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A
Account Login Request Form, MACSIS/Diamond
ACT Diamond Build and Claims Considerations
Affiliation Codes
Affiliation Codes Explanation
Affiliation File Extract Documentation
AOD HIPAA Modifier Code Table, MACSIS
AOD HIPAA Procedure Code Table, MACSIS
AOD OHEXT/CPE Process Timeline
(Claims)
AOD Procedure Code, Modifier and Medical Definitions Matrix
Appendix A:
College Students, Homeless Clients, Migrant Workers, Out-of-State Clients
Guidelines and Operating Principles for Residency Determinations among CMH / ADAS / ADAMHS Boards
APUPD Process Timeline
(Claims)
APUPD Process
APUPD Weekly Schedules and Status
Back to top
B
Behavioral Health Meeting Minutes
BENEF Explanation
(Sample)
Board Operations Manual - HIPAA Claims Section
(large file)
Board Operations Manual - HIPAA Member Section
(large file)
Brule Explanation
BRULE Explanation
(Sample)
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C
Caution/Outlier/Notify Reports Documentation
HIPAA Notify Program
Cheat Sheets
Claim Adjustment Group Codes
Claim Filing Indicator
Claim Status Code
Claims and Payment Training (
PDF
, large file) (
PowerPoint
, large file)
Claims EDI File Processing for the 837P in MHHIPAA
Claims Extract Layout
Claims
Claims Post Report Layout
(102 ASCII File)
Claims Submission Information
Claims Process Timeline
Claims User Group E-Mail Link
Claims Users - List by County
Claims Users - List by Name
Codes
Completing the Member Screen
Contacts - MACSIS Groups
Contracts, Pricing & Adjudication Training (
PDF
) (
PowerPoint
)
Contracts and Pricing Flowchart
Contract, PSCHD & Procedure Code Tables
Correcting Claims for CPST
CPE File Layout
Creating/Terming Contracts in Diamond
Creating/Terming Non-Medicaid Contracts/Rates in Diamond
Criminal Justice System and Residence Determinations
Crosswalk of Diamond 8 to HIPAA Reason Codes
Crosswalk of Diamond 8+ to HIPAA 835 Default Reason Codes
Crosswalk of HIPAA 835 to Diamond 8+ Reason Codes (Reverse Crosswalk)
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D
DataMart (Macsis & PCS) Cubes
Denying a Claim
Diagnosis Codes - Valid BH ICD-9-CM Under HIPAA
Diamond PREDI Error Codes (HIPAA)
Diamond Reason Codes (HIPAA)
Disclosure of Information Form
(Board Staff)
Dispute Determination (RDD) Process, Residency - Instructions for Executive Directors of ADAMHS & CMH Boards
Double Loop Diagram
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E
EDI Claims Testing & Approval Policy, MACSIS HIPAA
Submit Test MACSIS EDI Claim File for Approval
(
Procedure
)
End-of-Line Issues in Data Files
(Revisited)
Enrolling a Client
Enrollment Procedures, MACSIS Support Desk
Enrollment Form
Enrollment Form, Instructions to Complete
Error Codes from ODJFS - Returned from Double Loop (Medicaid) Processing
Extracts (Member-Eligibility, Claims, and Affiliation)
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F
FAQ, Claims
FAQ (aka EEI or EXINQ), EEI Electronic Eligibility Inquiry
FAQ, Member
FAQ - Member & Medicaid Eligibility
Finance Guidelines
Finance Team Members - E-mail Group
Finance Team Members - List by Name
Fixing Retroactive Medicaid-Eligible Claims
FMG Conference Presentation (Spring 2005) (
PowerPoint
) (
PDF
)
FMG Reports Presentation (Spring 2005) (
PowerPoint
, large file) (
PDF
, large file)
Forms
FTP in MACSIS
FY03 Claims Data For Testing (
Excel
) (
PDF
)
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G
Guidelines and Operating Principles for Residency Determinations Among CMH/ADAS/ADAMHS Boards
Appendix A - (College Students, Homeless Clients, Migrant Workers, Out-of-State Clients)
Dispute (RDD) Process Guideline, Out-of-County Enrollment Process
Guidelines Pertaining to the Implementation of MACSIS under HIPAA
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H
HIPAA Rate Conversion Work Sheets (Tier Two)
ODADAS Service Codes (
Excel
) (
PDF
)
ODMH Service Codes (
Excel
) (
PDF
)
HIPAA Service Rate Form Instructions (Tier 2)
How to Search for a Member
Human Services Error Codes
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I
ICD-9-CM Codes considered for Payment under HIPAA, MACSIS Behavioral Health Care
IHBT Diamond Build and Claims Considerations
Implementation Plans/Developments - Clinical Outcomes
Instructions to Complete Member Enrollment Form
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J
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K
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L
Life Cycle of a Claim Flowchart
Life Cycle of a Claim Documentation
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M
MACSIS 835 Health Care Claim/Payment Advice Data Dictionary
(Paper)
MACSIS 835 Health Care Claim/Payment Advice Summary of Changes
(Paper)
MACSIS 835 Health Care Claim/Payment Advice Documentation
MACSIS 835 Health Care Claim/Payment Advice Technical Information Guide- NPI Format
MACSIS 835 Health Care Claim/Payment Advice - NPI Format, Sample
MACSIS 835 Health Care Claim/Payment Advice - NPI Format, Sample
(Paper)
Downloadable Sample MACSIS 835 - NPI Format, Sample
(Paper)
MACSIS 835 Reversal Report Documentation
MACSIS 835 Reversal Report - NPI Format, Sample
(Paper)
Downloadable Sample MACSIS 835 Reversal Report - NPI Format
(Paper)
MACSIS 837 Professional Claim v5010 Technical Information Guide
MACSIS 837 Professional Claim v4010 Technical Information Guide - NPI Format
MACSIS 837 Professional Claim v4010 - NPI Format, Sample
MACSIS EDI Claims Testing Request Form (
Word
) (
PDF
)
MACSIS HIPAA Claim Correction Policy
MACSIS HIPAA Claim Correction Procedure
MACSIS HIPAA Claims Correction Form
(Draft)
(
PDF
) (
Word
)
Instructions for Completing MACSIS HIPAA Claims Correction Form
MACSIS Performance Overview - By Boards Documentation
Making a Denied Claim Payable
Manuals
MCP Enroll/Disenroll Codes
MCP Extract Layout & Field Definitions
Medical Definitions for MHHIPAA Environment
Member/Claims Transfer, Instructions for Completing
Member/Claims Transfer Request Form (
PDF
) (
Word
)
Member-Eligibility Extract Documentation
Member Enrollment Form
Member/Enrollment Specialists - E-mail Group
Member/Enrollment Specialists - List by County
Member/Enrollment Specialists - List by Name
Member Error Reports
Member Extract Layout, New and Old
Member Support
Member Training (
PDF
, large file) (
PowerPoint
, large file)
MH ARA and Voucher Explanation
MH HIPAA Modifier Code Table, MACSIS
MH HIPAA Procedure Code Table, MACSIS
MH Same Day Service Reporting - Roll-Up Categories for Duplicate Checking
MIS Work Group - E-mail Group
MIS Work Group - List by Name
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N
Naming Conventions in MACSIS
NPI Claims EDI Checklist
Back to top
O
ODJFS - Returned from Double Loop (Medicaid) Processing, Error Codes from
ODMH Procedure code, Modifier and Medical Definitions Matrix
ODMH Residential & Housing Service Categories
ODADAS MACSIS Codes, Terms and Definitions
ODADAS Roll-Up Categories for Duplicate Checking
ODMH OHEXT/CPE Process Timeline
(Claims)
Outcomes Initiative, ODMH
Overnight File Program
Back to top
P
Place of Service Codes, MACSIS
Pricing for Boards
(File Layout)
Prior Authorization Extract File Layout
Procedure Codes and Affiliated Price Schedules
Procedure for Denying Claims Beyond Submission Deadline
Production Schedule
Project Team Meeting Minutes
Project Team (POP) - E-Mail Group
Project Team (POP) - List by Name
Provider (PROVF) Information
Provider Request Modification Form (
Word
) (
PDF
)
Provider/Vendor File Layout
Putting a Claim on Hold
Back to top
Q
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R
Remittance Reports (Electronic)
Remittance Reports
(Paper)
Remittance Report Data Dictionary
Removal of Client Data from MACSIS
Request to Remove Client from MACSIS
(Form)
Report Request Form
Reporting Third Party Insurance on the 837P
Reports List
Detailed information about all Macsis Reports
Reports - MACSIS (APUPD, Check Post, Claims Billing)
Residency Dispute Determination - Form ADM038
Reversing a Claim
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S
Service Population Codes
Splitting a Claim
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T
TASC Build Description
Technical Support Page
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U
Unix-Telnet Account Request Form
Unix FTP Accounts
Un-Pending a Claim
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V
Verification of Residency Form
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W
Weekly Schedules and Status, APUPD, Check Post, Claims Billing
X
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Y
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Z
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