Medicaid
QHP
MCO
Policy
Call Center Procedures
100

If a consumer completes their renewal on 12/23/2018. What will be their effective date ?

What is December 1, 2018 ?

100

When can a consumer purchase a SADP?

 What is during Open Enrollment ?

100

What are the abbreviations for Amerigroup and Priority Partners?

What is AG and PP ?

100

Do Outstanding VCLs hold up an application?

What is No?

100

What is the AHT standards for a CSR ?

What is 11 minutes or under ?

200
How does a consumer call if they receive bills while being active in Medicaid?

What is...

Medicaid Recipient Relations

1-800-492-5231

200

What carriers do we provide here at Maryland Health Connection? 

What is CareFirst and Kaiser ?

200

What are the reasons a consumer can change their MCO ?

What is...

Annual Right

90 Day transfer

Family Unity

Angela Melody



200

How long does an application have to be on file before it is eligible to be escalated?

What is 15 business days ?

200

How many occurrences do you receive when you leave early from work ?

What is if you have more then 4 hours left in your shift it will be 1 occurrence and 1/2 occurrence if than 4 hours or less remains.

300

How many MCOs are their?

What is

8 ?

300

If I apply for coverage on 04-06-2019 when will my QHP begin?

What is 05/01/2019 ?

300

What is MPC stand for?

What is Maryland Physicians Care ?

300

What is the one reason that someone can not be reinstated ?

What is if they are cancelled due to non-payment ?

300

What are the hours of our Call Center?

What is 8 am to 6 PM ?

400

If I need to submit proof of immigration status and I have been here for 5 year. How many months of presumptive medicaid will I receive?

What is 90 days of straight Medicaid?

400

Where would you go to locate a consumer's premium and plan details after purchased ?

What is Manage Active Enrollment ?

400

If a Newborn was Auto-assigned under the mother's MCO can the switch?

What is...Yes after 90 days?

400

What 3 ways can a consumer submit a document to their account ?

What is by mail, in person, or upload to their account online.

400

What is the phone number to Maryland Health Connection?

What is 1-855-642-8572.

500

Can a Household consisting of the Primary in a QHP and the child is in MCHP request for Retro-Medicaid ?

What is NO ?

500

What can cause a consumer's APTC to change ?

What is an Income change, Household Composition, and Address Change.

500

If a consumer had Kaiser as a QHP and they are now Medicaid eligible can they have Kaiser as an MCO even if its not offered in that county ?

What is Yes.

500

How many occurrence can a CSR get before they are eligible for termination?

What is 5 occurrences ?

500

Can you give a consumer the address to the call center ?

What is NO ?

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