Upcoming Training Sessions - 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.
To ensure that you are fully acquainted with the features and functionalities of the new Attestation Portal, we have scheduled two informational meetings. These meetings will provide a comprehensive overview of the portal, including step-by-step instructions on how to utilize it effectively to validate and manage provider information.
Register now for one of the training sessions on our new system:
December 2nd at 1:00 PM EST
December 3rd at 5:00 PM EST
December 4th at 1:00 PM EST
For those who cannot attend either session, please reference our Attestation Portal Guide.
Your participation is crucial to ensuring a smooth transition and maximizing the benefits of the Attestation Portal. We look forward to seeing you at the meeting!
New Online Affiliate Features: Pharmacy Weight Management Service Referrals & Radiology and Lab Order Entry
Kaiser Permanente’s Online Affiliate offers a wealth of time-saving tools. Through this convenient online portal, providers can view eligibility and benefits, submit claims and appeals, as well as much more. Below you’ll find details about two recently added features to the platform.
Pharmacy Weight Management Service Referrals
Effective February 6, 2024, Kaiser Permanente’s Online Affiliate platform offers providers an electronic method to refer patients to KPMAS Pharmacy Weight Management Service. This service will ensure appropriate and safe prescribing of injectable weight loss medication therapy (e.g. GLP-1 RAs), and help our patients fill their prescriptions seamlessly.
Note: This referral is only for evaluation of appropriateness of injectable weight loss medications for adults ages 18 or older; it is NOT for diabetes management. Some GLP-1 RAs medications may have utilization criteria; please review the utilization criteria prior to placing the referral.
Before prescribing an injectable weight loss medication, providers should enter a referral into the Pharmacy Weight Management Service for evaluation of appropriateness of injectable weight loss medication.
If a patient meets the criteria, they will be enrolled into the service, and the clinical pharmacist will contact the provider for an injectable weight loss medication order. Patients who do not meet the criteria will not be enrolled, and alternative therapies will be recommended.
Please follow the instructions below to refer patients to KPMAS Pharmacy Weight Management Service
Sign into Online Affiliate: https://epiclink.kp.org/MAS/epiclink
On the “Home” screen, select the “Order Entry” option from the drop-down menu under the “Patient” category.
On the “Order Entry” screen, select your patient using the search function or the “My Patients” list, and then select the appropriate “Ordering Clinic” from the dropdown menu.
On the following screen, in the “New Procedure” field, type “Ref Med Management.” Select “Clin Pharm Chart Review – Injectable Weight Loss Medication Review”
Complete the referral form, making sure to fill out the required fields indicated by stop signs. Then click “Accept.”
Click on the “Sign Orders” button on the following screen to submit the referral.
Radiology and Lab Order Entry In 2023, Online Affiliate rolled out a new feature for radiology and lab orders. Kaiser Permanente’s Online Affiliate platform now allows external providers to request radiology and lab order directly through the portal. Providers can select up to 16 laboratory options and over 50 radiology procedures via the order entry screens.
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."
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 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.
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