Health Net Federal Services Reprographics brochure

Download HNFS Reprographic Services’ Work Request Form today from the Federal Services SharePoint site at:

REPROgraphic Services

https://cnet.centene.com Once the page is loaded, click on Links > View All Team Sites > Federal Services > Reprographics

At HNFS Reprographic Services, our mission is to provide high-quality reprographic services in a timely manner, at no or minimal cost to your department, to create maximum value.

HNFS Reprographic Services 2025 Aerojet Road Rancho Cordova, CA 95742 (916) 294-4651 8:00 a.m.–5:00 p.m.

HNFS.reprographic.support@healthnet.com

REPROgraphic Services

What Can Repro Do for You?

Stop the presses!

High-speed color duplicating and printing*

Whether it’s high-speed color duplication, graphic and layout support or professional-looking posters, flyers and brochures, the HNFS Reprographic Services team can handle most of your printing and copying needs with a complete line of products and services. And if your project requires specialized materials, falls outside of our capabilities, or we can’t meet your deadline, we’ll work with you to determine the best way to get the job done.

CD/DVD creation

Comb binding

CD/DVD duplication

Shrink wrapping

Business cards

Paper folding

Mail merge

Document scanning

Paper drilling

Custom tab printing

Notepads

Posters (Up to 11 X 17)

Padding

Laminating and more!

Flyers, brochures, postcards, newsletters, labels

*Color copy requests require a minimum 24-hour notice. Actual lead time based on job size and availability of resources.

Fast. Flexible. Free to your department.

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HOLIDAY HOURS

meeting office, to enjoy away from the tasks temporarily. to spend time about work This is the season family, and to forget and Operating Procedures with friends agreed to Regional ten (10) business our mutually reports within on As a reminder, that there may, Services to provide is the call for Analyticalthe request. We understand in less time. If this days of receiving to have a report completed a due date. a need to determine occasion, be work with customers the following case, we will is closed on note HNFS purposes, please For planning upcoming days:

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Demonstrat vices, LLC (HNFS) is p sis ( we serve. Our Federal Ser S’ Autism Care applied behavior analy pecific Health Net ealth of those ion (ACD). HNF es and the he lives and h Demonstrat xperience with this s their famili improving t utism Care th extensive e neficiaries, TRICARE’s A Analyst® wi support be administer f available to fied Behavior and non-­‐clinical staf overseen by a Board Certi A programs. ation of AB Our ACD program is and the implement population help.

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25, 2017 be open to North T3 contract December provides days, and will of the TRICARE Services Team on the following Analytical As the end limited hours the HNFS We also have 8 AM to noon Eastern: approaches, dates as: ad assist you from the following submit a new Last day to 22, 2017 15, 2017 December December request. ad hoc 29, 2017 hoc report delivery of December Last day for 29, 2017 December Services report requests Last day AnalyticalObjects, 31, 2017 r Business e, Decembe ion Warehous www.hnfs.com.

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programs Affairs (VA) t of Veterans VA quality U.S. Departmen als who meet (VCP) are profession LLC (HNFS) Choice Program -based, non-VA medical Federal Services, and Veterans Health Net community veterans. facilities. y Care (PCCC) care through our nation’s within VA ntered Communit access to health provided you for serving Patient-Ce t the care regions. Thank eligible VeteransVCP to supplemen contracted and that provide VCP within our VA uses PCCC the regional care to veterans standards.

LLC must notify is facilities VA in providing Federal Services, supports t Admissions Program (VCP) t, Health Net Form to HNFS Veterans Choice VA requiremen HNFS of Inpatien Notification meet this Affairs (VA) ts, it allows How to Notify U.S. Department of Veterans care. To help providers ms. Submitting the Inpatientprogram requiremen care. in meeting for inpatient com/go/for t of the proper veteran providers One requirementime a veteran is admitted available at www.hnfs. ts to ensure to assisting for Form, requiremen in addition each business day however, Notification contractor discuss other next and request; the Inpatient tion by on an 24 hours or (HNFS) offers of an authorizatiobtain medical documenta , and within the place admissions veteran planning, does not take prior to a discharge for scheduled instances, additional of scheduling HNFS to coordinate logy). In these approval for at the time ophthalmo notify HNFS is required. than requesting care (for example, Facilities must Services form Form, rather . and inpatient Notification admissions for Additional inpatient outpatient emergency where the on, a Request HNFS’ Inpatient may involve the facility and submit processing. the authorizati treatments packet with to HNFS for care, complete excluded on Certain VCP provider on submitted inpatient specifically for claim services are service” authorizati on the inpatient being admitted If inpatient or “bundled n number and treat” services. Exception: that authorizatio original “evaluate should then include ts. share the The facility billing requiremen Tip: Please tips for with Medicare is being scheduled. errors and admission accordance submittal to HNFS in be submitted avoid common sion Tips claims must to help you n informatio on our website Claims Submis tered Community Care (PCCC) important offer tips > Claims. to you, we ov, as it contains Patient-Cen .com/go/VA ts are new www.cms.g All VCP and www.hnfs Manual at billing requiremen deny. Please visit claim If Medicare Claims Processing Medicare’s n should your to review resubmissio providers Provider Education y, we encourage a claim.

Additionall webinar, properly submit orientation on how to Attend a provider on scheduling initiatives. on office staff.

Educati r solely and that focuses Online Provide and PCCC education for providers asked questions quarterly webinar commonly also offer a and the online VCP month. We – which addresses the current schedule HNFS offers of twice per Billing Tips to view – Claims and Education offered a minimum Online webinar > com/go/VA added a new New! We recently ent. Visit www.hnfs. our reimbursem about claims be faxed through tion must n slides. presentatio documenta HNFS All medical It is providers. ntation to and PCCC. mail from l Docume under VCP of tion via U.S. Fax Medica services provided adversely affect delivery , as 705. medical documenta can to HNFS for 1-855-300-1 to receive submission delays and be provided tion fax line: your claims HNFS continues processing tion must tion with documenta medical documenta causes significant medical documenta dedicated ts, medical tion, as this not include packet sent with VA requiremenmedical documenta please do notification In accordance not mail paper claims, faxing providers the provider Sheet when y, if you submit records. included in very important tion Cover fax cover sheet Sheet. and medical veterans. Additionall bar-coded Medical Documenta tion Fax Cover services to of both claims tion, use the processing use the generic Documenta documenta this delays packet, please and Packets > Medical of medical > Forms timely processing provider notification a ensure .com/go/VA receive To nt. not at www.hnfs If you did al Time Frames of the first appointme is available from HNFS. (VCP) This form within 10 ntation Submitt or 60 days medical records. care provided, of care.

Medical Docume tion within 10 days (PCCC) the medical results of of the episode the documenta s medical summarize is the completion tion, which • Submit initial nt date which medical documenta the last appointme date.

• Submit final 60 days (VCP) from the discharge t Services or days after Outpatien days (PCCC) within 25 initiative. tion. summary a VA scheduling discharge Medical Documenta provided under • Submit the n for care > Claims > Services .com/go/VA medical documentatio Inpatient www.hnfs on submitting n, please visit uling for information /go/VA-sched For more informatio

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Health ion requiremen plan.

The Defense and authorizat in a TRICARE Prime provided as specialty referral es enrolled beneficiari covered services Jan. 1 to West Region applies to TRICARE- ions issued from and applied This waiver authorizat care, referrals and exception of inpatient a result of the tests and Extendedthe 2018, with developed March 18, details about laboratory behavior analysis, services. Find complete Option Provider.

Health Care -west.com > waiver at www.tricare

has in a TRICARE visit limits. This is TRICARE es enrolled d and without most beneficiari limited self-referre without a referral policy which urgent care Point of Service. the previous which a change from per year without visits to two referral guidelines, urgent care urgent care the following Please review on Jan. 1, 2018: went into effect

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submits Civilian specialist on via authorizati or WARF te CareAffilia PCM submits Example: patient to see referral for an “evaluate allergist for visit. Allergist and treat” allergy shots determines Allergist are needed. authorization submits the HNFS via request to te or WARF. CareAffilia

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if an determines Specialist on is needed authorizati services for additional and the by using PARBpages at Benefit A–Z re-west.com www.trica

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physicians to le to view/download est way for tive Status tool. hat is the b Tool guide is availab rts in in the "General" inaccuracies, w NFS and if so, what the effec raphic Update Reference Cha h H ider directory vider > Quick equire log in. (direct link: The Provider Demog in-­‐network wit With the prov est.com > Pro not r er they are www.tricare-­‐w a public page that does fs/home/tw/prov/res/ confirm wheth

is m/content/hn to the secure provider category. This e Tool Guide so we can date is? tricarewest.co You do need to log in graphic Updat equired to access the l). https://www. s r Provider Demo

s /2018-­‐qrc.htm a pdf of the a provider login i urage them to e provider`s statu the prov_manuals tool itself.

Can you share rticle? It appears that icians to enco he ccording to th ust meet our a ssary. ill be paid a portal to use t link to it in it in an article for phys the HNFS network m er to receive ered services w nic updates, if nece ke to link to oviders not in Claims for cov submit electro guide. We’d li certified) provid e (such as n-­‐network). Pr ormation and (network or no a TRICARE-­‐authorized (TRICARE ICARE plan typ a check their inf as are not nt may have eneficiary's TR e paid if they /18? On requirements t. Depending on the b ired), the patie e offer ch as active duty, ret nd how physicians will b reimbursemen is non-­‐network. W ue to see them post 6/30 and status (su f the provider's status ouldn’t be s better understa ts and Copays for e i Prime, Select) vider claims sh Can you help u providers, but patients contin nd vider > Benefi a

pocket expens est.com > Pro ed -­‐network” pro higher out-­‐of-­‐ HNFS contract ated that “non long as it’s for a covered service www.tricare-­‐w id as ave higher cost g and certification cost charts at cost comparisons. the call, HNFS staff indic e patient would h specific licensin be certified by they would still be pa er, but the providers to se rs must meet and denied, rather rtified" provid orized provide tions Manual, e cannot confirm status TRICARE-­‐auth per the TRICARE Opera

m. W the provider is a "ce as est providers meet er the TRICARE progra requirements sharing. bligated to att ss ovide care und are. HNFS is o TRICARE to pr If the ling with HNFS and proce UnitedHealthc ines. “certified” is? as determined by t the time of their credentia ng to TRICARE guidel ovider that is they qualify as ers e/she assume the requirements a from those providers accordi his or her contract. Provid ry, what a non-­‐network pr ims s of Can you clarify a UMVS contracted provider, can h rovider directo subsequent cla s eviewing the p need to know the statu physicians wa ?”

The physician woulder they are in network by 1) r contacting the Health Net “non-­‐network d to the state. ded) that can validate whethredentialing status and/or 3) rector assigne e the service is provi higher ve agreed to 2) checking their cProvider Network Management di up-­‐front (befor paid by HNFS, but with the rovider and ha es' p e b

hysician know zed RICARE-­‐ Federal Servic sician and will ICARE-­‐authori agreed to accept the T How would a p ut of pocket costs to atients n-­‐network phy an communicate the o non-­‐network TR ay not bill p ns you have he/she is a no If you are a aring so they c a claim, this mea twork for this claim and you m patient cost-­‐sh time? participate on ble charge. Non-­‐ne of rge as payment in full ral balance billing patient ahead allowable cha ss of the TRICARE-­‐allowa efense D imited by fede l he t re a ent ay visit for any amount in exce ciaries. You m ferred to do not accept assignm id? Is it similar to non-­‐ ee bill TRICARE benefi providers who ble charges, also re 5% of the f ysicians be pa g TRICARE uch they can Medicare pays 9 (thus the laws on how m website for current TRICARE allowa). Non-­‐participatin how non-­‐network ph 's r Medicare where Can you share limiting charge le Charges (CMAC MAC. Health Agency hysicians unde ct up to the imum Allowab to 115 percent of the C participating p doc is allowed to colle Tuttle ill up as CHAMPUS Max the ) and Molly roviders can b schedule and healthnet.com ug. 3, 2018. non-­‐network p cost-­‐sharing)? aria.a.eppley@ urn A higher patient ence. I will ret Daria Eppley (d e om) in my abs Please contact rategy, and e@healthnet.c ut of the office within th ngagement st ssociation (molly.m.tuttl t at HNFS while Butler] will be o ase of the e that you [John development ph l be our point of contac e calls directly to our a It is our understanding adence of thes weeks. Who wil We are currently in the s for a few l communicate c ged next few week m call, which we once final, wil message chan are with members. at frequency you are out? host a state consortiu contacts to sh ch letters, as our Please see our ls to begin and at wh d that [HNFS plans] to s of provider outrea care delivery. pect those cal You mentione start of health ou can link: hen can we ex We have various version ved past the ich y )? appreciate. W a reference to wh biweekly, etc. as we neared and mo ts to notify out-­‐ nfs/home/ web article as (e.g., weekly, re.html. n extensive effor did not om/content/h Nov. 1, 2017, anges-­‐to-­‐trica f they tricare-­‐west.c there have bee hat t all o c t /upcoming-­‐ch he https://www. would happen i d on t re sent out ns of what rovider_news You mentione tw/prov/res/p the notices that we rior UMVS) physicia ers who ticle. share copies of of-­‐network (p re’s network provid ct HNFS. Can you the notice in our ar UnitedHealthca o start the contra contract with happy to link to ourage them t s to reached out to the PCMs? We’d be network to enc HNFS continue sician-­‐patient ined the HNFS

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F2F. graduate.

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Discuss current triggers that t. Note participant coping strategies. and Resources Section 1: to develop and discuss previous assessmen Community Referrals Check for on two triggers that apply): results with Section 2: participant a plan using (check all t and compare Work with to develop referrals: Section 3: Retired new assessmen and possible in each section Conduct a Military ❑ elopment 4: ❑ information Use Section growth/dev ❑ Student for personal the last 18-months. d ❑ Disability explored nt change in ❑ Unemploye areas are Needs Improveme ❑ Employed The following nt ❑ Fair ❑ Section 1: nt Status: ❑ Good and Driving Needs Improveme Employme ❑ Excellent and/or Using ❑ Fair ❑ ing ❑ Drinking Health & Lifestyle: ❑ Excellent ❑ Good isconnected Budget: ing ❑ Drinking/Us nt ❑ Estranged/D Finance & Drinking/Us all that apply): ❑ Stress Improveme nt: ❑ Not nt: (check ct ❑ Needs Developme pain developme Emotional ❑ Physical ❑ Other Comments: ips: ❑ Healthy/Inta growth and Relapse & sleep personal ________ Relationsh ❑ Lack of ❑ Places Family & barriers to _________ ps ❑ Fear triggers and/or ❑ Loneliness ❑ Relationshi ❑ Depression Check relapse ❑ Friends s/ ❑ Medications Section 2: ____ ❑ Dishonesty referrals indicated: ❑ Celebration ❑ Grief/Loss _________ ❑ Anger review specific _________ Special occasions ❑ Family ____ _________ above and cy _________ indicated _________ ❑ Anxiety _________ ❑ Complacen and/or triggers __________________ _________ ❑ Boredom ____ _________ _________ growth concerns _________ _________ _________ _________ _________ Discuss personal _________ 3: _________ _________ Section _________ _________ _________ _________ _________ _________ _________ _________ _________ use per _________ _________ _________ _________ related problems: _______ # of drinks/drug ________ _________ week, and /or drug _________ per _________ alcohol times long # how _________ _________ ing his/her Referrals: weekly, _______ _____ ❑ In Recovery, _________ s understand ❑ drink/use _________ _______ in participant _________ _________ _________ drink/use daily, Progress how long _________ _________ drugs: ❑ Section 4: ❑ Abstinent _________ _________ do you drink/use ________________ _________ . _________ indicate: How often use: indicated: information results ___ Results from above last drink/drug today, current _______ occasion, ____/_____ t conducted referrals indicated _________ on: ______/___ with specific _________ ❑ New Assessmen t conducted _________ to participant Assessmen _________ _________ hand-out provided ❑ Previous _________ _________ Resources _________ _________ _________ ❑ Community t results: _________ _________ and copy _________ participant on new assessmen _________ provided to s perspective 18-months: Copy of letter Participant’ made in last participant. on changes signed by s perspective with participant, Participant’ by participant.

Letter reviewed and signed Completion completed Clause and ❑ Watson survey completed payment contract file.

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active duty in a TRICARE will not apply Except for es enrolled of Service care and Point Prime, beneficiari for urgent from the following: need a referral be urgent care center (must when seeking rk urgent care or non-netwo • any network practice, authorized) TRICAREprovider (family OB/GYN, primary care-type pediatrics, • any network internal medicine, r, or certified nurse general practice, nurse practitione physician assistant, Prime still TRICARE midwife) in enrolled duty service a service memberscare; however, active not require Active duty for urgent Remote do require a referral in TRICARE Prime location. members enrolled to their remote referral due be and care may All other plans requirement for urgent care, or non-network) (network referral honor authorized There is no continues to any TRICARELLC (HNFS) and rendered by lthcare Military are traveling Federal Services, issued by UnitedHea Health Net ons enrollees who provider. their 2018 expiration West authorizati a referral.

Overseas Program referrals and lthcare) throughnot a part of the HNFS Note: TRICARE urgent care do not require (UnitedHea need threaten life, provider is & Veterans you do not that does not seeking stateside if the servicing is required by you, and care as care it from becoming dates, even issuing new No action defines urgent attention to prevent We are only es to 2018.

1, TRICARE Jan. beneficiari needs Region network. letter from HNFS. but on or after when to get limb or eyesight, health. TRICARE encourages a separate approval for services approved ns into where and to on letters services. thcare authorizatiojust as you a serious risk for help deciding authorizati urgent care UnitedHeal these their PCM PCM after loading active You can view n tools. first contact follow up with their processing.

Provider We’ve completed claims TRICARE care, and to our online authorizatio for accurate West Region ns through our system updating the information. d authorizatio We will be this do HNFS-issue Service to include Handbook and Point of Point TRICARE Prime beneficiaries will not be charged an active Prime provider on HNFS • TRICARE is not in our if the approved of Service costs authorization or referral UnitedHealthcare a different network. choose to see West Region by beneficiary authorized TRICARE Prime than the one • Should a Point of Service rk civilian provider be charged non-netwo he or she will UnitedHealthcare, 31, 2018. after March All rights reserved.

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Select an and select default message IGNORE this ready to email.

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2 form fields all required Page 1 of Note: If all Click to verify (01/18)

to and/or questions m. e!

Submit feedback althnet.co Committe vation@he n Steering HNFSInno the Innovatio e and the to come from Committe Look for more n Steering Innovatio you by the nt Council Brought to Engageme HNFS Employee

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__________ __________ __________ _____ __________ __________ E: __________ __________ _ ASSOCIAT __________ ____ __________ __________ 01/18/2018__________ __________ __________ __________ __________ __________ ______ DATE: __________ __________ SSN/DBN: PHONE NUMBER: __________ SPONSOR __ CALLER’S _____ __________ ___________ __________ __________ MEMBER __________ __________ 3rd FAMILY CALLER NAME: __________ __________ ______ __________ __________ SHIP TO SPONSOR: __________ NAME: __________ RELATION __________ __________ OF BIRTH: SPONSOR SPONSOR _____ DATE SAME AS __________ _ ADDRESS __________ ___________ __________ ______ __________ __________ __________ __ __________ __________ __________ ADDRESS: __________ NAME: __________ __________ __________ __________ __________ BIRTH: __________ _______ _ __________ __________ DATE OF ___________ ___________ __________ ___________ __________ _____ __ __________ __________ __________ ___________ ADDRESS: __________ __________ E #: __________ ___________ __________ __ __________ TELEPHON ___________ __________ ___________ _______ __________ __________ ION: __________ ___________ in the future): __________ __________ (up to 90 days __________ _____ TRANSACT __________ ___________ Effective Date E #: __________ ___________ _____ __ Requested TELEPHON ___________ __________ ___________ MEMBER __________ ION: __________ in the future): 4th FAMILY __________ ______ TRANSACT (up to 90 days __________ __________ __________ __________ Effective Date __________ Requested _____ NAME: __________ __________ OF BIRTH: __________ st FAMILY MEMBER DATE 1 SPONSOR __________ ______ SAME AS __________ __________ _ ADDRESS __________ ___________ NAME: __________ __________ __________ __ __________ BIRTH: __________ ADDRESS: __________ __________ DATE OF __________ SPONSOR __________ __________ SAME AS _______ _ __________ __________ ADDRESS ___________ ___________ __________ ___________ __________ ______ __ __________ __________ __________ ___________ ADDRESS: __________ __________ E #: __________ ___________ __________ __ __________ TELEPHON __________ __________ _______ __________ __________ __________ future): ___________ ION: the ___________ in __________ ___________ (up to 90 days __________ ______ TRANSACT __________ Effective Date ___________ E #: __________ ___________ _____ __ Requested TELEPHON __________ __________ ___________ MEMBER __________ ION: __________ in the future): 5th FAMILY __________ ______ TRANSACT (up to 90 days __________ __________ __________ __________ Effective Date __________ Requested _____ NAME: __________ __________ OF BIRTH: MEMBER __________ 2nd FAMILY SPONSOR __________ ______ DATE SAME AS __________ __________ _ ADDRESS __________ __________ ___________ NAME: __________ __________ __ __________ BIRTH: __________ ADDRESS: __________ __________ DATE OF __________ SPONSOR __________ __________ SAME AS _______ _ __________ __________ ADDRESS ___________ ___________ __________ ___________ __________ __________ _____ __ __________ __________ ___________ ADDRESS: __________ __________ E #: __________ ___________ __________ __ __________ TELEPHON ___________ __________ ___________ _______ __________ __________ ION: ___________ ___________ in the future): __________ ___________ (up to 90 days __________ ______ TRANSACT __________ Effective Date ___________ E #: __________ ___________ __ Requested TELEPHON __________ will comply ___________ and that you ION: __________ in the future): 89 (FEHB). complete TRANSACT (up to 90 days is true and under 5 U.S.C. TRR Effective Date n provided coverage plan Requested to terminate all informatio for health

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Attach the Work Request Form, along with your files, and send via email to HNFS.reprographic.support@healthnet.com.

Once you’ve emailed us your Work Request Form, we highly recommend you follow up with a phone call at (916) 294-4651. We’ll make sure your project gets the attention it deserves and is addressed in a timely manner.

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*Excluding specialized materials and packaging and shipping charges where applicable.

For assistance with your next project, download our Work Request Form from the Federal Services SharePoint site at:

Subsidiary

m re-west.co

A list of indicators

A Wholly-Own

Projects are accepted on a first-come, first-served basis with HNFS Reprographic Services given the authority to adjust production to prioritize deliverables as necessary.

Having your materials produced in-house guarantees a quick turnaround with daily delivery service available to Aerojet buildings 2015 and 2025 through inter-office mail. If you need additional packaging, mailing and shipping assistance, we can help with that, too!

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All labor and production costs using materials available are free* to your department, creating maximum value.

Because HNFS covers the costs and has limited materials on hand, we ask that you be sensitive to the needs of other departments and only print quantities as needed.

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Let HNFS Reprographic Services, your in-house, one-stop print shop, bring your ideas to life with high-quality, custom-designed products and on-time delivery at no cost to your department!

Capabilities

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E EE YE OY LO PL E MP EM N ION TIO IAT REC ECIA PR A PP AP

K 2018 EK EE W WE

ks!

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