SNP Product 2020
For the current SNP plan, the dental benefit is increasing from $3000 to ______?
What is $3900.
This is the category code for documenting Appeals.
What is GCA?
What does SNF stand for?
What is Skilled Nursing Facility.
This is where we update a SNP member's address.
What is Medicare Resource Guide SharePoint.
In 2020, CHC is expanding to the rest of the state. We split this into three sections, what are they called?
What is Northwest, Northeast, and Lehigh/Capital.
For the current SNP plan, the vision benefit is increasing from $300 to ______?
This is the category code for sending CHC documents.
What is DSC?
What does SOB stand for?
What is Summary of Benefits.
This is where we initiate an ODAG/Organization Determination/Medical Authorization.
What is HealthPlanet.
If CHC is secondary, what type of medications will CHC help pay for?
What is Part B.
For the current SNP plan, the OTC benefit is increasing from $125/quarter to ______. Combine mail order and debit.
This is the category code for sending CHC documents.
What is DSG?
What does ANOC stand for?
What is Annual Notice of Change?
This is where we check for previously placed pharmacy authorizations.
What is PA Hub?
If a participant threatens to call DHS, a lawyer, the OLTL, the media, etc., what code do we use to document this?
What is CHC059.
In 2020, we will be removing the required Prior Authorization for which two services/benefits?
What is Pain Management and Chiropractic Services.
This is the category code for documenting gift card questions.
What is MGC?
What does IEB stand for?
What is the Independent Enrollment Broker.
This is where we check vision eligibility for SNP members.
What is AS400.
What is the one copay assessed to a CHC member?
What is $3 for Brand Name Medications.
Name the 5 counties that will now have a separate SNP plan.
What is Bucks, Chester, Delaware, Montgomery, Philadelphia.
This is the category code for return Pharmacy Authorization calls.
Hint: We go into PA Hub to mark the callback.
What is MIX?
What does DHS stand for?
What is Department of Human Services.
This is where we run test claims for medications.
What is ESD.
DHS mandates that CHC has certain documents readily available in these six languages:
(English is not one)