Relationships panel.

OR

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

a) A Provider Relationships Detail panel is filled with all the values for the selected record.

b) Additional lists of records for the Provider Relationships panel are displayed.

2

Directions for entering any of the values on the Provider Relationships Detail panel follow:

Protected Field

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

Radio Buttons

Select an available option, values, etc by clicking on a radio button for the Are you interested in becoming a Primary Care Clinician (PCC)?, Do you have Covering Practitioners?, and Are you enrolled in a Managed Care Organization (MCO)? fields (possible values are Yes and No).

Assign Available Codes

1) Select values for the Selected MCOs field:

2) A text box of all available values appears on the left side of the panel with a text box of assigned values on the right. A column of arrows is in between the two text boxes.

3) Clicking on the right single arrow (>) sends one value at a time from the available list to the assigned. Clicking on the left single arrow (<) sends one value at a time back from the assigned list to the available list.

4) Clicking on the right double arrow (>>) sends all the values from the available list to the assigned list. Clicking on the left double arrow (<<) sends all the values back from the assigned list to the available list.

Radio Buttons

Select an available option, values, etc by clicking on a radio button for the Are you enrolled in Massachusetts Behavioral Health Partnership (MBHP)? field (possible values are Yes and No).

Type or Select Values

Type values in the Effective Date field or select them from the calendar date box.

Radio Buttons

Select an available option, values, etc by clicking on a radio button for the Are you enrolled in Senior Care Options Program (SCO)? field (possible values are Yes and No).

Perform Steps 3 and 4 to Cancel Item or Update on the Provider Relationships Detail Panel.

3

To back out any changes on this panel that have not been saved yet, click on Cancel Item on the Provider Relationships Detail panel.

OR

Any unsaved modifications to the Provider Relationships Detail panel are removed and the panel closes.

4

Click on Update on the Provider Relationships Detail panel.

The record is updated and the Provider Relationships 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 Provider Relationships panel.

OR

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

6

Click on Continue on the Provider Relationships panel.

OR

The system continues the provider enrollment process and displays the Primary Care Clinician (PCC) panel.

7

To back out any changes on any panels that have not been saved yet, click on Cancel Service on the Provider Relationships 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 Provider Relationships 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.