Medicaid
How many Medicaid zones are in PA?
5
A Pennsylvania department that administers services that provide care and support to PA's most vulnerable individuals and families.
Department of Human Services (DHS)
System that allows you to view the member's current eligibility status & MCO?
eCIS
Inbound team that assists with benefit-related questions, appointment scheduling with providers, pharmacy, claims, locating in network providers, etc.
UPMC for You Member Services
This allowed Medicaid recipients to retain coverage throughout the Covid-19 pandemic.
Public Health Emergency (PHE)/The continuous coverage rule
This declaration allowed Medicaid recipients to maintain coverage throughout the Covid-19 pandemic
Public Health Emergency (PHE)
A United Way Subsidiary that offers connections with local resources to address SDOH needs
PA 211
System used to document calls
Contact Center Dashboard (CCD)
Resource Navigation Hub
Local offices that assist Medicaid recipients with questions, renewals, and additional public benefits.
County Assistance Office
How many zones is UPMC for You offered as an MCO in PA?
5
A statewide program that provides transportation assistance to MA recipients for medical appointments
Medical Assistance Transportation Program (MATP)
System that allows you to take phone calls
Provides Telephonic Medicaid renewal and other COMPASS application assistance for active UPMC for You members
Renewal Support Team
Does UPMC for You offer Behavioral Health assistance?
No
The name of UPMC Health Plan's Medicaid Product
UPMC for You
A program that provides non-medical transportation to UPMC for You members living in Northeast & Southeast PA (NEPA & SEPA)
UPMC for You's Transportation Unit/SRTA
An online resource used for identifying in-network providers.
Provider Directory
A subset of the UPMC Member Services crew who are equipped to assist you by providing SPANISH translation.
This public benefit provides monetary assistance for food purchases, also known as food stamps
Supplementary Nutrition Assistance Program (SNAP)
Name at least 2 of the methods members can follow to renew Medical Assistance
- Fill out and return the mailed packet
- Over the phone with DHS
-Over the phone with me (Choice Enrollment Assister)
- Online (Compass Website)
A doctor that diagnoses and treats medical conditions and provides patients with regular health checkups and preventative care services.
Primary Care Provider (PCP)
System used to send out documents to members in CCD (i.e. Providor Directory, PRD form, etc.)
Converge
A robust team of care managers who can assist UPMC for You members seeking substance abuse treatment, any difficult scenario, DHS escalations, and so much more.
Special Needs Unit (SNU)
The UPMC Medicaid team that develops and executes strategies to retain UPMC for You members through outreach assistance and education, with the help of you!
Medicaid Product Planning (Danielle, Anna, and Alex)