Partnership Eligibility
Transportation Benefits
Common Acronyms
Authorized Callers
Miscellaneous
100

This program is known as "the first stop shop" when a call is received

Call Center

100

A friend or family member can receive this for driving Partnership members to their medical appointments

Gas Mileage Reimbursement (GMR)

100

A "TP" is responsible for getting members to their medical appointments

Transportation Provider

100

A member can appoint someone to speak and act on their behalf by completing this document

Authorized Representative (AR) form

100

This department is who you would call for a Medslite check

Member Services (MS)

200

To receive Partnership benefits, the Medi-Cal recipient must reside in one of the [number] contracted counties

24

200

This category of transportation includes taxi, public transportation, and Lyft for ambulatory members

Non-medical transportation (NMT)

200

***DAILY DOUBLE: Wager points (min. 10 points). You must get BOTH answers correct to win double the category points (400). If you don't answer correctly, you lose the points you bet.***

"AQs" are used to determine the "LOS" a member uses to get to their medical appointments

Assessment Questions; Level of Service

200

This is when Verbal Consent expires 

The end of the following business day

200

You can find Transportation Services' desktops, forms, and policies on this application

SharePoint

300

These two pieces of information must be verified with non-provider callers on every call 

Address and phone number

300

This benefit is accessed by calling 911 during a medical emergency and is no-cost to the member

Emergency Medical Transportation (EMT)

300

"PCP" is this type of medical provider that practices general medicine and care

Primary Care Provider (Physician)

300

***DAILY DOUBLE: Wager points (min. 10 points). You must get ALL answers correct to win double the category points (600). If you don't answer correctly, you lose the points you bet.***

Before releasing information to a caller, the minimum number of identity verifiers are required for:

1. Member

2. Non-member

3. Provider

1. Three

2. Three

3. Four

300

This contracted organization provides mild-to-moderate mental health benefits for Partnership members

Carelon (formerly known as Beacon)

400

If a member moves to a non-contracted county, Partnership will cover their benefits for up to [duration] to allow time for their benefits to transition to their new home county

3

400

This benefit covers meals, lodging, flights, and more for qualifying members

Travel Related Expenses (TRE)

400

An "AR" is someone who can speak and make medical decisions on behalf of the member through appropriate documentation

Authorized Representative 

400
These appointments do not require parental consent for members under 18, and require written consent from the member before any information can be released about these services to anyone - including the parents

Minor Consent Services

400

These are used to stop incoming calls on your phone when necessary

Not Ready Codes

500

This eligibility status restricts member to services related to substance use disorder only

Wellness Wellness (Wellness0001, W&R)

500
The name of the card that reimbursement payments are uploaded to

PEX

500

"NEMT" is the mode of transportation used by members who need door-to-door assistance or a larger vehicle for medical equipment

Non-emergency medical transportation

500
"Family Members" in Call Center can be used to verify the caller is authorized for this age group ONLY

Minors (0-17)

500

Children (under 21 years old) with complex medical conditions can access additional resources through this program

California Children's Services (CCS)

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