New York
The Closing for NY "I'm glad you were satisfied with my services today."
No
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Reference KM article # KM1006294
Can member's 49-60 obtain menstrual supplies covered by their health plan?
No. Only ages 11-49 only to obtain free menstrual-absorbing under wear.
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KM1863851
"Can I get a phone through my insurance?"
Participants can purchase phones at a significantly reduced price, starting as low as $20 with Assurance Wireless.
Who is the vision vendor for MI Medicaid plans?
March Vision
Who is the dental Vendor for Transportation?- Idaho Medicaid.
Call the MTM reservation line at (877) 503-1261. Rides are scheduled 24 hours a day, seven days a week.
How would you answer "Hello, I am a Medicaid member and thinking of joining your plan and want to know if you cover personal care services."
"Yes, Personal care services is a covered benefit under UnitedHealthcare Community Plan. We have a dedicated team of Clinical Administrative Coordinators who will coordinate services with your Personal Care Agency. If your agency is not part of our network, you will have to change to an agency that participates with us."
What programs are there for women that are pregnant women to receive rewards for going to prenatal appointments?
"I'm a diabetic and wanted to know if the Dexcom is covered under my insurance?'
CGMs are a covered benefit for Medicaid, but they do not follow the same guidelines as standard diabetic supplies.
I'm calling to update my email address can you assist me that?
Yes.
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1.Launch the Update Member Profile intent. Follow the process outlined within Medicaid/IFP Update Member Profile.
2.Identify the member's state and/or program. (MI Guidance provided above)
3.Document all updated demographic information provided by the caller.
4.Follow normal call-closing guidelines.
5.End the call.
Who is ID Medicaid Dental Vendor?
Dental is carved out to MCNA Dental under the Idaho Smiles Program.
Access: Call Idaho Smiles program at 1-855-233-6262
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KM1997658
Are New York Members able to obtain a (PERS) Personal Emergency Response System?
Yes, A personal emergency response system is an item you can wear in case of an emergency. To qualify for this service, you must be receiving personal care/home attendant or CDPAS services.
What is Kicks for Grades?
For members enrolled in Virginia Cardinal Care/FAMIS, route calls to the CCCP Health Plan Care Coordinator team at 844-842-6910.
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Reference KM-1372200
"What is AAC?"
Augmentative and Alternative Communication (AAC)
An AAC system provides a member with a different or added ways to tell their wants, needs and thoughts. People of all ages can use AAC if they have trouble with speech or language skills. Augmentative means to add to someone’s speech. Alternative means to be used instead of speech. The AAC system should be used by the member in all settings (home, school, community).
Yes.
I will be able to locate for you.
Utilize: http://www.liveandworkwell.com/
Are all member eligible for Care Coordinator?
All members will get assigned a Care Coordinator when they enroll. Their Care Coordinator will contact the member after enrollment to talk about their healthcare needs.
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KM1997657
Who is eligible for Doula Services & what services are covered?
Medicaid eligible pregnant women in fee-for-service or Medicaid Managed Care who reside in the selected zip codes (Erie and Kings) would be eligible to receive doula services.
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• Up to and including 4 prenatal visits
• Support during labor and delivery
• Up to and including 4 postpartum visits
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Reference KM1815800 & KM1282817
link in job aid: New York State Doula Pilot Program
"If I haven't obtained my Highschool diploma does my plan have a program that can assist me with obtaining my GED?"
GED support Study plans, online testing and free 24/7 tutoring for members who want to get a diploma.
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Reference KM1863851 & Km1372200
Can LTC plans get their DME Supplies through Preferred Home Care?
No.Offer to contact prescriber and coordinate submission of the DME item order to Preferred Home Care (other vendors for LTC members) for fulfillment.
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Reference KM1748451
What is the "On My Way" Program?
The On My Way platform is a gamified website that targets foster and transition age youth in engaged markets. Content includes 6 tracks which youth can progress through to help them be ready for the transition to living alone. Also includes a ‘vault’ where youth can securely store any information they wish (resumes, college applications)
"I need someone to come out and move my couch to clean up a spill, is that something that is covered with my benefits?"
A: Yes, Chore activities are covered and may include the following:
If a member calls in to needing assistance with their state renewal/recertification what is the process?
Recertification Process
Members who need assistance with recertification or re-enrollment, route to Marketing Retention Team.
Note: May also transfer caller to Marketing at 888-617-8979; option 3 for Recertification Team.
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NY Quick Reference Guide-KM1282817
Weight Watchers
Attend 13 Weight Watchers meetings per year for qualified members ages 18 and up - at no cost.
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Reference KM1863851
"I'm trying quit smoking and it's been a real struggle does my health plan have any programs that can assist me to quit smoking?"
Quit for Life-Smoking Cessation
Does a MI Medicaid member have the right to request a state fair hearing?
Yes, if they have previously filed an appeal and received a final adverse determination letter.
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Reference
KM1344900
When will able be able to convert my Medicare plan with my Medicaid plan to turn it into a dual plan with United Health Care?
The UHC MMCP Combined/Integrated Medicare/Medicaid plan will be available 1/1/2026, you will be able to enroll into those plans during the AEP season 10/15-12/7.