Enrollment Broker
The time a participant has 30 days to change their Health Plan
What is Annual Open Enrollment (AOE)
The 2 CHIP premium programs
What is CHIP LOC2 and CHIP LOC3
The act of not calling in and showing up for work
What is a No call No show (NCNS)
The tool used to change someone from one plan to another
MC
What is Managed Care
The organization that participates and administers Managed Care Health Plans
Managed Care Organization
KP = MO Kidney Program
DHSS = Dept. of Health and Senior Services
DMH = Dept. of Mental Health
The amount of time you can leave a participant on hold
What is 2 minutes
The tool used to changed someone outside of there AOE
What is Just Cause Transfer
EB
What is Enrollment Broker
The action taken when a participant no longer wants Managed Care and they have SSI
What is Opt-out
The programs that fall under Fee for Service.
What is Spend Down, Ticket to work and CHIP
The chain of command for help
What is Mo Knowledge Base, KO, Team Lead, Supervisor
The tool to take someone out of managed care who qualifies
What is Opt Out
PCP
Primary Care Physician
The department that approves a Disenrollment request
What is MHD
The premium collection tools can be accessed by
The amount of points you get before being placed on a CAP
What is 4 points
The tool to close take someone out of managed care who moved out of state
What is Disenrollment
HRA
What is Health Risk Assesment
Participants have a 90 change period when they initially enroll in a Managed Care Plan
What is Initial Enrollment (OE)
The PO boxes given to participants to mail in payments
CHIP: 805109
SD: 808001
TTW: 809020
The call center manager
What is "Scott"
The tool used to add another insurance
Third Party Liability
MHABD
What is Mo HealthNet for Age, Blind and Disabled