Beacon Health Strategies NYCCP Western Region Behavioral
Contents
1. of Admission ae cry elcome to the New York Gare Coordination Program NYCCP Notice of Admission NOA Portal On the left hand side please select the task you would like to perform If you have any question please feel free to contact us at 1 855 209 1142 Print NO A Discharge Member Profile Manag Providers Manage Alerts Step 4 Click on Notice of Admission to submit one You will see a screen asking for the member s information to pull up the details from the Database You must enter at least one value in each of the steps for example you can fill in Member ID and First Name or you can choose Member ID and Last Name etc Once filled hit on Search for Member If the member is available you will see the screen showing the number of members found with similar criteria along with an option to Choose to do a NOA Notice of Admission Notice Of Admission Discharge Summary Step 1 At least one field is required Member ID OR DOB Print NOA Dis charge Member Profile Manage Providers Manage Alerts Manage Users Provider Materials Step 2 At least one field is Alerts 0 required M c EAM First Name A Contact Us OR Last Name i Help ED Gateway Search for Member 1 Member s Found in your Search First Name Last Name AGE Plan Contract T l 49 NYCCP NYCCP FFS Choose Step 5 You should see the screen shown below Choosing it will now begin the process of submitting the2. BEACON Beacon Health Strategies NYCCP Western Region Behavioral Health Organization eServices User Manual Process of Registration for accessing eServices Step 1 Go to https Step 2 Choose Register Eliqibilrty Benefits Authorization Registration Authorization v Beacon Select Program FARSICFARS Assesment Case Management Step 3 EACON eServices rovider beaconhs com coc Welcome to eServices Beacon s web tool for providers All eServices functions are provided free to Beacon contracted providers and are aimed at enabling easy and secure access to a host of clinical administrative and patient information as well as all provider business transactions with Beacon eServices allows providers to Verify member eligibility quickly and easily Request authorizations eAuthorizations receive priority review Confirm the status of authorizations and print all authorization details including the number of units utilized Submit claims including reconsiderations e Check the status of claims Since the providers have been contracted to NYCCP please choose the option to register for the same Eligibility Eenetits Authorization Community Care Mgmt HOA Registration Authorization Beacon Select Program FARSICFARS Assesment Case Management Claims Search History Provider Information Provider Reports Provider Materials Alerts Contact Us Help ED Gateway Welcome to Beacon s Provid
3. Notice of Admission Notice of Admission Step 1 Discharge Summary Print NOA Dis charge Member Prafile Member Information arm Manage Alerts Manage Users Provider Materials Alerts 0 Contact Us EDI Gateway Please make sure that you are choosing the type of service and the site of Service for servicing the member On completion of this step hit Next You will see the following screen Once done with submission of the form hit Submit shown at the bottom of the form Notice of Admission Step 2 Discharge Summary Print NO A Discharge Member Profile Member Information Manage Providers Wembi o e o A ts SAA E DOR Provider Materials Reporter Information Alerts 0 Reporter FirstName DR Required Contact Us Reporter LastName E Required in Phone Number gt ica ea Required EDI Gatewray Ext Reporter Email Diagnosis Refer to DSM IV Axis I 799 99 Diagnosis Deferred on Axis Select a Value Select a Value Axis II 793 90 Diagnosis Deferred on Axis Il Axis Ill None V7109 Ka Axis IV Select a Value SelectaValue Action Plan Contacted Outpatient Provider Treatment Plan Discharge Plan Location prior to Admission institution Community Is there a Care Yes No Unknown Coordination ls person in Health Home yeas No O Unknown Submit For submission you need to fill in all the required
4. account registration Registration Authorization Beacon Select Program FARS CFARS Assesment Case Management Claims Step 7 You account has now been created but still is awaiting activation This activation will be completed by Beacon within two hours of an account registration Process of Creating a Notice of Admission Step 1 Once your account has been activated you should be able to login to the eServices portal for creating Notices of Admission for your members Go to https provider beaconhs com login aspx to login to your account BY LEER eServices Eligibility Benefits LOGIN REGISTER eServices Login Authorization Community Care Mgmt NOA username password LogIn Not Registered Forgot Password Registration Authorization v Beacon Select Program FARS CFARS Assesment v Case Management v Claims Search History Step 2 Once logged in you should see the following menu items available to the left of the screen for navigating through the portal NOA Manage Providers Manage Alerts Manage Users Provider Matertals Alerts 0 Contact Us Help EM Gateway Step 3 You should choose NOA to access the option available to you Clicking on NOA will show you further options Manage Provigers Manage Alerts Manage Users Provider Materials Alerts 0 Contact Us ED Gateway NYCCP Notice of Admission Notice
5. er eServices registration page Blue Cross Blue Shield r3 amp Ol Rhode Island en M NY CCP fyou are a provider contracted with Beacon Health Strategies please click here to register Using this secure portal you will be able to perform eligibility checks submit and check status of authorization requests submit claims check claim status among others Ifyou are a provider contracted with Blue Cross Blue Shield of Rhode Island BCBSRI and would like ta use eServices for performing please click here to register Using the Provider eServices you will be able to perform Notice of Admissions NOA as well as submit and print discharges summaries Ifyou are a provider participating in the New York Care Coordination Program NWYCCP the New York Western Region Regional Behavioral Health Organization please to register Using the Provider eServices you will be able ta perform Notice of Admissions NOA submit and print discharges summaries get member profile data and submit SED data Step 4 Please go through all the terms and conditions mentioned in the next page If you do accept them choose accept Beacon Health Strategies Terms and Conditions for use of eServices Click on Next Beacon may terminate these terms of use any rights granted to you hereunder and your access to the eServices on www beaconhealthstrategies com at any time with or without cause without notice and without penalty It is the con
6. fields Any required field not filled in will show as Diagnosis Refer to DSM IV Axis I 799 99 Diagnosis Deferred on Axis SelectaValue jr Axis Il 799 90 Diagnosis Deferred on Axis Il Axis II NeT m Axis IV Select a Value Select a Value e Action Plan PCP Contacted Outpatient Provider Treatment Plan o n Discharge Plan Location prior to Admission institution Community On a successful submission you should see the result page as shown Discharge Summary Print HO A Discharge Member Profile Manage Providers Manage Alerts Manage Users Provider Matertals Alerts 0 Contact Us ED Gateway Click Here to go back to member search Print this page Thank you for completing Beacon Health Strategies Notice of Admission The reference number for your request can be found below Please keep this number for yur records and to access this record in the future Please check the Comprehensive Member Utilization Profile CMUP tab an the left to view the patients past Medicaid service history Date 1 10 2012 Dear Thank you for completing this Notice of Admission NOA for the following member Member Name MemberlD Z Member Product Type I Member DOB wa sern suwu Reference 559331 Service Admitted to ae Date of Admission ev NOA From Date We ll be contacting you within the next 72 hours to discuss this patient their treatme
7. haracters upper lower case combination when possible and also numbers 3 Please choose a security question whose answer is easy to remember You need it to reset lost passwords or verifications for other forms 4 Fill in all the fields 5 When filling in the provider information choose the Provider name under which you are registering For example if you are a provider for BRY LIN hospital choose the same from the drop down list Choosing another provider will result in a revoke of the login account Provider Provider Site Name ALCOHOL amp DRUG DEPENDENCY Tax ID ARNOT OGDEN MEDICAL CENTER Address 1 BROOKS MEMORIAL HOSPITAL Address 2 BRY LIN HOSPITAL City State Zip BUFFALO GENERAL HOSP BUFFALO PSYCHIATRIC CENTER ACT TEAM BUFFALO PSYCHIATRIC CTR CAYUGA MEDICAL CTRITHACA 6 The Tax ID when not available should instead be populated with your NPI value from any of your sites Step 6 Once done with the form please verify all the details provided once more and hit Submit On a successful submission you will see the screen shown below aa eServices Eligibility Benefits Authorization Community Care Mgmt oS Thank you for registering for Beacon Health Strategies eServices Please contact your Account Administrator for A activation If you are the designated Account Administrator you will receive instructions via email on completing your
8. nt plan and any discharge planning that has begun If you discharge this patient before we have our first clinical conversation please notice us of that discharge through the discharge tab on the left If you have any questions concerning this Notice of Admission please contact BHS at 855 209 1142 Please note this Notice of Admission is not a guarantee of payment Thank you Sincerely Clinical Management Department Beacon Health Strategies LLC behalf of NYCCP Process of submitting a Discharge request for a member Step 1 After login please click on NOA and choose Discharge Summary The screen which comes up should have all the members that are eligible to be discharged by you Choose the member you would like to Discharge and click Discharge HOA Discharge List Notice of Admission Print NOA Dis charge Member Profile Manage Providers Registration Patient Name Admission Date To Date Service Manage Alerts Number Manage Users ee MOD Acute Residential Substance Discharge Alerts 0 Abuse Contact Us Inpatient Substance Abuse Discharge Discharge Help Inpatient Substance Abuse ED Gateway You should see this screen NOA a Notice of Discharge Notice of Admission Print NOAJDischarge Member Profile Manage Providers Manage Alerts Member Information Manage Users Provider Materials Member Alerts 0 Contact Us Help ED Gateway Reporter Information Reporter Fir
9. stName ee Required Reporter LastName Required Ext Reporter Email Was the Care Yes No Unknown Coordinator Contacted Is the current Mental O Yes No Unknown Health Provider Contacted Please fill in all the information Once done click SUBMIT REQUEST On a successful submission you should see this screen NOA Notice of Admission Print NOA Discharge Member Profile Manage Providers Manage Alerts Manage Users Provider Materials Your discharge has been successfully submitted The Reference Number for this transaction is Click Here to go back to the discharge list Thank you for completing the discharge summary e Printthis page Alerts 0 Discharge Result Contact Us eRecord Help Reference Number ne EDI Gateway Submitted By u d 7 Phone STR ore Submission Date And Time Reporter Information First Name AA Phone Email Optional C Service Information Authorization Record ID T pease Discharge Date i Discharged To Discharged To Planned Yes Diagnosis Information Axis 799 99 Diagnosis Deferred on Axis Axis Il 799 90 Diagnosis Deferred on Axis Il Axis Ill VF109 None Once you print this Discharge Summary confirmation letter your transaction is complete
10. tracted provider s responsibility to inform Beacon of any changes in employee status of staff members who have eServices usernames and passwords Unauthorized Use Misuse Unauthorized entry commonly referred to as hacking into any portion of www beaconhealthstrategies com or misuse for fraudulent malicious and or deceptive purposes may constitute crimes under state and or federal law Any such violations will be pursued and prosecuted to the fullest extent permitted by law Use of eServices usernames and passwords belonging to other staff members will result in termination of the eServices account In order to protect Personal Health Information of members and maintain the integrity of eServices under no circumstances is sharing of usernames and passwords permitted ta access Beacon s eServices 4 Health Strategies Terms and Conditions for use of eServices Step 5 You must see the screen shown below Register NOA Account User Account username passw OOOO Confirm Password O Security Question security answer i User Information Prstom tastum 7000 Ema a ws rue Depariment Provider Information Provider r Provider Site Name 4 we address te saaressa OOOO E Rules of Registration 1 Please use an username that consists of both characters numbers 2 Please use a password that is at least 8 characters in length and is a combination of special characters 9 4 96 amp regular c
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