Contacts
Members is calling to schedule reservation, however MTM is there Transportation Provider
18663325502
Even if the member can transfer, what level of service will you place this reservation in?
Wheelchair
What is the process if you have to recover a MS trip?
Fill out the template and put it into the Mississippi General Chat and advise member someone will contact them once a TP is assigned
MS Reimbursement rate
.67 per mile
How many escorts are allowed to be accompany a member?
One
Member is a MSCAN/ Truecare
18332302050
What information should be noted in your TP comments if the member has an electric wheelchair, that can transfer, his height is 5'6, he weighs 165 lbs and his electric wheelchair is 65lbs
EWC// MBR HT 5'6// MBR WT 165 LBS// EWC WT 65 LBS//
What type of Rideshare is not available in the state of MS
Lyft and Uber
Gas reimbursement can be scheduled at any point on the day of the appointment or in advance of the appointment, however gas reimbursement can NOT be...
Backdated
60 min
Member is a Magnolia Healthcare
888-889-0605
What would your TP comment be for a wheelchair reservation for a member who has a foldable wheelchair who an transfer
MWC// Can Transfer// Foldable
How would you process a reservation that is over 125 miles?
Schedule as normal. Save to the Pending Authorization folder in the TP field. Upon being scheduled in LCAD, the exceptions Team will pull a daily report to review the trip and follow next steps to member.
The first payment for Mileage reimbursement will always be a ....
Papercheck
What are the covered Urgent treatment types
Hospital Discharges
Dialysis Appointments
Wound Care
Chem/Radiation
Urgent Care Facilities
Health Plan Requests
Member is needing to contact Gas Reimbursement for late claim payments
8009309060
What are the wheelchair questions that we have to pose to members on each wheelchair reservations?
Is it Manual or Electric
Members Height and Weight
Weight of wheelchair
Can you transfer
Does the wheelchair fold
Any Stairs or Ramp at the home
Hospital Discharges shall not exceed how many hours after notification during regular business hours
Three Hours
If the member has a vehicle access but they DO NOT have the funds to be reimbursed for, how would you schedule this reservation for the member
Schedule reservation with normal TP
How far in advance can a member call in to Schedule a reservation?
No more than 90 days
If you get the TP calling to cancel or modify a trip, they have to call TP provider line
8663331043
What would notate in the TP comments for a wheelchair reservation for a member who can NOT transfer, with a foldable manual wheelchair
MWC// CAN NOT TRANSFER//FOLDABLE
If the facility calls at 11:00 am and states that the member is ready to be discharged, what would be the appointment time and pick up time
Appt: 2:30 PU: 2:00
What can a member use if they have not yet received their Mileage and Trip log Packet and this is their first Gas Reimbursement?
A Drs excuse
What is the Lack of Notice Process?
• Educate on the Plan’s notice.
• Ask if member can safely reschedule the appointment.
• Offer mileage reimbursement, if applicable.
• Use courtesy trip, if applicable. (Leave Trip/Rider Note if courtesy trip used)
• Call facility to verify urgency if courtesy trips are not available.
• Always leave trip note with name/title of facility rep, and call results.
• If urgency is verified, advise the member the reservation is not a guarantee due to being lack of notice.
• If urgency is not verified, ask member to reschedule with sufficient advanced notice. Follow Plan's denial process.
(Refer to Lack of Notice Intake Training Alert for details)