Slayed Medicaid
3 basic requirements for IL Medicaid
What is IL Resident, U.S. citizen, & non-citizen that meets the eligibility non-financial & financial requirements?
TPO
What is Treatment, Payment, Healthcare Operations?
The most restrictive Medicaid Managed Care Plan
What is EPO (Exclusive provider network)?
owner of small business marketplace program option
What is SHOP?
VP Name
What is Kathy Stoeberl?
To receive the home & special nursing care services you must be a PT under what age?
What is 21?
ACA
What is affordable care act?
Does not require a PCP or referral to see specialty doctor?
What is PPO?
Daily Double: Tomika took a tumble down the stairs at work & needs to submit a claim. She has Blue Cross & medicaid. Coordinate the benefits:
What is workman's comp?
Director of OP's full name
What is Scott gates?
I have MLTSS & I want to book an appointment. You register me as.
What is IDPA, PA (Straight medicaid)
Daily double: TPL & what is it for Medicaid?
What is Third party liability & 000
Go outside of its network only in an emergency.
What is HMO?
monthly or quarterly payments towards insurance that do not count towards deductible
What is premium?
Daily Double: The Chief DR of CLH?
**Trick Question**
Dr. Janet Szlyk?
a request for evaluation of PT from DR to DR, electronic or written.
What is referral?
QMB
What is Qualified Medicare Beneficiary?
Daily Double: Call out the plans from least restrictive to Most?
What is PPO, POS, HMO,EPO?
A PT pays this to the doctors office prior to the doctor seeing them?
What is co-pay?
Name of classmate that worked for CLH before?
What is Brenda?
Daily Double: Health choice IL replaced these former programs
What is FHP, ICP, & MLTSS?
COB
What is Coordination of Benefits?
2 entities Contracted to offer MCO.
What is state & private insurance companies?
When healthcare coverage begins
What is effective date, plan date?
Two trainers full names
what is Amanda Stevens & Tomika Reed?