MMC
How does a patient join a Medicaid Managed Care Plan (MMC) ?
Call medicaid helpline
Straight Medicaid to MLTC case had a Maximus on 06/19 and a UAS on 06/21 when will their case start?
8/1
Does this PT qualify for services through FC?
( FN29093H)
Yes
How recent should HA forms be dated?
10 months
What State(s) does freedomcare Service ?
Missouri, Nevada, New York
What is the first thing we ask a PT already on an MMC that we work with?
Have you previously received services?
What plan would you recommend to this PT (WJ76553W )?
Integra, VNS, CPHL, SWH, SHP
If this PT is requesting CDPAP services through FC would they qualify and what would they need? (US16558K)
Yes, Cm info and get PA ready
What is the Pay rate for Ulster county?
$12.50
What Are Your Daily Tasks aside from answering Inbound Calls?
Clear emails, scores at 100, clear tasks/VM
Does this PT qualify for services through FC? If so, what are their steps?
(ZM31608T)
Yes, but must switch to a plan that we work with
What are the steps required to get this PT on care? (AU06569Q)
Max, uas, doh, caregiver ready
What information do we require when a PT answers yes to previously receiving services?
How many hours? Who is your CM? PA?
Name two benefits all PA’s qualify for?
Holiday Pay, Insta Pay, 401k retirement w/matching
When a patient's Medicaid shows : "NOT MA ELIGIBLE" does that mean that we can not assist them?
Ask if they are aware of spenddown, if no send to SPS
Does this PT qualify for services through FC? If so, what are their steps?
(FN29093H)
Yes, form, uas, get PA ready
What plan would you recommend to this PT(DG79860K)
VNS. CPHL, Integra, Elderplan,
If this PT is requesting CDPAP services through FC would they qualify and what would they need?
CM info and get PA ready
What is the pay rate for a PA whose PT has Fidelis MLTC and lives in the boroughs?
$15 RT
A patient's medicaid has Code 48 but it always shows "Community Coverage W/CBLTC" would we:
Refer to CPHL or VNS
Does this PT qualify for services through FC? If so, what are their steps?
(UQ28893X)
Yes, MAX, UAS, CFEEC release form and DOH
What are the steps required to get this PT on care? TA39669F
Send referral to CPHL or VNS for code removal, transfer to MAX, UAS, get caregiver ready
If this PT was requesting CDPAP services through fc, would they qualify? (CT54783D)
Yes
Can a caregiver work for more than one patient?
Yes
What should be included in your chatter to Bracha for an SPS referral?
-What type of referral: Application or Medicaid Upgrade
-Monthy Income of PT
-Who you spoke with