Claims Processing for New and Revalidating Providers

New providers, whose enrollment has been approved in IMPACT, will receive an e-mail from IMPACT stating that you are now an enrolled Medicaid provider.  While the statement is true, you cannot submit claims with the information contained within the IMPACT email. In order to submit claims, the data from your IMPACT enrollment must be transferred to the MMIS legacy system (MMIS). This step of the process could take up to two weeks. Once the data is transferred to the MMIS, a “Provider Information Sheet” (PIS) will be generated and mailed to the Pay To address on the IMPACT application and if applicable, to the billing provider’s address. New providers have 180 days from the date their enrollment data is transferred to the MMIS, in order to meet timely filing deadlines. An existing Medicaid provider, who is revalidating with no change of payee, may still submit claims for processing, but must make sure to use the correct “Doing Business As” if billing through a billing provider.