APS CareConnection® Introduction Letter

Dear APS CareConnection® User and/or Authorized Agent:

This document will define the process necessary to Register within APS CareConnection® and describe the important information you will need to submit in order to request access to use the APS CareConnection® system.

APS CareConnection® MANDATORY Provider Registration Process

1. All providers must register in APS CareConnection®, whether they intend to request an authorization electronically, via phone or fax. If you have not registered to date, please print, fill out and sign the Organization Setup Request form and fax to (866) 325-4752. APS Healthcare cannot approve an authorization request until you have registered in APS CareConnection®.

2. We strongly encourage providers to request authorization electronically via APS CareConnection®. In order to obtain a user logon to APS CareConnection® fax back the User Access Request Form AND the Confidentiality Agreement to (866) 325-4752.

3. When the Organization Setup Request and the User Access Request forms are received back from you via fax, a helpdesk representative will enroll your organization and create your user ids. Once your enrollment has been processed, they will notify you via e-mail or phone that this process is complete and provide you with your user ids.

Because of the sensitive nature of the data stored within this application, strict adherence to security and privacy, as mandated by HIPAA, will be enforced. Please read this entire document as well as the Provider Tips and the Confidentiality Agreement, before completing and submitting the forms, to ensure an expedited registration process.

If you need multiple copies of this form, please make as many copies as needed. Please complete and return to APS Healthcare, the following:

1. APS “Organization” Setup Form

2. APS CareConnection® User Access Request form

3. Confidentiality Agreement (1 per agency/facility)

Please fax these forms to 1-866-325-4752

Thank you for your cooperation. We look forward to serving you with our APS CareConnection® application.

Sincerely,
Eric Meyer
Executive Director, Maine ASO