Highmark Wholecare
This should be done on the Case Contact Journal Entry page prior to making a call.
What is Review the account?
You would do this before providing any information to the member.
What is Verify the Member?
What is community partner?
In the morning, you are responsible to check these in OCC.
What are the Callbacks.
FHK stands for this.
Days before a renewal can be submitted through COMPASS.
What is 60?
This is required for any follow up call regardless of any disposition.
What is a Callback date?
LIHEAP stands for this.
What is Low Income Home Energy Assistance Program?
This is completed on the Friday before the pay period ends.
The pass requirement is 15 for each line of business for this.
What is Behavior Health?
When the member has a new MCO this disposition would be used.
What is No Longer Eligible?
This is needed by COMPASS for every person contributing to the household.
What is income?
At the end of an application, you would read this statement to the member and make sure they understand.
What are their Rights and Responsibilities?
Municipal building in the county seat responsible for regulating Medicaid.
What is the County Assistance Office?
The highest number of surveys completed in one call.
What is 6?
Disposition used when the member identifies themselves as the correct party but disconnects afterwards.
What is Declined Assistance?
Disposition to be used for only inbound calls that requires a comment where the member wasn't reached.
What is Other?
After completing an application, we do 2 things to finalize the application in OCC and on COMPASS.
What is Save the File to the V-drive and Copy/Paste the E-form number into the comments?
The location of the employee handbook or the Volcano.
What is employee resources (F drive)?
What is 14 calendar days?
Disposition used when the member is appearing on the call list and shouldn't.
What is CALLSTOP?
Where the prefilled information on an application comes from.
What is the previous year's renewal?
What you would use if HOH does not have a Social Security Number or does not want to give it.
What is Medicaid ID #, EBT Card #, or MCI #
Form required to be filled out by a provider for the Highmark CHIP program.
What is PH95?
Who is Denise Castro?