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Business Process Wizard (BPW) – Step Remark GuideStep Remark DefinitionStep remarks are messages that display on the Business Process Wizard screen in the step remark column when information in the specified stepis missing or incomplete. Step remarks can display immediately after closing a step or after other steps are completed that require additionalinformation on previous steps.EnrollmentModification1 Page

BPW Step Remark Resolution GuideBPW StepBasicInformationLocationsSpecializationsStep Remark No Step remarks are applicable to this BPWstep. Please add Required Location PhoneNumberResolution Add Required Field Phone Number and any otherrequired fields for each location. (converted provider) Fee For Service or MCO Network Providermust be selected for each location. Select at least one of the checkboxes for Fee for Serviceor MCO Network Provider on the Location details screenfor each location. (converted provider) Inpatient and Pharmacy dropdowns mustbe selected for each location. Inpatient or Pharmacy dropdown are not selected butthey are required in the Locations. Review and addmissing data. Please add Location. Location step has been started but not completed. Atleast one location is required for a provider. . (If the enddate of the record is in the past the system will display thisremark for the user to add a current record) Please add applicable Addresses. Please add Required Specialization On each location select the Location code hyperlink andreview the address grid at the bottom of the screen. Theaddress button for the grid will be disabled if all requiredaddresses for a location have been added.Add specialization information (Provider Type,Specialty/Subspecialty and Taxonomy) for each location.(If the end date of the record is in the past the system willdisplay this remark for the user to add a current record)2 Page

OwnershipDetails Please enter missing data for requiredfields. An Individual Owner/Managing Employee has missingDOB. Update each owner and add missing required fields.(converted provider) At least one Managing Employee/Agent isrequired. Add at least one Managing Employee or Agent for theprovider in the 2nd grid on the list page. (If the end dateof the record is in the past the system will display thisremark for the user to add a current record) Please add the provider as the individualowner along with the provider’s SSN in theOwners List. Providers with enrollment types of Individual or AtypicalIndividual that enroll with FEIN in the Basic informationstep must add an Owner record with the Owner’s SSN. (Ifthe end date of the record is in the past the system willdisplay this remark for the user to add a current record)Ownership relationship is required whenmultiple individual owners have beenentered. Add the relationship between all individual ownersLicenses andCertifications Please add Required License/Certification Add the License/Certification information that isapplicable to the specializations entered. Refer to theRequired Credentials button to determine whatinformation is required for your specialization/taxonomy.The license must cover the start date of the associatedspecialization. (If the end date of the record is in the pastthe system will display this remark for the user to add acurrent record)Training andEducation Please add Required Training andEducation Add any training and education information that isapplicable to the specializations entered. Refer to theRequired Credentials button to determine whatinformation is required for your specialization/taxonomy.3 Page

Identifiers Please add Required Identifier. Federal TaxDetails Please fill out the W-9 Form. EDISubmissionMethodTradingPartnerDetails Please add Required EDI SubmissionMethod Information. Please add Required Trading PartnerDetails. EDI SubmitterDetails Please add Required EDI SubmitterInformation Please add EDI Submitter(s) for all EDITransactions selected in EDI SubmissionMethod step. Review the transactions on the EDI Submission Methodstep and ensure that there is an EDI Submitter for eachtransaction Please add Required AAA EDI SubmitterInformation Please add Required EDI ContactInformation.Please add EDI Contact for each EDISubmission Method selected.No Step Remarks are applicable to thisBPW Step The voluntary reassignment checkbox has been selectedon the HCBS Waiver step for Aging Waiver program. Addthe AAA EDI Submitter or uncheck the voluntaryreassignment checkbox on the HCBS Waiver BPW step.At least one EDI Contact is required for each EDISubmission Method that has been selected. Review theEDI Submission step and add any missing contacts.Please add Required Servicing Provider EDI ContactInformation BillingProviderDetailsServicing Add any required identifiers that are applicable to thespecializations entered. Refer to the Required Credentialsbutton to determine what information is required foryour specialization/taxonomy.Step has been started but not completed. Return to thestep and click on the W-9 Form hyperlink to add therequired information.Select the EDI Submission method(s) and transactions.At least one Trading Partner Number is required for eachtransaction that was selected with UHIN as the EDISubmission method. Click on the Add button to add ormodify all trading partner IDs.Add an EDI Submitter for each transaction selected forBilling Agent submission method on the EDI SubmissionMethod step.Add at least one Servicing Provider with all required4 Page

ProviderDetailsMCO S Waiversand mation. information.Please add Required Network ProviderInformation.Please add Required Remittance DetailsInformation.Please add Required Payment DetailsInformation.Please add Required HCBS Waivers andEPAS Information.Please complete Required Enrollmentchecklist. Please upload all the required documentsor confirm that you will mail or fax in all therequired documents. Please confirm you have read theinstructions Mark the checkbox that you have read the instructionsand complete the electronic signature and select Submitbutton on the page. Please attach the User Security Agreementdocument. A signed Provider User Security Agreement is required forthe user that is submitting the enrollment of conversionvalidation modification. Complete this security agreementwith appropriate signatures and upload on theAttachment list. Add at least one MCO Network provider with all requiredinformation.Step has been started but not completed. Return to thestep and add remittance details.Step has been started but not completed. Return to thestep and add payment details.Add waiver services for all waiver programs that havebeen selected on the specialization step.Answer all questions on the checklist. The questions aredynamic and additional questions may display as youcomplete this screen.Upload all of the documents that are required for yourenrollment or modification. Refer to the RequiredCredentials button for information on what documentsare required for your enrollment type and specializations.If you do not have the ability to electronically uploadthese documents you can mail or fax these to UtahMedicaid. Select the checkbox for Fax or Mailing. If faxinguse the fax coversheet to ensure the documents areprocessed correctly.5 Page

Submit Enrollment Application has not beenSubmitted. Complete the Enrollment submission step to send theapplication to Utah Medicaid to review. You can continueto make changes until submission is complete.Applications that are not submitted within 60 days ofapplication start are purged from the system.6 Page

the AAA EDI Submitter or uncheck the voluntary reassignment checkbox on the HCBS Waiver BPW step. EDI Contact Information Please add Required EDI Contact Information. Please add EDI Contact for each EDI Submission Method selected. At least oneEDI Contact is required for each EDI Submission Method that has been selected. Review the