Acentra Health Adult PNMI Service Notification Process
- A member loses MaineCare or is in a spend down.
- The provider will need to submit a Service Notification request in Atrezzo. The Service Notification / Service Notification Extension acts as a place holder until the Member’s MaineCare is reinstated.
- If the member’s MaineCare is fully reinstated, the provider would then submit a Prior Authorization or Continued Stay Review in Atrezzo.
- If the member’s MaineCare has been reinstated retroactively, Acentra Health can backdate the Prior Auth or Continued Stay Review to align with the dates of the Service Notification/ Service Notification Extension. If there has not been a Service Notification or Service Notification Extension submitted, Acentra Health would not be able to backdate further than five (5) calendar days from date of submission.
