Acronyms
Medicaid
RX
Diabetic Supplies
Name that Benefit
100

QMB

What is Qualified Medicare Beneficiary.

100

What numeric Medicaid level is QMB?

What is level 1.

100

A member can get an override for qualifying lost medication how often?  

What is once per calendar year.

100

You can find what brands of diabetic monitors are covered in what intent?

What is Review Medical Benefits. 

100

Rollator.

What is DME.

200

DSNP

What is Dual Special Needs Program.

200

Medicaid's transportation vendor. 

What is comfort Care.

200

This is needed when a member lost their medication. 

What is an Administrative Override. 

200

CGM stands for.

What is Continuous Glucose Monitor.   

200

Tooth Crown.

What is Dental Comprehensive. 

300

DMR

What is Direct Medical Reimbursement.
300

The dept. that handles Medicaid recertification.

What is BeneLynk.

300

LIS Buydown means what?

What is the member will have a $0 copay.

300

3 preferred vendors we use when a member needs a CGM machine.

What is Byrum Healthcare, Adapt Health, Edgepark. 

300

MRI

Radiological Diagnostic Service

400

MCO

What is Managed Care Organization.

400
How long can our DNSP members keep their plan after losing Medicaid?

What is 6 months.

400

Where can you find the Part D claims address? 

What is under the summary tab/prescriptopn plan. 

400
Our covered diabetic monitor brands are what?

What is OneTouch and Accu-Check

400
Psychiatrist visit. 

What is Outpatient Mental Health. 

500

SNF

What is Skilled Nursing Facility.

500

Does SLMB Plus pay the members cost share?

Yes- Only for services covered by both Medicare and Medicaid. 

500

Where can you find the members RX Bin #?

What is in Maestro under the Plan tab.
500

Diabetic shoes are covered under what benefit?

What is Part B. 

500

Woundcare.

What is Specialist OV.

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