Illinois MMP
What is the IL Enrollment Department's Number?
Client Enrollment Services
Phone: 877-912-8880
How do you find the accurate care manager's number?
The POD excel template Rhonda posts in teams.
What is MI enrolls number?
800-975-7630
What is the mail order number for MMP MI?
MMP Express Scripts
Mail order prescriptions
833-750-0201
Who do we @ in teams if we have specific questions about SafeRide? (think not on our direct team)
Lindsey Booth
When doing documentation for IL in Omni, where do they put their "Reason, Action, Outcome"?
In the wrap up screen (not the intent)
If the care manager is unavailable who do you send the member to?
Program coordinator
Where would we transfer this member, "MME-SSI/ABD Dual"?
Member: 888-437-0606
Is bupropion covered by MI MMP per the drug formulary?
YES
Do we have to fully verify a member who just wants to be transferred?
No
How do you find an IL member's care manager if it's not in Omni?
Trucare
Generally speaking, how long does it take a care manager to call a member back?
24-48 hours
A member is calling to look into an imaging authorization, who would we contact and what's their number?
MMP NIA/ Evolent
800-424-4926
If a member wants to see if a drug is covered, how do we assist?
We pull up the drug formulary on our website
In MI MMP, where do we document our "Reason, Action, Outcome"?
In each intent
What is Illinois' active and fit/gym number?
Phone: 888-797-7757
Can a care manager do a reassessment for a member if they are unhappy with their care taker hours?
NO
A provider is calling about an IL MMP member, what's the number we transfer to?
MMP Illinois
855-580-1689
Is ozempic covered through MMP MI?
YES
How long do we hold for a ghost call?
15 minutes
If someone is calling whose plan states they are "Managed Long-Term Service and Supports" what number would you transfer them to?
Meridian Health Illinois (MLTSS/LTC) Member and Provider Services
Phone: 866-821-2308
What is the final step if the member disagrees with the appeal of the denied care taker hours?
Contact the state
What is Centene Pharmacy Services Number?
833-236-6689
When the member goes to the pharmacy, what do they have to give to the pharmacist to get their prescription?
Their member ID card
Name the 4 individuals who assist in failover?
Donna, Cassandra, JP, and Gia