General Information
Hours of Operation
7 am - 8 pm CST Monday- Friday
Reimbursement rate
.40 per mile
True or False; Members can call in their own discharge?
False
If a trip is over ____ miles or more one way, we would place it in the prior authorization category
250
What is a Spenddown Member
The Medically Needy program or "Spenddown" offers coverage to Members who have income over the maximum allowable income standard.
Ride Assist Contact number
8777965848
Gas mileage reimbursement must be scheduled ___ ___ prior to the appointment
1 hour
One
Any trip more than __ miles OUTSIDE of Kansas State Border
50
Members with a Spenddown amount are responsible for what?
They are responsible for that amount and Medicaid would pay any medical bills over that amount.
Thank you for calling United Healthcare Community Plan Transportation Reservations. My name is ___. How may I assist you today?
What source of information would you use for the member, if they are a new driver?
Members ID
How long is the window of time allotted if the member is ready at the time of the call?
Three
________ visits exceeding more than 60 miles away
Primary Care Doctor
What groups can be set up on a Spenddown account
This team handles Prior Authorization request
Exceptions Team
For an overnight trip, how would you set up that trip and what would you have to put in trip notes
Set up as one trip with notes that the member is staying overnight
False
How do you update the reservation to "prior authorization"
To update the reservation to "Prior Authorization", start by typing ** in the TP field, A pop up will generate, you will select "Prior Authorization"
True or False; Spenddown members are eligible for the same day transportation, including discharges
False
Member Services Contact
8775429238
What are members given that they place on their mileage form for reimbursement
Trip number
Discharges are scheduled as __ __ trip with assigned time.
One way
Do you advise the member that the reservation is being reviewed or is being sent for prior authorization
No
True or False; Members who are 61 and over are apart of the groups that can qualify for a Spenddown account
False; 65 and over