HIPAA
The KM document would you access for more information regarding HIPAA?
What is HIPAA Privacy Desktop Procedures for Medicaid Customer Service
The ways we show active listening
What is ask probing questions to properly assist with inquiry
The steps on how to handle record not found are in what KM Document
What is Request an update to Member Enrollment Status Medicaid
The ways eligibility is determined
What is the State
Authorized Representative
The verbiage you use when you identify a caller is not a live person?
What is "due to privacy and security concerns, we are not able to share confidential information with electronic callers".
The ways to demonstrate confidence
What is taking responsibility and present solutions
The timeframe members can enroll
What is year around
The way to check eligibility if you cannot access states web portal
What is 800-456-2387
The Protected Health Information
What is PHI
The definition of HIPAA
What is Health Insurance Portability and Accountability Act
The way to leave a lasting impression
What is setting the right expectations.
The way a member can disenroll after the initial 90 days and before the open enrollment period they must show
What is Good Cause
The enrollment department
What is MDAG
The information you need on a provider call
What is name of caller , callers call back number and providers NPI
What is END
The issues that should not be sent to enrollment
Address changes , PCP changes, ID card Requests, requests to enroll a newborn
The member eligibility status for this member 95155260D D.O.B- 09/10/1995
What is currently active
The county this number belongs to (209) 533-5711
Tuolumne County Department of Social Services
The task for a providers call
What is add provider
The "A" in care stands for what
The issues that should be sent to enrollment
What is
The health plan for member 95155260D
What is LA Care
The way to enroll a newborn
What is the State Office