MCO Provider Portal Updates

All STAR+PLUS / MMP Health Plans have an agreement with HHSC to integrate the below critical data elements within their provider portals by June 1, 2017.

  • Service Authorization Segments Overlapping the MESAV Inquiry Period:
    • Service Authorization Effective Date
    • Service Authorization End Date
  • Client Level Segments Overlapping the MESAV Inquiry Period
    • Client Level Begin Date (RUG)
    • Client Level End Date
    • Level
    • Level Type
  • Client Responsibility Segments Overlapping the MESAV Inquiry Period:
    • Payment Amount
    • Payment Type
    • Client Responsibility Begin Date
    • Client Responsibility End Date

Upcoming MCO Trainings