Basics
Type of Insurance NJ DMAHS is under.
What is Medicaid?
Assign this level of service when a member is using the Mass Transit Program.
What is Mass Transit?
When a discharge does not have a linked provider assign to the _______.
What is the '*Discharge' bucket?
Mileage Reimbursement Notice Requirements.
What is "Before the member is seen by the doctor."
The lowest level of service assigned for members leaving from a nursing home or assisted living facility.
What is Ambulatory/Mav?
Treatment types that can bypass the notice requirements and verification process when the location is in the rolodex.
What is Dialysis, Chemotherapy, Radiation, or Wound Care?
The level of service assigned when the member can walk but has a walker they need the driver to collapse and place into the vehicle.
What is Ambulatory/MAV?
Policy where the member cannot travel over 20 miles.
What is Closest Provider Certification (CPC)?
Amount of courtesy trips provided when a basic Closest Provider Certification (CPC) request is pending.
What is 'none'?
Individuals allowed to request a discharge.
What is facility staff?
NJ DMAHS Notice Requirements.
What is '2 business days before 2pm'?
The following information needs to be requested when booking this level of service:
Manual or Electric
Weight
Height
Amount of Steps
What is Wheelchair levels of service?
Amount of courtesy trips provided while an MNF is pending.
What is '20 business days'?
Substance abuse trips are exempt under the CPC policy with a ____ mile limit.
What is 30?
Check this to assign a specific provider if the facility states they have a linked provider.
Information needed to check a members eligibility?
Qualifications for members using Special Rate Wheelchair (SRW) level of service.
What is:
2 Steps with 200lbs (2 for 2 Combo)?
3 Steps regardless of the weight?
A Medical Necessity Form (MNF) is needed to _________________.
What is 'upgrade or downgrade a members level of service'?
When a member uses the Mass Transit Program and schedules 5 or more trips, they will receive this ______.
What is 'a bus pass'?
What is a 'fax'?
To properly _______ a trip, the A-leg portion of the trip needs to be entered.
What is 'deny'?
The level of service assigned when the member needs a nurse to monitor their equipment during the trip.
What is Specialty Care Transport (SCT)?
A Medical Necessity Form (MNF) must be on file and approved before we can provide livery service when a member is using this Program.
What is Mass Transit?
Steps followed prior to requesting a Closest Provider Certification (CPC) request.
What is checking the rider notes and checking the exemption list?
Transportation is not covered for members traveling by stretcher to a hospital for the following when a member has __________:
Mental Health
Wound Care
Cancer Care
What is Med B?