Benefits
The standard Urgent Care copay for PMAP is this dollar amount
These plans are offered under State Public Programs
What is PMAP,MinnesotaCare and MSC+
The days a member has to file a Medical Appeal with UCare
What is 60 days of the notice of our decision
Tab where you find CSS turnaround times for work baskets
What is CSS team
The four acceptable forms of PHI?
What is Member ID or PMI number, Member name, Date of Birth and Address.
The task you use to document a members benefits?
What is View Benefits task
The time members can expect to automatically receive their Health Savings Card
What is 60 Calendar days
The eyeglass copay for MnCare is this dollar amount
What is $25.00 copay
The options in which a Connect member can disenroll
What is Written, Fax Disability Hub MN "Over the phone"
Offered to every member after receiving written notice of a denial, termination, or reduction or services
What is an Appeal
This many seats are on the UCare bike
What is Five
The written document giving someone authority to act on behalf of another person regarding their legal matters. It is a legal, notarized form.
What is Power of Attorney (POA)
The task you use to document a grievance
What is Log a Complaint or Compliment task
This card is valid through the expiration date displayed on the front. As the member renews their UCare plan each year, the card will continue to be valid.
What is UCare Rewards Benefit Mastercard
The MSC+ plan covers this manys days of nursing home care
What is 180 days
The State agency members should contact regarding plan renewal information or questions for PMAP and MSC+
What is their County
Offered on ever call when a member expresses dissatisfaction, is upset, or angry
What is a Grievance
The tab in CSI where you locate the closing Supervisor
What is CS Rep Central
The form from DHS that allows someone to act as a SPP member's representative for UCare matters
What is DHS Authorized Rep Forms
The task you use to document a member name change
What is the Update Demographics Task
UCare customer service can look up a One Pass member code at https://www.partneroptumfitness.com with what information
What is:
The benefit category homeopathic and herbal products are under
What is Services We Do Not Cover
The database you can use to see if a member is active/inactive with the State
What is MN'Its
The delegated business in which a member should be transferred to file a Dental grievance
What is Delta Dental
The tab where you find the work instruction for how to document your calls
What is the Quality Team
Verbal authorization can only be verified by this person when getting consent
What is the member
The task you use to document about the "SEATS" program
What is Create General Services Request " Health Promotions"
The member just had a baby and wants to know where she can get a breast pump. She lives in Chippewa County.
What is Milk Moms
Cataract Surgery is covered under this benefit category
What is Outpatient Hospital
Members have to renew their Medical Assistance with the State of Minnesota this often
What is Annually
Expires after one year for the purposes of grievances.
What is AOR's
A team made up of representatives from Member and Provider services providing resolutions for daily and complex issues, electronic communication, and back office work
What is the Customer Delivery Team (CDT)
Name two pieces of PHI we are unable to release to a member
What is
The task you use to document members eligibility
What is Review Eligibility
What two promotions has a $75 gift card and when do they need to be completed
Management of Maternity Services (MOMS)