True Blue Special Needs Plan
What is the True Blue Special Needs Plan?
The True Blue Special Needs Plan is a voluntary health plan that coordinates Medicare benefits as well as most of the Medicaid benefits plus some supplemental services.
What is Blue Cross Idaho Medicaid Plus?
Blue Cross Idaho Medicaid Plus is a plan for dual eligible beneficiaries that coordinates most of their Medicaid benefits.
Which Idaho county is the first to mandatorily assign/enroll Dual eligible individuals into Idaho Medicaid Plus?
Twin Falls County
What government services must a Dual receive to be eligible for True Blue SNP or Blue Cross Idaho Medicaid Plus?
Receive both Medicare (Parts A, B and D) and Enhanced Medicaid coverage.
How many counties are within the service area for True Blue SNP?
22 Counties are within the service area for True Blue SNP.
How many counties will be mandatory to enroll in Idaho Medicaid Plus and which counties are they?
9 counties will be mandatory to enroll in Idaho Medicaid Plus and they are: Ada, Bannock, Bingham, Bonner, Bonneville, Canyon, Kootenai, Nez Perce, and Twin Falls.
As of what date will Duals in Twin Falls county begin to receive notifications that an Idaho Medicaid Plus selection must be made or they will be auto-assigned to one of the providers?
Mailers will begin to be distributed as of 7/1/2018 to Duals in Twin Falls county.
How many Duals reside in the state of Idaho?
There are approximately 27,000 Duals in the state of Idaho.
What is coordinated care?
Coordinated care is one set of comprehensive benefits. One accountable entity to coordinate delivery of services. One care management team to coordinate care.
What supplemental benefits will Blue Cross Idaho Medicaid Plus include?
There are no supplemental benefits with the Blue Cross Idaho Medicaid Plus. Members may elect to enroll in True Blue Special Needs Plan which coordinates both Medicare and Medicaid plus includes supplemental services.
Dual eligible individuals who have not made an Idaho Medicaid Plus selection for Twin Falls County will be mandatorily assigned to one of the two providers as of what date?
Dual eligible will be mandatorily assigned 9/1/2018 for a 10/1/2018 effective date with an Idaho Medicaid Plus Plan if no selection has been made.
What is the minimum age of eligibility for the True Blue SNP or Blue Cross Idaho Medicaid Plus?
Dual eligible individuals must be at least 21 years of age or older.
What are Care Coordinators?
Care Coordinators are members' single point of contact to serve as their advocate to help them navigate their Medicare and Medicaid services. These individuals live within the communities and are available to come to members' homes and are available by telephone.
What are Care Specialists?
Care Specialists are members' single point of contact to serve as their advocate to help them navigate their Medicaid services. The Care Specialists will be available by telephone to the member.
What is the effective date for Twin Falls county Duals to either select or be auto-assigned to Idaho Medicaid Plus?
10/1/2018 is the effective date for Duals residing in Twin Falls.
What percent do Dual eligible individuals make up in Idaho Medicaid's population and how much of the Medicaid budget do they require?
Duals make up 15% of Idaho Medicaid’s population but require over 1/3 of the Medicaid budget.
What are some of the covered services included in the True Blue Special Needs Plan?
Covered services are: Prescription drug coverage; Home and community based services; Vision coverage; Optional gym membership; 24 hour nurseline; Local and highly rated customer service; Care Coordination; and more.
What benefits does Blue Cross Idaho Medicaid Plus cover?
The benefits covered are: Hospital costs after Medicare payment, Medical costs after Medicare payment, Behavioral Health, including Community-Based Rehabilitation Services, Nursing Home after Medicare payment, Aged & Disabled (A&D) Waiver, Personal Care Services, and Care Specialist.
Once the effective date begins for Duals on Idaho Medicaid Plus, how long do they have to switch from one plan to another in deciding which best suits their individual needs?
Duals have 90 days as of the effective day to make a switch between Idaho Medicaid Plus plans if they choose to do so.
A typical dual eligible individual has more than how many times the expenditures of a Medicare-only beneficiary?
A typical dual eligible individual has more than four times the expenditures than Medicare-only beneficiaries.