VERIFICATION
How many pieces of information does a member need calling on their own behalf?
3/5
How can an eligible member get a pt1?
Their Provider
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 UH receive a MH ID card?
No
Can a NAV make changes to a members account without them present?
Yes
Where do you go to check the status of a PT1?
CWP
How do you view notices in MA21?
F6
A member enrolled in Steward Health Choice needs to change their PCP, where do you transfer them?
MA_HealthPlan_Eng
What system(s) can you view ARDs/PSIs in?
HIX/MA21
True or False. You can verify a member with their email address?
False! You can verify using ______?
What does PT1 mean?
Prescription for Transportation
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 want their 1095-B electronically?
Where can you verify the child/parent relationship in Hix?
Medicaid Household Summary
Can you place a Transportation request for the AA DTA/SSA?
NO
Can members with income at or below 150% of the FPL receive a 1099-HC form?
NO
A caller wants to apply for MassHealth, where would you transfer them?
MA_Applications_Eng
Who will you assign the 2025 Tax Form Discrepancy to?
Tara Palmer Finn
Where can you verify the child/parent relationship in MA21?
Screen 3
If a member calls in to inquire about non-emergency ambulance transport what would you assist?
Google ambulance providers in their area or advise the member they can google as well
If a member has Health Safety Net (HSN) will they qualify for PT1s?
No, only those with MassHealth Standard, CommonHealth, and CarePlus coverages.
Where would you transfer if a member wants to appeal?
MA_TXFR_EA Specialists_Eng
What are the five safeguards of HIPPA?
Access, administrative, confidentiality, physical, and technical