Name one of the three systems where you could find if an IPOC has already been received.
What are UMK2, Right Fax or CCA.
100
The FCNA must be entered in this time frame (not including weekends).
What is 24 hours
100
This document should be referenced first before asking for help regarding forms, processes, procedures etc.
What is the Life of a Centennial Care Case
100
This is the name of the CNA Exception Request form
What is the MAD 601
200
CMPs are allotted this many days to fax a care plan after you task them
What is three business days
200
Which system should you search in for medication prior authorizations before contacting pharmacy
What is CVS CareMark
200
You have this many days to complete a FCNA post discharge if there is a change in condition
What is 5 business days
200
It is mandatory to attend Life of a Centennial Care Case this often
What is once a quarter
200
This form is used to document a persons' wishes and/or designate a medical decision maker
What are Advanced Directives
300
The person you send ROI's to
Who is Benny Chavez
300
If a member is inpatient BH where in QNXT can you find information
What is UM notes
300
The Molina deadline for completing non NFLOC annual or semi annual CNA's (remember these members have already had an initial CNA)
What is 3 weeks prior to the CNA anniversary date
300
When tasking for an FCNA this exact verbiage must be used
What is CNA Appointment
300
If a member states that they are interested in using alternative medicines and need financial assistance they can submit this application
What is the Traditional Medicine Benefit (TMB)
400
This happens weekly at 8:05 am every Friday
What is Ongoing training
400
What document can be referenced when information such as whether or not if something is a covered benefit, requires a prior authorization or if there are plan limitations
What is the benefit grid
400
The initial FCNA is due this many days after the HRA
What is 30 days
400
If you don't know which department to send a question to, refer to this document...
What is the mailbox cheat sheet
400
Use this form to double check your work after you complete a CNA.
What is the CC Checklist
500
If your member attempts to commit suicide regardless of their COE you must complete one of these
What is a CIR
500
In what system can you find if a member has an Authorized Representative, POA or ROI
What is QXNT
500
You can start calling a member this many days in advance to schedule the semi-annual or annual CNA (non-NFLOC, and not an initial CNA)
What is 60 days
500
HEDIS is an acronym for?
What is Health(care) Effectiveness Data Information Set
500
You fill this form out anytime you are closing out PCS (NFLOC), or changing agencies/model types (Not to be done if a member is deceased)