THIS New Hampshire government agency decides who is eligible for Medicaid benefits.
What is Department of Health and Human Services (DHHS)?
100
Massachusetts residents find out if they are eligible for Medicaid by contacting THIS state government agency.
What is MassHealth?
100
FQHC
What is Federally Qualified Health Center?
100
Medical services rendered to a member that are covered in the plan.
What are benefits?
100
Pharmacy Benefit Manager
What is US Script?
200
New members receive THIS in the mail, which contains the Member ID card, Member Handbook, and Health Needs Assessment.
What is a Welcome Packet?
200
This is the name of the Medicaid Program that CeltiCare Health delivers for the state/commonwealth of Massachusetts.
What is CarePlus?
200
CHIP
What is Children's Health Insurance Program?
200
A means of dividing the responsibility of payment among different group health plans, insuring that the combined payments will pay up to, but not exceed, 100% of billed charged for covered services.
What is Coordination of Benefits (COB)?
200
Disease Management
What is Nurtur?
300
This vendor provides non-emergent transportation services for New Hampshire members.<font)
What is Coordinated Transportation Solutions (CTS)?
300
In 2016, CeltiCare CarePlus members can receive up to THIS amount on their CentAccount Healthy Rewards program by completing certain preventive health activities.
What is $210?
300
RHC
What is Rural Health Center?
300
This type of coding represents the services rendered by a provider. When providers bill the insurance of their patient, a code is utilized to convey what type of medical services were rendered.
What is Current Procedural Terminology (CPT) Code?
300
Outpatient advanced imaging services.
What is National Imaging Associates, Inc. (NIA)?
400
This is the name of the Vision Benefit Manager for NH Healthy Families, because the business name "OptiCare" was already registered in the state when the plan began.
What is Total Vision?
400
For services which are medically necessary, members will have no co-pays or deductibles or other cost sharing except for some of these...
What are prescription benefits?
400
FPL
What is Federal Poverty Level?
400
Items such as wheelchairs, hospital beds, crutches, nebulizers, etc., which must be prescribed due to a medical condition of injury.
What is Durable Medical Equipment (DME)?
400
Specialty drugs (high-cost injectable, infused, oral or inhaled drugs that require close supervision and monitoring).
What is ACARIAHEALTH?
500
New Hampshire Healthy Families medicaid members can use THIS rewards and incentives card to purchase items such as Baby Care, Healthy Groceries, Diabetes Care and Over-the-Counter Medicines
What is CentAccount?
500
CeltiCare Health CarePlus members can earn a $30 reward loaded onto their CentAccount card EACH YEAR for completing any one of these healthy behaviors. (HINT... there are several correct answers, each can happen ANNUALLY)
What is the:
Annual Adult Well Care Visit?
Annual Health Needs Assessment?
Annual Comprehensive Diabetes Care?
500
This Federal Agency monitors the state-run programs and establishes requirements for service delivery, quality, funding, and eligibility standards.
What is Centers for Medicare and Medicaid Services (CMS)?
500
A request for a certain service, procedure, drug, medical supply or device that requires medical necessity review prior to coverage.