Enter Title

Tasking/Tiering

100

This is the recommended task due date for annual reassessments

What is 1 month before the assessment is due

200

You will create this task when the member has been identified as ineligible

What is a CM notification task to close the task on the 46th day of ineligibility

300

This is the recommended tier for someone who is active with BNET

What is Tier 3

400

This is the recommended tier for a member that has 1 or fewer PT/OT/ST/ABA evaluations in a 30-day timeframe

What is Tier 4

500

This is the tier that a member should be when they opt out verbally for the first time

What is their current tier

Employee Benefits

100

This is where you can find the link to your employee benefits

What is CNet

200

This is where you go to collect your points needed for your medical insurance premium deduction reward and get support for physical, emotional, financial. and social well-being programs to improve your health and wellness.

What is Healthy Pathways/Personify

300

This is a benefit available to you to assist with mental health needs

What is EAP

400

This time is earned, is for you, should be used, and does not roll over

What is Vacation time

500

This is a free and confidential online therapy platform for all full time Centene Employees

What is Talkspace

Staffings

100

This is the correct ICT note structure

What is a single paragraph

200

This should be done when you are going to be out of office during a scheduled staffing

What is find CM coverage

300

This is who you should ensure is included in every staffing invite

Who is SM Staffing

400

This should be included at the end of every BH staffing ICT note

What is: CMS CM will continue to provide care coordination and remove any barriers to treatment.

500

These should be spelled out first or avoided completely in a BH staffing note

What are abbreviations/acronyms

Escalations/Verifications

100

This is who you should outreach for grocery card questions/issues

Who is Marylin Bloom

200

This is who you should email with issues about swim lessons/tutoring/pest control/Carpet Cleaning

Who is CaidProd

300

This is who you would email with any pharmacy issues

What is [e-mail]

400

You would contact a supervisor immediately if you have a conversation with a member/guardian and they mention any of these 5 things

What is:

• Abusive language
• Threats of violence - directly or indirectly
• Threats to contact newspaper, news/media outlets
• Threats of retaining an attorney related to the health plan concerns or issues
• Threats of contacting government officials – Attorney General, Insurance Commissioner, Governor, etc

500

This is where you would go to escalate issues for a member's My Health Pays

What is Request Central using the FL Member Advocate Request Form

FAQs

100

This is the organization that a member/guardian should outreach directly to change their contact information.

What is DCF/Medicaid

200

These three things should not be removed in the case of a member that is identified as ineligible

What is the secondary case manager, acuity, and tier

300

These are the two steps taken when taking sick time

What is email the supervisors, and submit appropriate sick time request in MyPay

400

These are two ways you can assist a provider that reports having issues

What is
Go to Sunshine Health website>click for provider>click provider engagement account managers>click find your account manager>find your service>click map area of need>next

Submit a request central FL Provider Engagement Request Form

500

This is where you go to escalate issues with an authorization for HH and DME

Who is the Escalations SharePoint site. 

**See link in QRG or in Bookmarks