Tasking/Tiering
This is the recommended task due date for annual reassessments
What is 1 month before the assessment is due
This is where you can find the link to your employee benefits
What is CNet
This is the correct ICT note structure
What is a single paragraph
This is who you should outreach for grocery card questions/issues
Who is Marylin Bloom
This is the organization that a member/guardian should outreach directly to change their contact information.
What is DCF/Medicaid
You will create this task when the member has been identified as ineligible
What is a CM notification task to close the task on the 46th day of ineligibility
This is where you go to collect your points needed for your medical insurance premium deduction reward and get support for physical, emotional, financial. and social well-being programs to improve your health and wellness.
What is Healthy Pathways/Personify
This should be done when you are going to be out of office during a scheduled staffing
What is find CM coverage
This is who you should email with issues about swim lessons/tutoring/pest control/Carpet Cleaning
Who is CaidProd
These three things should not be removed in the case of a member that is identified as ineligible
What is the secondary case manager, acuity, and tier
This is the recommended tier for someone who is active with BNET
What is Tier 3
This is a benefit available to you to assist with mental health needs
What is EAP
This is who you should ensure is included in every staffing invite
Who is SM Staffing
This is who you would email with any pharmacy issues
What is sunshinepharmacy@sunshinehealth.com
These are the two steps taken when taking sick time
This is the recommended tier for a member that has 1 or fewer PT/OT/ST/ABA evaluations in a 30-day timeframe
What is Tier 4
This time is earned, is for you, should be used, and does not roll over
What is Vacation time
This should be included at the end of every BH staffing ICT note
What is: CMS CM will continue to provide care coordination and remove any barriers to treatment.
You would contact a supervisor immediately if you have a conversation with a member/guardian and they mention any of these 5 things
What is:
These are two ways you can assist a provider that reports having issues
What is
Go to Sunshine Health website>click for provider>click provider engagement account managers>click find your account manager>find your service>click map area of need>next
Submit a request central FL Provider Engagement Request Form
This is the tier that a member should be when they opt out verbally for the first time
What is their current tier
This is a free and confidential online therapy platform for all full time Centene Employees
What is Talkspace
These should be spelled out first or avoided completely in a BH staffing note
What are abbreviations/acronyms
This is where you would go to escalate issues for a member's My Health Pays
What is Request Central using the FL Member Advocate Request Form
This is where you go to escalate issues with an authorization for HH and DME
Who is the Escalations SharePoint site.
**See link in QRG or in Bookmarks