We have had a similar problem. Our adjustments (since Oct, when
Medicaid started up
their new system) have been processed by the State (meaning we
received reports saying
they were accepted and adjusted), but not paid out. We have a
significant amount of
funds due us on account of these adjustments.
We have contacted the State and Medicaid directly. The State
initially told us that
adjustment claims "couldn't be processed through the new Medicaid
portal at this time".
That was late February.
After much pain and suffering (going through 6 people over a
collective 2.5 hrs) we
were able to talk to a person in the Medicaid Claims Adjustment
department who told us
that they *were* processing adjustment claims and that neither she nor
her supervisor
were aware of any issues in being able to process claim adjustments.
That was early
March.
When we passed this info onto our state contact (also early March),
they adjusted their
earlier messaging to say that there was a *significant backlog* for
adjustments being
processed due to the fact that this must now be *manually* entered,
and that they were
"working with Medicaid" to address.
The last time we asked for an update (early April) our contact from
the State told us
that that they "couldn't tell us anything further" and to "look for
updates on the DODD
portal".
Kathy Cook
CEO
all R friends
Direct 614-357-0340
Fax number 614-918-3445
kathy@allRfriends.com
Visit our website at www.allRfriends.info
Quoting Kristi Cole <KCole@Siffrin.org>:
> Hello,
>
> Has anyone had waiver billings adjustments processed yet? We have
> not had any processed since last summer when the state switched to
> the new payment system. There is quite an accumulation.
>
> Kristi Cole
> Finance Director
> SiffrinInc.
> Engaging & empowering people with disabilities
>
> T: 330.478.0263
> F: 330.478.0140
> www.siffrin.org
>
> 15 Years of CARF Accreditation
>
>
>
>
> ________________________________
> This e-mail message, including any attachments, is for the sole use
> of the intended recipient(s) and may contain private, confidential,
> and/or privileged information. Any unauthorized review, use,
> disclosure, or distribution is prohibited. If you are not the
> intended recipient, employee, or agent responsible for delivering
> this message, please contact the sender by reply e-mail and destroy
> all copies of the original e-mail message.
> Welcome to the OPRA Members email group, an on-line forum intended to
> facilitate timely communication among the members of the Ohio Provider
> Resource Association. As a group member, you will receive updates on
> important issues related to developmental disabilities(such as work
> around the ICFMR, Waiver, rule changes, etc.); and, you will be asked
> to
> provide your input regarding such issues. Also, you can ?post? to this
> site questions and comments on issues of the day, and other members can
> respond.
>
> Please note that EACH POSTING GOES TO THE ENTIRE GROUP, AS DO THE
> RESPONSES. The group consists of those OPRA members who have provided
> us with an email address. You can view this list by clicking on
> the ?members? link at this website. We hope to obtain email addresses
> from all OPRA members over time.
>
> ALTHOUGH THIS GROUP IS OPEN ONLY TO OPRA MEMBERS, IT IS IMPORTANT TO
> REMEMBER THAT OPRA'S MEMBERSHIP IS LARGE AND DIVERSE; THEREFORE, THE
> INFORMATION EXCHANGED THROUGH THIS ON-LINE FORUM WILL BE VIEWED BY
> INDIVIDUALS WITH A WIDE RANGE OF INTERESTS AND OPINIONS. PLEASE KEEP
> THIS IN MIND WHEN CONTRIBUTING YOUR THOUGHTS TO THE GROUP. (BE
> COURTEOUS, PROFESSIONAL, ETC.) THE VIEWS OF INDIVIDUAL MEMBERS DO NOT
> NECESSARILY REFLECT THE VIEWS OF THE OPRA BOARD OR THE OPRA STAFF.
> <b>To send a message to this listserve, please use the reply button or
> opra_members@opra.simplelists.com. Thank you.</b>