Three-Year Network Adequacy Review for Medicare Advantage Organizations

NMM Org Quick Reference Guide
Table of Contents
1

How to download templates from Reference Materials to create upload files. .................... 3
Step 1 of 3: Access the Network Management Start Page ....................................................... 3
Step 2 of 3: Select a Contract................................................................................................... 4
Step 3 of 3: Access the Reference Materials page ................................................................... 5

2

How to Submit Network Data for Organization Initiated Upload .......................................... 6
Step 1 of 3: Access the Network Management Start Page ....................................................... 6
Step 2 of 3: Select a Contract................................................................................................... 7
Step 3 of 3: Access Upload Data page ..................................................................................... 8

3

How to Submit Network Data for CMS Ad-hoc or Audit Reason Code ................................ 9
Step 1 of 3: Access the Network Management Start Page ....................................................... 9
Step 2 of 3: Select a Contract................................................................................................. 10
Step 3 of 3: Access Upload Data page ................................................................................... 11

4

How to Access the Status Report to Check the Status of an Upload ................................ 12
Step 1 of 3: Access the Network Management Start Page ..................................................... 12
Step 2 of 3: Select a Contract................................................................................................. 13
Step 3 of 3: Access the Status Report Page........................................................................... 14

5

How to Request Exceptions ............................................................................................. 15
Step 1 of 3: Access the Network Management Start Page ..................................................... 15
Step 2 of 3: Select a Contract................................................................................................. 16
Step 3 of 3: Access the Request Exception Page................................................................... 17

6

How to Upload Documentation for Exceptions .................................................................. 18
Step 1 of 3: Access the Network Management Start Page ..................................................... 18
Step 2 of 3: Select a Contract................................................................................................. 19
Step 3 of 3: Access the Exception Upload Page .................................................................... 20

7

How to Access the ACC Extracts ..................................................................................... 21
Step 1 of 3: Access the Network Management Start Page ..................................................... 21
Step 2 of 3: Select a Contract................................................................................................. 22
Step 3 of 3: Access the ACC Extracts page ........................................................................... 23

8

How to Access the User Guide ......................................................................................... 25
Step 1 of 2: Access the Network Management Start Page ..................................................... 25

NMM Quick Reference User Guide
Last Edited: August 26, 2016

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Step 2 of 2: Access the User Guide ....................................................................................... 26

NMM Quick Reference User Guide
Last Edited: August 26, 2016

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1

How to download templates from Reference
Materials to create upload files.

Step 1 of 3: Access the Network Management Start Page




On the HPMS Home Page, select Monitoring on the top navigation bar.
In the flyout menu, click Network Management.
On the Network Management Start Page, click Reference Materials link on the right navigation
bar. The user will advance to the Select Contract Number page.

NMM Quick Reference User Guide
Last Edited: August 26, 2016

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Step 2 of 3: Select a Contract




On the Contract Selection page, enter or select a contract ID and/or Reason Code/Event ID
combination.
Click Search
Click on a hyperlink in ‘Select A record’ column from the Search Results grid.

NMM Quick Reference User Guide
Last Edited: August 26, 2016

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Step 3 of 3: Access the Reference Materials page




On the Reference Materials page, click the appropriate Provider Template, Facility
Template, Exception Template, Reference File, Sameple Census, NMM Instructions or
Contract Upload Technical Instructions links to access the templates.
Download templates. Add data to templates to create upload files.

NMM Quick Reference User Guide
Last Edited: August 26, 2016

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2

How to Submit Network Data for Organization
Initiated Upload

Step 1 of 3: Access the Network Management Start Page






On the HPMS Home Page, select Monitoring on the top navigation bar.
In the flyout menu, click Network Management.
On the Network Management Start Page, click Reference Materials to access the upload
templates to prepare Provider and Facility files for upload. Refer to section How to download
templates from Reference Materials to create upload files.
On the Network Management Start Page, click Organization Initiated Upload on the right
navigation bar. The user will advance to the Select Contract Number page.

NMM Quick Reference User Guide
Last Edited: August 26, 2016

Page 6 of 26
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Step 2 of 3: Select a Contract




On the Contract Selection page, enter or select a contract ID and/or Reason Code/Event ID
combination.
Click Search.
Click on a hyperlink in ‘Select A record’ column from the Search Results grid.

NMM Quick Reference User Guide
Last Edited: August 26, 2016

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Step 3 of 3: Access Upload Data page



Browse for Network Submission files for Provider and or Facility
Click Submit to upload files.

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Last Edited: August 26, 2016

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3

How to Submit Network Data

Step 1 of 3: Access the Network Management Start Page






On the HPMS Home Page, select Monitoring on the top navigation bar.
In the flyout menu, click Network Management.
On the Network Management Start Page, click Reference Materials to access the upload
templates to prepare Provider and Facility files for upload. Refer to section How to download
templates from Reference Materials to create upload files.
On the Network Management Start Page, click Upload Data on the right navigation bar. The user
will advance to the Select Contract Number page.

NMM Quick Reference User Guide
Last Edited: August 26, 2016

Page 9 of 26
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Step 2 of 3: Select a Contract




On the Contract Selection page, enter or select a contract ID and/or Reason Code/Event ID
combination.
Click Search.
Click on a hyperlink in ‘Select A record’ column from the Search Results grid.

NMM Quick Reference User Guide
Last Edited: August 26, 2016

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Step 3 of 3: Access Upload Data page



Browse for Network Submission files for Provider and or Facility
Click Submit to upload files.

NMM Quick Reference User Guide
Last Edited: August 26, 2016

Page 11 of 26
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4

How to Access the Status Report to Check the
Status of an Upload

Step 1 of 3: Access the Network Management Start Page




On the HPMS Home Page, select Monitoring on the top navigation bar.
In the flyout menu, click Network Management.
On the Network Management Start Page, click Status Report link on the right navigation bar.
The user will advance to the Select Contract Number page.

NMM Quick Reference User Guide
Last Edited: August 26, 2016

Page 12 of 26
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Step 2 of 3: Select a Contract





On the Contract Selection page, enter or select a contract ID and/or Reason Code/Event ID
combination.
To access the status report associated with Organization Initiated Uploads, select Org Ad-hoc in
the optional Reason Code drop down field to narrow down search results.
Click Search.
Click on a hyperlink in ‘Select A record’ column from the Search Results grid.

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Last Edited: August 26, 2016

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Step 3 of 3: Access the Status Report Page



The Status column displays the Network Submission file status.
Click on the HELP hyperlink for futher explanation, located top right of the page.

NMM Quick Reference User Guide
Last Edited: August 26, 2016

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5

How to Request Exceptions

Step 1 of 3: Access the Network Management Start Page




On the HPMS Home Page, select Monitoring on the top navigation bar.
In the flyout menu, click Network Management.
On the Network Management Start Page, click Exception Request link on the right navigation
bar. The user will advance to the Select Contract Number page.

NMM Quick Reference User Guide
Last Edited: August 26, 2016

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Step 2 of 3: Select a Contract




On the Contract Selection page, enter or select a contract ID and/or Reason Code/Event ID
combination.
Click Search.
Click on a hyperlink in ‘Select A record’ column from the Search Results grid.

NMM Quick Reference User Guide
Last Edited: August 26, 2016

Page 16 of 26
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Step 3 of 3: Access the Request Exception Page





Select State, County, Provider/Facility type, Specialty Type, Exception type.
Select the Add Exception button.
The exception is added to the grid below.
To delete the requested exception, select the records in the grid using checkboxes, and click the
Delete Selected Exception(s) button. The selected exception will be deleted from the grid.

NMM Quick Reference User Guide
Last Edited: August 26, 2016

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6

How to Upload Documentation for Exceptions

Step 1 of 3: Access the Network Management Start Page






On the HPMS Home Page, select Monitoring on the top navigation bar.
In the flyout menu, click Network Management.
On the Network Management Start Page, click Reference Materials to access the upload
templates to prepare Exception Documentation files for upload. Refer to section How to
download templates from Reference Materials to create upload files.
On the Network Management Start Page, click Upload Exception link on the right navigation
bar. The user will advance to the Select Contract Number page.

NMM Quick Reference User Guide
Last Edited: August 26, 2016

Page 18 of 26
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Step 2 of 3: Select a Contract




On the Contract Selection page, enter or select a contract ID and/or Reason Code/Event ID
combination.
Click Search.
Click on a hyperlink in ‘Select A record’ column from the Search Results grid.

NMM Quick Reference User Guide
Last Edited: August 26, 2016

Page 19 of 26
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Step 3 of 3: Access the Exception Upload Page



Browse for Exception Upload file
Click Submit to upload the file.

NMM Quick Reference User Guide
Last Edited: August 26, 2016

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7

How to Access the ACC Extracts

Step 1 of 3: Access the Network Management Start Page




On the HPMS Home Page, select Monitoring on the top navigation bar.
In the flyout menu, click Network Management.
On the Network Management Start Page, click ACC Extracts link on the right navigation bar.
The user will advance to the Select Contract Number page.

NMM Quick Reference User Guide
Last Edited: August 26, 2016

Page 21 of 26
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Step 2 of 3: Select a Contract





On the Contract Selection page, enter or select a contract ID and/or Reason Code/Event ID
combination.
To access extracts associated with Organization Initiated Uploads, select Org Ad-hoc in the
optional Reason Code drop down field to narrow down search results.
Click Search.
Click on a hyperlink in ‘Select A record’ column from the Search Results grid.

NMM Quick Reference User Guide
Last Edited: August 26, 2016

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Step 3 of 3: Access the ACC Extracts page



Select any Extract link to access the report.
Click on the HELP hyperlink to futher understand various reports, located at the top right of the
page.

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Last Edited: August 26, 2016

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NMM Quick Reference User Guide
Last Edited: August 26, 2016

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8

How to Access the User Guide

Step 1 of 2: Access the Network Management Start Page




On the HPMS Home Page, select Monitoring on the top navigation bar.
In the flyout menu, click Network Management.
On the Network Management Start Page, click User Guide link on the right navigation bar. The
user will advance to the Select Contract Number page.

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Last Edited: August 26, 2016

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Step 2 of 2: Access the User Guide


Click on the NMM_OrgQuickReferenceGuide link to access it.

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Last Edited: August 26, 2016

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