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Frequently Asked Questions

 

Training & Education | Registration & Login | General System Questions | Provider Admin Questions

 

 

Registration and Login

 

Q. How do I get my Log In credentials for the portal?

A. Please check with your Provider Group Admin to see if an account was already set up and ask that they add you as a user. If you do not know who the Provider Admin is for your account, please submit a request for assistance to INpriorauthissues@Acentra.com

 

 

 

Q. Do I need a password to register and where do I get it?

A. No, you do not need a special password to register. Once your Provider Admin sets up your account, you will receive a link to complete your registration, and the system will prompt you to create your own secure password.

Q. How do I change the Provider/Facility address that's on file for my account?

A. This will need to be done through the IHCP Provider Portal. Click this link for information Indiana Medicaid: Providers: Update Your Provider Profile

General System Questions

 

Q. Is there somewhere in the portal to send comments regarding the prior auth (PA) request?

A. Yes, the best way is to use the Notes feature in Atrezzo when you are setting up the request. After your request has been submitted, you can also add a note for the clinical reviewer by going to the Communications section of the case and clicking the Notes link.

Q. Where do I enter discharges for a case in the portal?

Q. Go into your case and enter that information in the discharge section under Service Details.  
Note: Hospice providers only need to upload the Hospice Discharge Form.  

Q. Why am I getting a message “One or more Procedure Codes not appropriate for service type”?

A. This typically means a code you entered does not require a prior auth. It is important to check the IHCP Fee Schedules to confirm if your codes require a prior auth before you start your request.

Q. What does the error message “Provider not currently eligible to provide services during requested timeframe” mean?

A. This message will appear if you are not using a Billing or Group NPI as the servicing provider. This is an Indiana FSSA requirement, and the prior auth cannot be submitted if the servicing provider is not entered correctly.

Q. When trying to look up a status on my PA, why am I getting the message “You are not associated with this review”?

A. This message can be associated with 1) you did not click Change Context button to select the correct provider account to find your case, or 2) your  request has been voided because it did not require a prior authorization per the IHCP fee schedule, or it was a duplicate request for the same service dates.

Q. If I call your Customer Service line and find that my PA request was voided, is there notification sent?

A. Yes, the system generates an Indiana general letter detailing why it was voided. This letter is sent to the requesting provider associated with the case.

Q. What does the error message "Servicing Provider Type Not Allowed for Service Type" mean?

A. This message displays when the servicing provider does not match with the requested service type. The servicing provider must be corrected to be a provider that can bill for the requested service type.

Provider Admin Questions

 

Q. What is the role of the Provider Group Administrator (Provider Admin) for the provider portal?

A. The role of Provider Group Administrator (or Provider Admin) includes managing user accounts, assigning roles and adding provider associations within the Atrezzo portal. The Provider Admin plays a crucial role in ensuring that user access is properly configured and maintained.

Q. Can a Provider Admin reset the Multi-Factor Authentication (MFA) for their users?

A. Yes. If users change their email or phone number, or fail to complete the registration process, a provider admin can reset the MFA. Click “Setup” at the top of home screen, select user, click reset registration and the OK button. The user will then receive a system generated email from Acentra Health to complete their registration.

Q. How do I find resources specifically for the Provider Admin?

A. Go to the Training & Education section of the website Training & Education - Indiana Medicaid FFS . Then scroll to the Important Links section and click the Provider Portal Administrator button which will display all of the current multi-media resources for your role.

Common Prior Authorization Questions

 

Q. What is the preferred method for Prior Auth (PA) submission?

The preferred method for submission is through Atrezzo provider portal, as it streamlines the process. You may still choose to fax or call in, but please do not submit the same request via different methods.

Q. Where do we find training materials and presentations?

A. You will find all materials on the training and education page of this website, click the link here: 
Training and Education. 

Q. What is the turnaround time to receive a response from INPriorAuthIssues inbox?

A. Provider emails are typically responded to within 24 hours. If you have an urgent question, please contact Customer Service at 866-725-9991.

Q. What is the difference between a retrospective review and a prior authorization?

A. A true retrospective review is when all dates of service are in the past. Any prior authorization submitted that has current or future dates is not a retrospective review. 

Q. If Medicaid is secondary insurance, is a Prior Auth (PA) required if the primary insurance does not require a PA?  

A. If commercial insurance is primary, a Prior Auth (PA) is required if the services require it. You will follow both the commercial and Medicaid PA policies.  If Medicare or Medicare Advantage is primary and the service is covered by Medicare, then no PA is required. When services are not covered by Medicare, if the IHCP Fee Schedule states a PA is required, you must submit PA to Acentra Health.     

Q. Can a Reconsideration/Administrative review be submitted through the portal or just faxed in?

A. The request may be submitted by fax, portal, or US mail. It is recommended to use the portal or fax to ensure timeliness.  

Q. What do we need to do to assume care from a different Provider? 

A. There needs to be a transfer of prior auth (PA) responsibilities. Get the PA# from the existing provider or Acentra Customer Service and submit an IHCP Prior Authorization Revision Request Form to ensure existing authorization is properly ended before you assume care for the member.  
Note: Hospice Providers must submit State Form 48733, Hospice Change Request Form 

 

Contact Us
INPriorAuthIssues@acentra.com
P: (866) 725-9991
F: 1-800-261-2774

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Place, Suite 440
Richmond, VA 23230

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