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The name of the tool listing specifics about health plans.
What is the health plan spec tool?
The technique used with members that are unsure of readiness to enroll.
What is MI?
This procedure must be followed immediately when an error is detected in the ‘notes’ section or ‘member contact activity’ section of eOT.
What is Documentation Correction SOP?
Grants members the ability to have any applicable copays waived by OnTrak if they qualify based on household size and income guidelines
What is PAP?
Includes a welcome letter, consent forms, and applicable workbook for the module chosen by the member.
What is the welcome packet?
The health plan and LOB that REQUIRES f2f provider sessions.
What is Aetna Medicare?
Required before enrolling a member for relapse prevention.
What is a signed ROI?
This procedure must be followed immediately when an error is detected with an enrollment or disenrollment date or if a member requires a dis-enrollment with a date >30 days ago
What is Enrollment/Disenrollment Date Correction SOP?
This document outlines how to create a help ticket
What is the Help Ticket Guide SOP?
The health plan that bills per provider visit instead of monthly.
What is Aetna Medicare?
"help improve the health and save the lives of as many people as possible"
What is our mission?
Coaches are required to have a coaching call with each member at least every ___________.
30 days
Thisocument is to provide clarity on enrollments when a member has been previously disenrolled
What is the Member Re-Enrollment SOP?
Never include ________________ in the subject line of a ticket.
Member Information
The HP also known as Superior.
What is Centene TX?
"Behavioral Health will no longer impact physical health"
What is our vision?
A member must be unable to participate in the program for 15 days or longer with the potential to re-enroll
What is HLC?
The purpose of this document is to provide guidance to Ontrak staff when a member verbalizes intention to harm self or others (including Ontrak employees)
Crisis Management-Suicidal/Homicidal Ideations and Threats SOP
Always add your ___________to every eOT ticket
HP that requires CM updates to one CM for the entire HP, at time of enrollment, quarterly and with any disenrollment status change.
What is Optima?
Ontrak’s Online Employee Resource Center
A location to find all Ontrak policies and procedures.
What is "The Hub"?
Care Coaches (CC) should give high priority to attempt to contact any member who is at risk of going No Contact (NC) on or before the _____ since the last contact.
30th Day
Pre-enrolled member who reports current or pending treatment, procedures, planned hospitalizations, therapies, or aftercare during the foundational OnTrak Assessment should be placed in this status.
What is Medical Hold Status?
The HP that requires coverage check prior to enrollment.
HAMP