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Which of the following is a provider type would contract with the Humana LTC plan?
1. Hospital Centers
2. Physician Offices
3. Outpatient Services
4. Home Maker services
Homemaker services
What is the plan that includes coverage for Behavioral Health?
HIDE
When a Florida Humana LTC member has a compliant that you were successfully able to resolve, what must be noted in your CRM case notes?
what actions were taken and the FL LT compliants Resolved
Members enrolled in the Florida Humana LTC program who have questions regarding a PDO should be transferred to whom?
The Care Coordinator
How are the FIDE AND HIDE plans identified in Humana's Systems?(3 ways)
CRM Plan Icon, CRM Product Description and CRM Contact Handling Alert
Florida Humana LTC members require authorization for all services except what?
OTC medications
Which system is the preferred source for identifying the name of a Care Coach?
CGX 2.0
Which Mentor document aids in identifying the contact information for a Care Coach?
the HAEC Directory
A Florida Humana LTC member who wishes to disenroll can do so in two manners. One is contacting the Enrollment Broker. What is the other option?
Speak with the Care Coach
If a member loses their MCD and lTC eligibility, what happens to the FIDE or HIDE plan?
It goes into a 6 month deeming period and the LTC portion is termed.