What do you do if you see a member is assigned to Mercy Maricopa Integrated Care?
Contact Amy Nall to verify if we can proceed
100
What is Title 19 (T19)?
An individual who has AHCCCS
100
When should you press SAVE when entering a referral?
When you have reached the HISTORY tab.
100
How many ROI's is the minimum requirement?
Two (PCP & ER Contact)
100
Can we refuse services for a member that is unable to pay their AHCCCS copay?
No.
200
The member is showing active on AHCCCS online with Cenpatico, but Cenpatico shows ineligible. What do you do?
Send Danielle Vogt an email with the member's information
200
What is an Acute Plan?
Bonus ticket: Give an example.
The health plan an AHCCCS member is assigned to.
200
Where do I obtain the State ID?
Cenpatico Online
200
Which form is absolutely required to proceed with intake?
Informed Consent
200
What do you do if the member comes in and does not have the court referral on hand?
Refer them back to the court; do not schedule. We must know what services are being requested, and if the member reported to ACTS within the specific time frame the court issued.
300
You are checking Cenpatico Online and the member is assigned to another agency. What do you do?
Ask the member if they would like to remain with the agency they are assigned to. If not, obtain ROI and send to Amy Nall to request transfer
300
What is TPL?
This is a private insurance an individual can have either through their own coverage or coverage through their parent or spouse.
300
The member is saying they don't have a PCP. How should I proceed?
Assist the member by calling their health plan to obtain this information (if PCP is not listed on the insurance card).
300
What is the correct order to enter the intake packets?
First, create the Clinical packet according to age.
Then, create the Admin. Intake packet.
Lastly, create the Health Passport ROI packet.
300
What do you do if a member has a legal guardian?
Verify legal guardianship paperwork from the court.
Bonus ticket: Will a letter of support suffice?
400
You are checking EOC's on Cenpatico online and the demographic history shows a 4. How should you proceed?
This member is showing a CLOSED EOC, you may proceed with intake.
400
What is Medicaid?
A federally funded health & medical services program for low income individuals and families.
400
What should you do if the member reports to you that they are an IV drug user?
Provide an appointment within 24hrs, select URGENT in the initial status, and select YES in the IV drug user field.
400
What do I enter in the Maintenance Reason for a new Cenpatico intake for the 834 form?
41 Re-Enrollment
400
What are the 3 forms in the Clinical Intake Packet that must be completed by the FIS?
-834
-Client Status
-Demo (first 2 pages)
500
What do you do if you see that the member has QMB SLUM PART B BUY IN?
Explain to the member that this health plan is not accepted at ACTS, and to call their health plan to see who accepts that coverage.
500
What does SED stand for?
Seriously Emotionally Disturbed
500
What do I select for the RBHA when a member is a Cenpatico client?
39 RBHA 39
500
What packets and RHBA do you enter if a member is dual enrolled GMH/SA?
50 NON RHBA
Non- Cenpatico Packets
500
What is the difference between COT (T36) and court ordered services (DV/SA/DUI)?
Title 36 is an involuntary process for evaluation, care and treatment of persons with a mental disorder issued by the court. Court ordered services (DV/SA/DUI) are those that are issued by the judge for a criminal offense-these members need a certificate of completion.