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News & Announcements

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You’re invited to the 4th Quarter Kaiser Permanente Virginia Medicaid Provider Virtual Town Hall – December 18, 2024

Join us virtually on Wednesday, December 18, 2024, from 11 a.m. – 12 p.m. for our quarterly forum just for VA Medicaid providers.

Topics include:

  • Kaiser Permanente news
  • Kaiser Permanente’s new provider attestation portal
  • Pharmacy weight management service referrals
  • Behavioral health referrals
  • Appointment wait time standards
  • Updating your demographic information
  • Online Affiliate features
  • And more!

We look forward to seeing you!

Microsoft Teams meeting

Join on your computer, mobile app or room device
Click here to join the meeting

 

Meeting ID: 250 276 175 142
Passcode: MMP6q6Yd3
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Join with a video conferencing device
teams@evc.kp.org

Video Conference ID: 119 747 320 3
Alternate VTC instructions

 

Or call in (audio only)
+1 213-533-9530,,211918347# United States, Los Angeles

Phone Conference ID: 211 918 347#

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Introducing Kaiser Permanente’s Attestation Portal for Validating Provider Information

We are pleased to announce the launch of the Kaiser Permanente Attestation Portal, a streamlined and efficient platform designed to simplify your attestation processes for validating provider information. This portal offers a user-friendly interface for submitting and managing your 90-day provider demographics attestations with ease and accuracy.

Outlined below are several resources detailing the features and functionalities of the Attestation Portal:

Should you have any questions about the Attestation Portal or other Online Affiliate features, please visit the Online Affiliate Support Site at https://kpnationalclaims.my.site.com/support/s/

Thank you for your continued partnership and commitment to maintaining accurate provider information. We look forward to working with you to streamline and enhance our processes.

 

Thank you for partnering with Kaiser Permanente to provide quality health care services to our members throughout every stage of the COVID-19 pandemic. Please see the below FAQs and reference guides to assist you with providing critical care to our members."

Ending the COVID-10 Public Health Emergency (PDF)

FAQs/Guides

We are working to address questions and concerns you have. Please see the below FAQs and reference guide to assist you with providing critical care to our members. We will continue to keep you informed as the situation evolves.

Members have the right to free language services for health care needs. We provide free language services including:

  • 24-hour access to an interpreter: When members call to make an appointment or talk to their personal physician, if needed, we will connect them to a telephonic interpreter.
  • Translation services: Some member materials are available in the member’s preferred language.
  • Bilingual physicians and staff: In some medical centers and facilities, we have bilingual physicians and staff to assist members with their health care needs. They can call Member Services or search online in the medical staff directory at kaiserpermanente.org.Braille or large print:
    Blind or vision impaired members can request for documents in Braille or large print or in audio format.
  • Telecommunications Relay Service (TRS): If members are deaf, hard of hearing, or speech impaired, we have the Telecommunications Relay Service (TRS) access numbers that they can use to make an appointment or talk with an advice nurse or member services representative or with you.
  • Sign language interpreter services: These services are available for appointments. In general, advance notice of two or three business days is required to arrange for a sign language interpreter; availability cannot be guaranteed without sufficient notice.
  • Educational materials: Health education materials can be made available in languages other than English by request. To access Spanish language information and many educational resources go to kp.org/espanol or kp.org to access La Guía en Español (the Guide in Spanish). Members can also look for the ñ symbol on the English language Web page. The ñ points to relevant Spanish content available in La Guía en Español.
  • Prescription labels: Upon request, the KPMAS pharmacist can provide prescription labels in Spanish for most medications filled at the Kaiser Permanente Pharmacy.

At Kaiser Permanente, we are committed to providing quality health care to our members regardless of their race, ethnic background or language preference. Efforts are being made to collect race, ethnicity and language data through our electronic medical record system, HealthConnect®. We believe that by understanding our members’ cultural and language preferences, we can more easily customize our care delivery and Health Plan services to meet our members’ specific needs.

Currently, when visiting a medical center, members should be asked for their demographic information. It is entirely the member’s choice whether to provide us with demographic information. The information is confidential and will be used only to improve the quality of care. The information will also enable us to respond to required reporting regulations that ensure nondiscrimination in the delivery of health care.

We are seeking support from our practitioners and providers to assist us with the member demographic data collection initiative. We would appreciate your support with the data collection by asking that you and your staff check the member’s medical record to ensure the member demographic data is being captured. If the data is not captured, please take the time to collect this data from the member. The amount of time needed to collect this data is minimal and only needs to be collected once. Recommendation for best practices for collecting data is during the rooming procedure.

In conclusion, research has shown that medical treatment is more effective when the patient’s race, ethnicity and primary language are considered.

To access organization wide population data on language and race, please see our Diversity & Inclusion Annual Report*.

To obtain your practice level data on language and race, please email the Provider Relations Department at Provider.Relations@kp.org.

All of our medical plans are located in Maryland, Virginia, or the District of Columbia or is a Federal plan. Each jurisdiction has unique guidelines for billing claims such as member balance billing. Be sure to know the member’s plan situs to ensure appropriate claim processing.

Finding the situs of a member’s plan is simple. Locate the member’s plan name when verifying the member benefits in Kaiser Permanente Online Affiliate. The plan name is under Coverages & Benefits. The Payor/Plan name will contain one of the following as part of the plan name:

  • Maryland or MD
  • Virginia or VA
  • District of Columbia or DC
  • Federal or FD (Maryland guidelines apply to Federal plans)

Some examples of what you will see online are:

  • Payor/Plan
    • MAS KP-MEDICAID MCO MARYLAND / MD MEDICAID PLAN (20325) 0718
    • MAS KP-MID ATLANTIC / VA KPIF ON HCR HMO SILVER $15/$40 (3787

If you are uncertain about the situs of a member’s plan, please contact our Member Services Call Center at 1-800-777-7902.

If you are not registered for access to Kaiser Permanente Online Affiliate, you may register online at kp.org/providers/mas.