PRISM Provider Training

PRISM Quick Links

Provider Quick Links

Eligibility Lookup Tool

Coverage and Reimbursement Tool

Physician Enhancement Attestation

Criteria

HIT Incentive Payment Program

Find a Health Care Provider

Qualifying Clinical Trials and Medicaid FAQs

To help providers with the system changes, new eLearning courses are available below

Provider eLearnings by Process and Steps

This section of eLearnings is organized in a sequential step by step arrangement

Overviews

Initiating a New PA Request by a Provider

Overviews and Introductions

Direct Data Entry Claims Online

Generating Acknowledgement

Retrieving an Acknowledgement and Response File via Web opens in a new tab

Managing Claims Adjustments by a Provider

Accessing Claims Information by a Provider

Balance Billing

Balance Billing Policy for Medicaid Providers

Aging Waiver

EPAS

New Choices Waiver

Technology Dependent Waiver

Entering an Application for a Technology Dependent Waiver opens in a new tab

Checking Status of an Application

Accessing the Check Status Application/Referral Page opens in a new tab
Checking the Status and Modifying an Existing Application/Referral opens in a new tab

Enrolling as an Individual Sole Proprietor Provider (1 hour 36 minutes)

Enrolling as an Individual Rendering Servicing Provider (1 hour)

Enrolling as an Atypical Individual Provider (1 hour and 29 minutes)

Enrolling as an Atypical Agency (1 hour and 27 minutes)

Enrolling as a Group Practice Provider (1 hour and 26 minutes)

Enrolling as a Facility/Agency/Organization (FAO) (1 hour and 27 minutes)

Enrolling as a Contractor/MCO (1 hour and 3 minutes)

Enrolling as a Billing Agent (30 minutes)

Managing the Information of an Individual Sole Proprietor Provider (1 hour and 32 minutes)

Managing the Information of an Individual Rendering/Servicing Provider (1 hour)

Managing the Information of an Atypical Individual Provider

Managing the Information of an Atypical Agency Provider (1 hour and 29 minutes)

Managing the Information of a Group Practice Provider (1 hour and 26 minutes)

Managing the Information of a Facility/Agency/Organization Provider (1 hour and 25 minutes)

Managing the Information of a Contractor/MCO Provider (1 hour and 8 minutes)

Managing the Information of a Billing Agent (22 minutes)

If a PRISM eLearning, FAQ, User Guide, or SOP lacks instructions on completing tasks in PRISM, click this link to access a PRISM Training Enhancement Request Form.

Provider eLearning Trainings

(Document Library)

Here Providers can find all our Provider eLearning modules organized by PRISM Subsystem. They are sorted in alphabetical order in each subsystem folder. Providers may also search for elearnings by using appropriate key words in the “Search” bar.

Click Here for Help Using this Document Library

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