PRISM FAQs and GUIDES
PRISM FAQs
- FAQ for Medicaid System Freeze (December 2022)
- FAQs for Provider Enrollment system changes on June 29, 2020
- FAQs for Providers on PRISM (May 2020)
PRISM Release Notes
- Future PRISM Proposed Release Notes (updated 10.03.2023)
- These are the "proposed" changes for the next PRISM release and are subject to change based on prioritization of the defects and their impacts.
- 2023 PRISM Release Notes (updated 11.15.2023)
Facilitator and User Guides
- ABA: PRISM Prior Authorization (PA) Facilitator Guide for Providers
- Home Health and Private Duty Nursing Services: PRISM Prior Authorization (PA) Facilitator Guide for Providers
- Hospice Admission Record Activity Guide
- Long Term Acute Care (LTAC) Hospitals: PRISM Prior Authorization (PA) Activity Guide
- Outpatient Therapies: PRISM Prior Authorization (PA) Facilitator Guide for Providers
- PRISM Prior Authorization (PA) Facilitator Guide for Providers
- SUD: PRISM Prior Authorization (PA) Facilitator Guide for Providers
Provider FAQs
- Provider FAQ: PRISM Access, Submitting Claims, Finding & Uploading Documents
- Provider FAQ: Eligibility, Billing and Claims
- Provider FAQ: New Choice Waivers
- Provider FAQ: Prior Authorization
- Provider FAQ: Electronic Data Interchange (EDI)
Remittance Advice Remark Codes (RARC)
Quick Reference Guides
- Document Management Portal Quick Reference Guide for Providers
- Member Eligibility Inquiry in PRISM
- PRISM Reference Guide: Submitting Payment Information for Medicare or Other Insurance *new!*
- Provider Reference: Information about PRISM training resources and system changes that will impact providers
- Provider Account Administrator Manual
- Provider Addresses and Locations
- How to Avoid Provider Enrollment Closures
- Business Process Wizard-Step Remark Resolution Guide
- Uploading an Attachment in PRISM
Multi-Factor Authentication Process