Provider News & Alerts

CMS K.I.D.S. Rollout Schedule

The schedule to transition to CMS K.I.D.S. for your area is below.

E-InfoSource - Get access to enrollment, prior authorizations and claims status!

Through the link https://cms.einfosource.med3000.com you will be able to

• verify each child's CMS and Early Steps enrollment,
• verify approval of prior authorization, when required, and
• review the status of your claims.

Prior Authorization

• Identify services that require prior authorization at the following link:
  
  https://cms.einfosource.med3000.com
  
  NOTE: Out-of-Network providers must receive prior authorization for every service.
  
  
• To Request prior authorization of services, contact your local area office or other contracted partner. Local area offices can be found through the following link:
  
  http://www.cms-kids.com/home/contact/area_offices.html

Claims

Three ways to submit claims - How to Complete a Claim Form

1. Use the following links and payer codes to submit claims electronically
   
   
   • Availity http://www.availity.com
   • Emdeon http://www.emdeon.com

   Program	Availity Payer Codes	Emdeon Payer Codes
   Title XXI	M3FL0014	EM205
   Safety Net	M3FL0011	EM284
   Early Steps	M3FL0010	EM350
   Title XXI Reform (Medicaid Reform)	M3FL0012	EM843

   
   
2. Manually enter your claims into http://www.availity.com
    
3. Mail paper claims
   
   

   Program	Address for Paper Claims
   Title XXI	MED3000 CMS Title XXI P. O. Box 981733 El Paso, TX 79998-1733
   Safety Net	MED3000 CMS Safety Net P. O. Box 981728 El Paso, TX 79998-1728
   Early Steps	MED3000 CMS Early Steps P. O. Box 981626 El Paso, TX 79998-1626