Our training

We make sure providers have the right tools and resources to take care of our members. On this page, you’ll find helpful links and training opportunities to boost your knowledge and serve your community.

Questions?

Just call Provider Experience at 1-855-221-5656 (TTY: 711). We’re here for you Monday through Friday, 8 AM to 5 PM.

Getting started

Getting started

When you join our network, we’ll provide an initial orientation. After that, you’ll have ongoing training and education, including webinars, periodic provider newsletters and bulletins, and so much more.

Questions about joining our network? Just visit the join our network page for more information.

You can also check the quick reference guide or the provider manual for answers to many of your questions. Or you can call us at 1-855-221-5656 (TTY: 711).

Quick reference guide (PDF)

Provider manual (PDF)

New provider training and resources

Take part in a session and we’ll share helpful information, including:

• Contract requirements and amendments

• Special needs of the members served by the provider

• Service coverage guidelines

• Prior authorizations

• Billing procedures and claim submission

• How to learn more about your provider portal and other information

How to join

You can register to join an orientation training session. If you have questions, you can email us. Or call 1-855-221-5656 (TTY: 711).

Upcoming sessions

July 12, 2023, 9 AM to 10 AM
September 27, 2023, 10 AM to 11 AM
November 29, 2023, 10 AM to 11 AM

You can join the rest of our provider community by attending our provider town halls.

How to join

You can register to join a town hall. Just choose a date to register.

Upcoming sessions

Questions? Just email us. Or call 1-855-221-5656 (TTY: 711).

Availity® training

The Provider Portal is an online tool that lets us communicate health care information directly to providers. In 2021, we transitioned from the Medicaid Web Portal (MWP) to Availity as our Provider Portal.

You need to register for the Availity Provider Portal before you can start using its many features. To learn more about how to register for the Availity Provider Portal, just visit the Provider Portal page.

Get training on Availity

Setting up your account with Availity (PDF)

Other training, materials and resources

You can take part in our provider refresher course to review helpful information including:

Requisitos de contratación y enmiendas
Members’ special needs and how you can serve them
Pautas de cobertura de servicios
Autorizaciones previas
Procedimientos de facturación y presentación de reclamaciones
How to find more resources and information

Staff can also answer any of your questions about other topics, such as the provider portal.

How to join a training session

All sessions are held virtually. You can register to join a Provider 101 Refresher training session. Just choose a date for an upcoming session.

Upcoming sessions

April 24, 2023, 10 AM to 11 AM
July 19, 2023, 10 AM to 11 AM — Register to join
September 20, 2023, 10 AM to 11 AM — Register to join
November 22, 2023, 10 AM to 11 AM — Register to join

Questions? Just email us. Or call 1-855-221-5656 (TTY: 711).

We strongly encourage all providers to learn more about cultural competency. Patient satisfaction and positive health outcomes are directly related to good communication, in a culturally competent manner, between a member and their provider.  

Providers should receive education about topics, such as:

The reluctance of certain cultures to discuss mental health issues and the need to proactively encourage members from such backgrounds to seek support
The impact that a member’s religious and/or cultural beliefs can have on health outcomes (example: belief in non-traditional healing practices)
Health illiteracy and the need to provide patients with understandable health information (example: simple diagrams, communicating in the vernacular, etc.)

History of the disability rights movement and the progression of civil rights for people with disabilities

Physical and programmatic barriers that impact people with disabilities accessing the right care

More about cultural competency

How to join a training session

You can register to join a cultural competency training session.

Upcoming sessions

June 14, 2023, 10 AM to 11 AM
September 13, 2023, 10 AM to 11 AM
November 8, 2023, 10 AM to 11 AM

Questions? Just email us. Or call 1-855-221-5656 (TTY: 711).

More resources

Cultural competency plan (PDF)

Cultural competency training presentation (PDF)

EPSDT services are a comprehensive array of prevention, diagnostic and treatment services for low-income infants, children and adolescents under age 21 (as specified in Section 1905(r) of the Social Security Act). The EPSDT benefit is more robust than the Medicaid benefit for adults and is designed to assure that children receive early detection and care, so that health problems are averted or diagnosed and treated as early as possible.

We’re committed to ensuring that the children we serve will receive health care they need when they need it, in the right setting. Our webinar covers all aspects of an EPSDT exam including best practices related to EPSDT services.

How to join a training session

You can register to join an EPSDT training session. Just choose your preferred session date to register.

Upcoming sessions

Questions? You can email Robin Simmons. They’ll help answer any questions you may have about the webinar.

Trauma-informed care responds to the impact of trauma through recognition and understanding. We take our members’ safety and ability to make their own choices seriously. Want to learn more? Just watch this video about trauma-informed care. Or visit the Center of Excellence for Integrated Health Solutions (CoE) website.