Renewals
Under 65 and received a green banner renewal packet, what campaign would you transfer to ?
MA_TXFR_Special Disabiity
What does FEP stand for ?
Fixed Enrollment Period
What coverage can the member have to be eligible for PT1 Services?
MassHealth Standard,Commonhealth,Careplus
Member needs their 1099 form, what campaign would you transfer to ?
MA_TXFR_TaxForms
Are you supposed to warm or cold conference LL
WARM
Over 65 or long term care or medical treatment facility, what type of application does the member need to complete?
SACA
How long is Plan Selection Period (PSP) last for ?
90 days
Where would you look to see if a member has an active PT1?
Customer Web Portal (CWP)
Member has HSN/PHSN coverage and would like to know more about it, what campaign would you transfer to ?
MA_HSN_Eng or Spa
How can long can you have member on hold when waiting for an interpreter?
2 minutes
Member calls, aid category 06 and AA PAC. What are the next steps member needs to do ?
Complete HIX Application
Member needs to go to a provider outside of the 25 miles radius, what task would you need to create?
Health Plan Change Task- 25 miles exception
When submitting Health track transportation address request, how long would the updated PT1 be valid for ?
30 days
Member wants to submit an appeal, what campaign would you transfer to ?
MA_TXFR_EA Specialists
What is our project code?
60
For a specialty disability renewal, What type of notice would you see in MA21.
PACA-REV-DB
When a member has a MCO/ACOA needs behavorial health services, who would refer them to ?
Their Health plan BH customer service
If member is enrolled into OneCare, SCO, or PACE, who would they need to refer to for transportation?
Refer to Onecare/SCO plan or PACE
Member received a letter stating assets are being held by MassHealth, which unit would you transfer them to ?
1-800-754-1864 Estate Recovery/Third Party Recovery
Where would you find your Personal Code?
last 4 digits of your Five9 station ID
How long does a member have to respond to a non-auto renewal ?
45 days
If member is under 18, has active TPL and wants to enroll into behavorial health. What task would we create ?
CBHI ENROLLMENTS ESCALATIONS
What does PT1 stand for ?
Prescription Transportation
Casualty Recovery Unit at 1-800-754-1864:
When on LL call, and needing to contact ASL. Who would you need to put on hold first LL or member before conferencing in ASL ?