Provider Assistance

Have questions? Contact our provider call center: 1-800-686-1516 through the Interactive Voice Response System (IVR). It provides 24 hour, 7 days a week access to information regarding client eligibility, claim and payment status, prior authorization, drug and procedure codes, and provider information. Our provider representatives are accessed through the Interactive Voice Response System, and are available weekdays from 8:00 a.m. through 4:30 p.m.  They will assist you with billing concerns.

Providers are responsible for granting and maintaining IVR access for their billing entities or trading partners.  To comply with HIPAA privacy requirements, all providers and billing entities accessing the IVR for protected health information (PHI) are required to use a Personal Identification Number (PIN). For detailed instructions about how to use the IVR, please view the following documents:

• Provider assistance FAQs
• Provider PIN detailed administration instructions
• Hospice key-ahead guide
• Billing entity detailed PIN instructions

Need technical assistance?  The Ombudsman unit communicates with Medicaid providers through one-on-one consultations; conducts seminars in conjunction with provider associations; resolves specific Medicaid claim problems and a range of other Medicaid issues.