Teleperformance
I say what I do. I do what I say
What is Cosmos/Integrity
Individuals who apply for and are determined eligible for Medicaid must pick an HMO to administer their Medicaid benefits. Who—besides Horizon NJ Health—is an HMO for NJ?
What is :
Aetna
Amerigroup
United Healthcare
WellCare
What are the plans offered by HNJH for Medicaid recipients?
What is
NJ Family Care A, B, C, D
Medicaid ABP, ABD
MLTSS/DDD
Total Care DSNP
I use this tool in the HNJH website to look up doctors in my area.
What is the provider directory.
DDD
What is
Division of
Developmental
Disabilities
I treat others with Kindness and Empathy
What is Earth/Respect
What are the ways someone can apply/enroll in NJ FamilyCare?
what is:
By phone
By mail
Online
In person
Define Medicaid
What is
Medicaid is a state/federally funded program designed to provide health insurance to those who are
low income
low resource
or disabled
What do members click on in order to access our list of medications?
What is covered drugs.
OON/INN
What is
out of network
in networks
I do things right the very first time.
What is Metal/Professionalism
People wishing to speak to NJ FamilyCare customer service can call at during what hours/days?
what is
Mon & Thurs 8am-8pm,
Tues, Wed, Fri 8am-5pm
List 2 benefits covered By Fee For Service for NON-MLTSS, NON-DDD members
What is
mental/behavioral health
substance use disorder
I have allowed this person to have full access to my medical records.
What is a personal representative
Are valid for 180 days or up to 6 visits during continued eligibility.
what is a referral
I create/Improve
What is Air/Innovation
True or False: To remain enrolled in Medicaid, members must go through an annual renewal process
What is
TRUE
These medicaid plans may have co-pays and deductibles.
What is
Medicaid Plan C/D
Thank you for calling HNJH, my Name is Arnoldo, may I have the members name and ID number please?
What is the HNJH Member Call Greeting.
Ancillary provider
Atypical Provider
I am passionate/engaged
What is Fire/Commitment
True or False: Each County has at least 2 (and up to 5) HMOs to choose from)
What is
TRUE
True or False: Disabled members DO NOT have to renew their medicaid.
What is:
False
Referrals are approved by who?
What is the PCP
HIPAA
What is
health insurance portability and accountability act