Presentations on various topics posted for provider reference.

The presentations below are from past webinars and training sessions. They act as supporting tools for the ProviderOne Billing and Resource Guide and the hospital and professional billing guides.

For Tribal billing presentations, please visit the Tribal meetings and consultations page.

Training for provider staff

We offer two trainings your staff can use to get up and running in the ProviderOne portal. They are complete overviews of navigating the portal, submitting direct data entry claims, provider file maintenance, and other useful information about the Medicaid program:

Mental incapacity evaluation (MIE) providers

For providers submitting claims for MIE services:

Submitting institutional claims

There are two webinars for providers submitting institutional claims using Direct Data Entry (DDE):

Billing a client

This webinar describes when a provider may bill an Apple Health (Medicaid) client for healthcare services:

Enrolling pharmacists into ProviderOne

These are step-by-step instructions for enrolling pharmacists into ProviderOne:

How to add a DEA number:

How to navigate the Interactive Voice Response (IVR) system

Interpreting client eligibility information

Nursing home providers

Prior authorization

Learn how to submit prior authorization requests successfully for medical or dental services:

Note: The prior authorization process for physical medicine and rehabilitation (PM&R), long-term acute care (LTAC), inpatient psychiatric, and ambulance providers has not changed.

Submitting authorization requests for pharmacy services