HIPPA
What are at least 5 examples of PHI?
Name, address, phone numbers, date of birth
Social Security Number
Payment for health care
Insurance coverage or enrollment/disenrollment
Medical, dental, or prescription drug records
Knowledge Based System – Where all your job aids, scripting and policy information will live
Panviva
What are the basic eligibility requirements for all programs?
US Citizen or eligible alien
VT Resident
Not incarcerated
When should Panviva be used?
With every call you take
Name at least 2 other countries Maximus has projects in
Offices in the United States, Australia, Canada, Italy, Saudi Arabia, Singapore, Sweden, and the United Kingdom
Give at least 3 examples of people who have the right to know (access health care information)?
1.Individual who the information is about
2.Authorized client representatives
3.Parents/Guardians of the individual if he/she is a minor (unless restricted by state law)
System that manages Vpharm, MSP and MABD
ACCESS
What programs use FPL to help determine income eligibility?
Medicaid & DrD
Medicare Assistance Programs (Vpharm / MPS etc)
Which Icon on the home screen will assist you in logging into all your systems at the start of your day?
Start Your Day
What does VHC, GMC, & CSC stand for?
Vermont Health Connect
Green Mountain Care
Customer Support Center
When are translators allowed to talk on behalf of a caller?
When permission is given by the customer on file
System that manages QHP, Delta, Medicaid, DrD
CRM
Will you (a CSR) be determining eligibility for coverage?
No
How do you save a document as a favorite?
Menu – Actions – Add to Favorites
Where are our two call centers located?
Vermont & Virginia
Initial request for Medicaid
When adding a person to an existing case unless it’s a deemed newborn
When a New Application is Needed, or when do you need to do a VHC COC
System you log your calls in
CRM
Which programs are MAGI programs?
VHC – Medicaid DrD QHP
How can you view information about a document, like the name and ID?
Menu – Misc – About this document
List some of the state agencies that you may speak with or hear of
DMH
DOC
DVHA
HAEU
SSU
VDH
DCF
ESD
DAIL
List at least 3 ways to protect information and PHI when you’re working
Lock Workstations
No print outs
No phones/cameras
System that you’d find GMC programs in
ACCESS
What are some of the basic eligibility requirements for APTC?
An individual or family must file taxes
Married individuals must file jointly
Cannot be eligible for ESI or Medicaid
When should you leave feedback on a document?
You see outdated procedures
You see procedures that have incorrect, missing, or vague information
You have suggestions for process improvement
You have general comments about the content
List some of our state Vendors and Partners
OPTUM
MVP
BCBS
DELTA DENTAL