Abbreviations
What does PSN Stand For
Provider Service Network
How many counties are we currently operating in
15 Counties
What does NCQA Stand For?
National Committee for Quality Assurance
When was ILS Founded?
2001
What does MLR stand for
Medical Loss Ratio
What does SMMC stand for?
Statewide Medicaid Managed Care
What is a desired MLR
85%
What does UM stand for?
Utilization Management
Who is our Chief Accounting Officer
Hugh Chang Alloy
What does TPA Stand For
Third Party Administrator
What does FIDE stand for?
Fully Intergraded Dual Eligible
How many counties will FC2 be in starting 2024?
22
What is your role in Quality Improvement
Follow up and Close the LOOP- OWN IT
Name the 3 Types of Meals we serve.
Hot
Frozen
Shelf Stable
Who is the VP of Provider Data Management
Jeanine Lanza
What does IE SNP Stand For?
Institutional Equivalent Special Need Plan
When should you start the recredentialing process?
6 Months Prior to the last date.
What is FCC MLR today
82%
What department is the heartbeat of ILS
Provider Relations
What does FRG Stand For
Financial Recovery Group
What does MRA stand for?
Medical Risk Adjustment
How many members did Case Management Team pledge to Stephanie for FC2 for 2024?
1000 Member. SO PR MUST BRING IN 1500 MEMBERS
15 Days
How many members do we have in FCC?
Over 25 Thousand
What does PMPM stand for
Per Member Per Month