Newborn babies
This plan does not cover the baby after it is born.
CHIP PERINATE
This department is where all potential Medicaid members will send their application for eligibility.
What is the State or Texas dept of health and human Services?
Only this type of person can be diagnosed with mental health issues.
What is anyone that has a mental health issue?
True or false members can never change their PCP.
What is False?
Members under 18 years of age must have this with them to use this service.
What is a parent or guardian
newborn babies are covered for this amount of time when the mother has star.
What is 90 days.
Members of this age can apply for Medicaid coverage.
What it anyone from 0-65 years old?
THSteps is only covered for members under the age of 21 years old for this type of assessment.
Autism Assessment
You must CHECK TO SEE IF ANY of these ARE PENDING in order to change the PCP.
Authorizations or claims
There are this many Vendors for Transportation.
What is 5?
If you contact this dept the mother can add the baby.
What is the State?
When checking eligibility for a member Star/Star Plus and CHIP/CHIP RSA the Molina rep will call This department at this number.
What is for Star/star plus members Maximus at 1-800-964-2777 opt 3.
And for CHIP/CHIP RSA members 1-800-645-7164 and use PIN 476841.
A minor at this age may give consent when requesting admission to an inpatient mental health facility.
What is 16 or older?
If the PCP is changed between these dates it will be effective on the 1st if the current month.
What is the 1st-15th?
These plans do not have a transportation service other than pre‐set Bus tokens or Gas cards.
What is CHIP.
When adding a newborn you will need to call track the call to this department.
Enrollment tier 1.
When a provider is requesting proof of eligibility this can be sent to the provider.
What is the PCP Eligibility Letter?
This team will handle Mental Health Rehabilitative Services and Targeted Case Management.
What is The Service Coordination team?
If the PCP is changed after the 15th of the month and the member is in the PCP office with a sick child the change can be made effective for this date.
What is the same day?
The Medical Transportation Program cannot give someone a ride if they live here.
What is in a nursing home?
Mothers has CHIP PERINATE will will get coverage for the newborn by.
What is contacting the state and applying for emergency medicaid.
These eligibility requirements must be met when trying to receive the $20 Gift Card for Annual Well Child Exam on time- CHIP & CHIP.
What is Member must be enrolled with Molina at time of service
One per member per year
Ages 18 mos to 19 yrs
Proof of service required
Mental Health Rehabilitation and Targeted Case Management services are available to these specific people.
What is
• Available to Medicaid adult recipients who are assessed and determined to have a severe and persistent mental illness (SPMI)
• Available to children and adolescents ages 3 through 17 years with a diagnoses of a mental illness who exhibit a severe emotional disturbance (SED)
When making a PCP change this must be done if the provider has more than one pay to on file.
What is call the provider or check QNXT to see which one is the most current option.
A covered Medicaid member is allowed to have an attendant (someone to help them) accompany them during their ride, when necessary. However transportation will not be covered if this is the case.
What is if the health service is not a covered benefit.