VERIFICATION
How many pieces of information does a member need calling on their own behalf?
3/5
What is the 1st recording played for the member when completing an application?
Notice of Consent
True or False. You must have a social security number to receive MassHealth?
False! Those without a SSN can still receive benefits, just not full coverage
If a member 65+ calls and needs to complete an application, where would you transfer them?
MA_TXFR_SACA_Eng (Speed dial 334)
Does a member with an Aid Category of B2 receive a MH ID card?
No
Can a NAV make changes to a members account without them present?
Yes
What is a RFI?
Request for Information
What system would you go to if you cannot pull up a notice in MA21?
MyServices
A member enrolled in Revere Health Choice needs to change their PCP, where do you transfer them?
MA_HealthPlan_Eng
Is Medicare a TPL?
Yes
True or False. You can verify a member with their email address?
False! You can verify using ______?
True or False ? CSRs can update members DOB during and outside of renewal?
False, only the MEC can update a members DOB, at ANY TIME
Does MassHealth Limited cover certain medical services provided by doctors and clinics outside of a hospital?
Yes!
An assistant from a doctor's office is calling regarding a member's coverage, where would you transfer them?
MA_Provider_Eng
What website do you refer members to that will help compare, pick, and enroll in a health plan?
Where can you verify the child/parent relationship in Hix?
Medicaid Household Summary
What does ESI stand for ?
Employer Sponsored Insurance
What can a member submit, if they have no income?
Submit the affidavit to verify zero income (found on mass.gov)
A caller wants to apply for MassHealth, where would you transfer them?
MA_Applications_Eng (which is nowhere because you ARE applications lol)
Are root canals covered for members over the age of 21?
Yes
Where can you verify the child/parent relationship in MA21?
Screen 3
How long does a member have to respond to a job update income form?
30 days
How many days does a member have to respond to a Periodic data match?
30 Days
What is the speed dial code for Health Safety Net?
319
What are the five safeguards of HIPPA?
Access, administrative, confidentiality, physical, and technical