Row 1
The last thing during a call is to say/do what?
Link to survey
I am a provider and need claim status, who do we get?
PSSL Provider Support services line (8940)
I am in a crisis!! I need help now!! Help!!
(Who do we get?)
Clinician (Crisis line 8904)
Trillium TP member ask Why did yall cancel my ride??
Who can assist
NEMT (Modivcare)
Who do you work for currently?
I work for NEASE!
I need to select my PCP! (Who would we contact to assist?)
Member engagement
I need to change my TCM they dont call me back!
(Who can assist us?)
Member Engagement
If parent of member is frustrated at CM and request the supervisor, we must redirect them to CM as we are not able to elevate it to supervisor. True or False?
False, we can get supervisor if requested
Member wants to update address who can assist
DSS
I have Healthy Blue and I want to be with Trillium, who can help me?
Enrollment Broker
I have Trillium Direct and need a ride to my apt? Who can help me?
DSS
You get a call for Joy Futrell, how would you assist
Get caller to Joys admin, as she is the CEO
Member says Dr is having issues billing her medicaid because there is an old plan in the system, who can assist with this?
E and E
I am homeless and I have no insurance and no place to go
Shelters, dss, churches, 211 etc
the pharmacy said my medications are denied what do I need to do?
pharmacy line
Parent is seeking a new bed for her autistic son and for trillium to fund it, what could she apply for?
Choose Independence
Caller says they are LG of member but we dont have it in system, who can they send it to?
Medical records email (share about dss)
Parent of IDD child is seeking assistance from Trillium, what is one thing we can direct them to apply for?
RUN/Innovations waiver
Trillium TP member discharging Tuesday 2/24 after threatening to kill mom and asking mom to pick him up, mom calls for help, how can we assist
CM or emergent CM referral
Caller from Easter Seals TCM and member wants to transfer TCM to Trillium TCM
speak to member/verbal consent
DSS wants information on a member, what do we do?
Ask to speak to member or get LG paper
Caller has a question about vision benefits
Vision line
Trillium Direct Member wants MH resources in Pitt County what is 3 resources we can provide
any pitt resources and MCM
Trillium TP member has dental benefits questions who do we direct them to?
Medicaid Contact Center
Parent of 23 year old stated they are not willing to go to apt and or MCM but they are alcoholic and afraid they will hurt someone or themselves, what can we do.
Get LG, provide local magistrates office