These are the three (3) levels or service coordination.
What is Level 1, Level 2, and Level 3?
100
This is the name of ONE of Centene's many specialty companies.
What is Cenpatico, Nutur, Nursewise, Acaria, US Scripts?
100
This is the eligibility age for Star Plus LTSS members.
What is 21 years old?
100
This is the Level of Service Coordination that manages members who have Star Plus but are not utilizing services.
What is Level 3?
100
This is what MCO stands for.
What is Managed Care Organization?
200
This is the acronym for Patient Assistance Services.
What is PAS?
200
This is the team that a service coordinator would refer a member to if the member was demonstrating behavioral problems.
What is Cenpatico?
200
This is the name of the insurance benefit offered by the state to person's who's financial income is below $745/mo.
What is Medicaid?
200
This is the level of Service Coordination that manages the member who typically has a high risk diagnosis, handles the LTSS members under 21 y/o, follows the Nursing Facility members, and all the members receiving waiver services.
What is the Level 1 service coordinator?
200
This is the electronic medical record system SHP utilizes.
What is TruCare?
300
This is the acronym for Day Activity Health Services.
What is DAHS?
300
This is the team who provides 24/7 phone support, triage, and health education to members.
What is Nursewise?
300
This is what we call members who have both Medicare and Medicaid coverage.
What is a dual member?
300
These are the non- waiver services for the LTSS member.
What is PAS, DAHS, DME?
300
This is the title of the employees who are the main feature of STAR PLUS services.
What is a Service Coordinator?
400
This is what Star Plus calls the areas where services are offered.
What is the service delivery area?
400
This is the team who manages a referral for a member who needs more information/education on certain medical diagnosis - for example Heart Failure (CHF).
What is Nutur?
400
Star Plus LTSS offers levels of benefits - these are the 2 benefit categories that are typically referred to
What is waiver and non-waiver services?
400
This is the membership group that are receiving special benefits such as Minor Home Modifications, home delivered meals, respite, skilled nursing, assisted living and several others.
What is waiver services?
400
This is a state agency who's acronym is TMHP.
What is Texas Medicaid Healthcare Partnership?
500
These are the names of the seven service delivery areas for LTSS in Texas.
What is Hidalgo, Nueces, Dallas, Lubbock, Bexar, MRSA West, MRSA Central?
500
This is the team who manages the LTSS members who have an increase in medical complexity, increase in hospital visits or ED visits, and are requiring SC contact several times per month.
What is Medical Management Team?
500
These are the members that come off a state list referred to as the Interest List, these are members who have a higher financial status but need/want waiver services.
What is MAO, Medical Assistance Only member?
500
Level 2 Service coordinators follow members who may be in one of these groups.
What is PAS/DAHS only, Behavioral Health Substance Abuse with no LTSS services, and Dual members with LTSS but no services.
500
This is the state wide program that provides acute care and LTSS services to Medicaid only and dually eligible members, and most nursing facility residents