Entertainment
Who is the oldest of the Kardashian sisters?
Kourtney
What is the current 2019 supplemental benefit for dental in PBP 006/ Pima?
$3,000
What does HMO stand for?
health maintenance organization
What is the most recent announcement posted in TOOL?
Flu Shot Script
Does a member need a referral from a provider to a BH provider?
NO. Member can self refer.
What is the name of the witch in Disney’s ‘Sleeping Beauty’?
Maleficent
Members who have not had a fill for an opioid in the past 60 days, will require what?
An initial 7-day fill.
What does LIS stand for?
Low-Income Subsidy
Where are the Customer Care meeting minutes and Powerpoints located in TOOL? Need the folder name
Training
What is the physical therapy benefit for both ACC and ALTCS members?
15 visits per contract year (10/01—9/30) for persons age 21 years or older to restore a particular skill or function the individual previously had but lost due to injury or disease and maintain that function once restored; and,
15 visits per contract year (10/01—9/30) for persons age 21 years or older to attain or acquire a particular skill or function never learned or acquired and maintain that function once acquired.
What is the name of the serial killer in ‘Halloween’?
Michael Myers
What is the 2020 supplemental benefit for hearing aides in PBP 007/ Pinal & Maricopa?
$1500/3 yrs
What does MTM stand for?
Medication Therapy Management
Where are the disenrollment plan changes guidelines in TOOL. Need the folder name
Benefits
Name two covered services specific to Behavioral Health?
BH Counseling and Therapy, Assessment, Evaluation and screening services, Crisis Intervention, Substance Abuse Treatment
What movie sold the most tickets of all time in the U.S.?
Gone with the Wind – about 208 million tickets have been sold; the U.S. population in 1939 when it was released was 131 million.
What is the 2020 supplemental benefit for glasses/contacts in PBP 013/ Cochise, Gila, Graham,
Greenlee, La Paz?
$75
What does SLMB stand for?
Specified Low Income Medicare Beneficiaries
If you receive a call asking for a different language, per Medicare Regulations, how long does the plan have to get a translator on the call?
8 minutes
Name 2 things that are not covered by ACC or ALTCS?
Infertility Treatment
TMJ Treatment (except for reduction of trauma)
Medical Marijuana
What does the Evil Queen say to her mirror in Snow White and the Seven Dwarfs?
“Magic mirror on the wall, who is the fairest one of all?”
Name one change from the 2019 to the 2020 supplemental gird?
PBP 001 - $40/mth to $25/mth
PBP 006 - $300 to $225
PBP 006 - 6 visits to NC
What does ANOC stand for?
Annual Notice of Change
Name all the Customer Care Veronicas in number order, with first and last names?
V1 Veronica Carrillo
V2 Veronica Chacon
V3 Veronica Enriquez
V4 Veronica Soto
How many hours of respite care is covered for ALTCS?
600 hours