KC/Toolbox
What is 6 foot 4 converted to in inches?
76 inches
What is the intent for changing email address in maestro?
Update Member Profile
What states do we cover, that cover VOS script?
Florida, Kentucky, New Jersey, New York, and Washington
Members above the age of "____" we should ask regarding smoking/gambling.
13+
What is the name of Wisconsin’s plan?
BadgerCare
WHAT IS THE INTENT WHEN YOU NEED TO FIND A SPECIALIST FOR A MEMBER?
Search and Assign Provider
What state does the parent have to be on the Authorized Representatives to talk to them about their kid?
New Jersey
What is the work queue for BH referrals?
CSBHCASEMGMT
WHAT IS THE NAME OF THE WEBSITE FOR ASSISTANCE (FOOD, TRANSPORTATION, MEDICATION.. ECT)
UHCFIND HELP
In the toolbox community care can be found in which tab, Clinical or Other?
Clinical
where can you check to see if the member has an Authorized Representative inside of maestro?
Under Contacts Tab
In the script, when a member is pregnant, we provide a free benefit. What is the name of that benefit plan?
Baby Blocks
Which Assessment is for Alcohol and is optional?
Audit C
What number does the HRA Assessment need to be in order to do a PHQ-9?
Score 3 or higher
What state is Apple Care?
Washington
What system do we use to send out the member welcome packet?
macess
Which of the following assessments are required for Wisconsin?
Adult/Pediatric) HRA Assessment
Before refering a member to behavior health, what do you need to check first?
If they have BH benefits
We transfer members to the survey line even if they say no to doing a survey?
No / False
What is the name of the job aid that gives you specifics auth rep information for each state.
HIPAA - C&S State Specific Guidance
When would the members primary care provider update for Washington if updating in middle of the month?
the first of next month
When the caller disconnects the call halfway through but no HRA has been completed, how should you disposition the call?
Not Available/Busy
WHAT DOES A MEMBER NEED TO SCORE IN ICUE FOR A REFER BE SENT?
15 or higher
When a member has selected electronic delivery of a gift card, how long does it take to receive the reward?
72 hours