DECEMBER 29, 2021 | COMMUNICATION BULLETIN 2021-22 ISSUE 35 IN THIS ISSUE: Welcome Webpage for Cardinal Innovations Providers Transitioning to Vaya | Provider Help Line | Provider Info Email | Q&A Webinar for Vaya Network Providers | Provider Transition Office Hours Sessions | Technical Support Sessions for Providers Transitioning from Cardinal Innovations | AlphaMCS Login Requests | AlphaMCS Portal University | Appendix K Reporting Form | Incident Response Improvement System (IRIS) Website Transition | EDI Enrollment and Submission
Cardinal Provider Transition Support Vaya is offering multiple support opportunities for Cardinal providers to ensure a smooth transition to Vaya. Welcome Webpage for Cardinal Innovations Providers Transitioning to Vaya Vaya has added a Welcome Cardinal Providers page to our Provider Central website. This page will be updated frequently through February 2022 and serves as a central resource for vital information for providers transitioning from Cardinal Innovations. Topics include authorizations and claims, EDI enrollment, coverage information, schedules, and learning opportunities. Learn more: Welcome Cardinal Innovations Providers Provider Help Line The Provider Help Line is available Monday-Friday, 8:30 a.m. to 5 p.m. to answer your questions. Call 1-800-893-6246, ext. 1512. Provider Info Email The provider.info@vayahealth.com email is available Monday-Friday, 8:30 a.m. to 5 p.m. to answer your questions. Emails are triaged and assigned to subject matter experts throughout the organization to get you the information you need. Email: provider.info@vayahealth.com Q&A Webinar for Vaya Network Providers Vaya’s Provider Q&A Webinars are an important source of the most up-to-date information on topics that affect Vaya network providers. Registration is not required. All network providers are encouraged to attend. For your convenience, the link to each webinar is published, both the week prior to and the week of the event, in Vaya’s weekly Provider Communication Bulletin. Q&A WEBINAR FOR VAYA NETWORK PROVIDERS – JAN. 7, 2022 Provider Transition Office Hours Sessions During the month of January, Vaya will offer Provider Transition Office Hours sessions. These drop-in
sessions will be staffed by Vaya subject matter experts who can assist you with questions or issues. Office Hours session times and dates will be announced in Vaya’s Provider Communication Bulletin the week prior to the sessions. Please note: Because these sessions are hosted in a drop-in format with the potential for multiple providers to be in the session at the same time, we will not be able to discuss specific member issues during this time. OFFICE HOURS: WEDNESDAY, JAN. 5, 3-5 P.M. OFFICE HOURS: FRIDAY, JAN. 7, 9-11 A.M. Technical Support Sessions for Providers Transitioning from Cardinal Innovations Vaya will offer 30-minute technical support sessions through Jan. 31, 2022, for transitioning providers who need additional assistance using AlphaMCS. Topics include navigating AlphaMCS, service authorization request (SAR) entry, claims entry, EDI enrollment, state-funded member enrollment, and login issues. Please note: Providers must complete the AlphaMCS trainings offered through the AlphaMCS Portal University before requesting a technical assistance session. To register for one of our technical support sessions, visit Technical Support Sessions for Providers .
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AlphaMCS Reminders for Transitioning Cardinal Innovations Providers AlphaMCS Login Requests To access AlphaMCS as of Jan. 1, 2022, Cardinal network providers that do not already have a Vayaissued AlphaMCS login must submit names of staff who require one as soon as possible. Please visit the AlphaMCS page on Vaya’s Provider Central website to complete the AlphaMCS Login Request Form . After you have been set up as a provider in AlphaMCS, Vaya will contact you regarding your login information. AlphaMCS Portal University All Cardinal Innovations network providers can now access the AlphaMCS Portal University to complete AlphaMCS training. To ensure a smooth transition to Vaya on Jan. 1, 2022, we recommend that all Cardinal Innovations providers complete the AlphaMCS training prior to Dec. 31, 2021.
Appendix K Reporting Form As previously stated in Vaya’s Nov. 30, 2021 Provider Communication Bulletin, Vaya providers of NC Innovations Waiver services must follow a new process for reporting new COVID-19 Appendix K Flexibilities. The new form and additional information on this process will be available on Jan. 15, 2022. Until the new form is available, providers should use the existing Vaya Appendix K Reporting Form available on Vaya’s COVID-19 Provider Information webpage. Additional information about this process can be found in Vaya’s Provider Communication Bulletin Archives: Oct. 28, 2021, July 22, 2021, Mar. 9, 2021 , Aug. 17, 2020, and Apr. 9, 2020 .
Please direct questions or concerns to provider.info@vayahealth.com
Incident Response Improvement System (IRIS) Website Transition The Division of MHDDSAS IRIS website will be transitioning from a .com domain name to a .gov domain name. Starting on Dec. 30, 2021, the new website URL for IRIS will be https://iris.ncdhhs.gov. All users who link with the current site ( https://iris.dhhs.state.nc.us/) will be redirected to the new .gov site. To ensure users have time to update any materials related to IRIS, the current plan is to redirect users to the new site for the next year. You will be notified of any changes.
EDI Enrollment and Submission Cardinal providers who plan to use EDI for Claims submission and have not previously submitted electronic claims to Vaya, must submit the EDI Enrollment Form to EDI@vayahealth.com to ensure appropriate set-up and testing can be completed. When submitting the form, add “Cardinal Network Provider” to the subject line of your email to make certain your request is properly routed. Please review the full list of Vaya Health-Tested Clearinghouses to confirm that your clearinghouse is successfully tested and approved for EDI transmissions. Please note: Vaya does not contract with Change Health (formerly Emdeon clearinghouse) . Provider organizations that use Change Health for claims submission and have an agreement to pay all fees may continue to submit claims to Vaya after Jan. 1, 2022. Claims involving a Cardinal member and dates of service prior to Jan. 1, 2022, may be submitted to Cardinal via Change Health during the Cardinal run-out period (through Mar. 31, 2022) under your current process. VAYA HEALTH | vayahealth.com | providers.vayahealth.com