Medicare
The part of Medicare that covers outpatient services.
What is Part B
Clients enrolled in this program need to accrue a certain amount of medical expenses before their coverage kicks in.
What is a spenddown
These two ACES coverage codes describe a client that is on foster care coverage and under the age of 18.
What is D01 and D02
Any client on WAH with dental coverage would use this card for dental services.
What is the ProviderOne Services card
All clients requesting cash and food assistance would be referred to (blank).
What is the CSO
(Blank) are not covered by Medicaid when a client has Medicare.
What is prescriptions
Client's with ACES AU IDs that start with 0800 are in this program.
What is the Confidential Teen Pregnancy Program
This MCO is contracted to cover AHFC clients.
What is Coordinated Care of Washington
What is FFS or as a carve out
This program is not an MCO, but is a set of services that support eligible clients to get long-term care.
What is Health Home
This organization can help clients with choosing a Medicare Advantage, comparing benefits, choosing/comparing Medicare Part D plans, and information on Silver Sneakers program.
What is SHIBA
This program is through the Department of Health and Apple Health.
What is the Breast and Cervical Health Program
This is the eligibility group for AHFC clients that are between ages 18 and 26.
What is D26
Physical therapy for a client on an MCO would be covered (blank).
What is by their plan
These clients are children that have a small monthly premium for their coverage.
What are CHIP clients
Clients with this coverage cannot be balance billed.
What is QMB
Children who need skilled nursing support may be eligible for this program.
What is MICP
This information must be documented in your SR after verifying a caller with FCMT.
What is name of caller and “verified AREP with Foster Care per [insert Foster Care staff’s name]”
A FFS client with questions about coverage for specific procedures should be referred to (blank).
What is their provider
Clients who may have a disability, medical, mental condition or literacy/learning issue can request these services.
What is Equal Access
A dual eligible client calls and states that they need "extra help" to cover their prescription costs, they are referred to (blank).
What is the Social Security Administration
Children who are hospitalized for more than 30 days may be eligible for this program.
What is CLIP
If a AHFC client needs to report a birth, this is the action you would take.
What is sending the email template to FCMT
Clients calling about what prescriptions that can be covered should be referred to (blank).
*This is a two part question*
MCO: What is their MCO plan
FFS: What is their provider
Clients that are enrolled in the PRC program and need to change their health plan should be transferred here.
What is the PRC unit