UM Jiva Provider Portal Transition Deadline Approaching – ACTION REQUIRED

Alliance Health will transition to Jiva Provider Portal to receive and process authorization requests for services that will be directly authorized by Alliance effective May 1, 2024. Please note that this change will not impact the service authorization requests that will be managed by our subdelegates such as DME, vision and specialty physical health services such as imaging, complex labs, musculoskeletal, radiation oncology, and some portion of cardiology that will be submitted to WellCare and their subdelegate UM vendors. Hospital systems, please be on the lookout for an email from the Director, Hospital and Facilities at Alliance concerning your Jiva service agreement process.

Beginning May 1, ACS will no longer be available to accept authorization requests. The Jiva Provider Portal will offer much more flexibility, functionality and usability for providers and staff. Some of the features of the new portal include integration with Milliman Clinical Guidelines (MCG), which allows for automatic review of some designated request types, and a dashboard to show a snapshot of submitted requests and their status at a glance. Access to ACS to submit service authorization requests (SARs) will no longer be available after these go-live dates:

• May 1: In-network behavioral health providers will go live with submitting prior authorization (PA) requests in Jiva Provider Portal
• July 1: Our Tailored Plan (physical health) providers will be active to submit PA requests in Jiva Provider Portal

Each agency that requires access to the Jiva Provider Portal to submit SARs must complete the Jiva Provider Portal service agreement and attachment A. We have included instructions. You may access these Jiva service agreement and instruction forms here.

Your agency will receive a notification that your Agreement and Attachment A have been received. If documents are incomplete, you will receive an email from [email protected]. Please make sure to check your spam folders. Individual users will receive next steps on how to activate their accounts. Those with new accounts created or reactivated would receive an Okta email as notification to set up their password. For those with active Okta accounts, the Jiva icon will appear on their login screen.

Alliance is committed to ensuring all providers who return accurate forms are set up in Jiva within 10 business days. However, providers who wait until the last week before implementation will run the risk of not being set up before the May 1, 2024 launch date. To access training on how to use the Jiva Provider Portal, please sign up through Knowledge Point by entering the registration code newuser. If you are not able to attend an information session, contact your assigned network relations specialist for any questions related to the Jiva service agreement.

Hospitals and inpatient facilities will have a different process for the Jiva service agreement. Please be on the lookout for an email from our director, hospital and facilities concerning your Jiva service agreement process. Hospitals and facilities are encouraged to sign up for trainings. Please sign up for trainings as they are available for all in-network contracted providers.

If you are already registered in Jiva as a CMA/AMH+, you do not need to submit user information for those care managers and extenders. CMA/AMH+ providers, if you have questions, contact your Practice Transformation Specialist.