Oh the places we'll go
I need directions
Jarvis
Medicaid Guide/RPA 1
Medicaid Guide/RPA 2
100

What system will we go to first when we need to verify if A and B are active?

Jarvis (or PCL)

100

My agent is asking me to verify someone's MBI:

What should I ask for and where do I go?

Name 

DOB

SSN/Partial MBI-Address

MARX

100

What are the Part A and B effective dates for Annie Armstrong DOB 07/28/1934

8RM5MN5CW94?

Part A - 10/01/1984

Part B - 01/01/2006

100

What are the counties in OH that we will have to check to see if the client has a OH MMP?

Columbiana, Cuyahoga, Geauga, Lake, Lorain, Mahoning, Medina, Portage, Stark, Summit, Trumbull and Wayne

100

What is the local phone number for Massachusetts Medicaid?

Local: (617) 573-1770

200

What system will we go first if we need to verify if someone has LIS?

Jarvis (Or PCL)

200

My agent is looking to verify the level of Medicaid -

What should I ask for?


Name/DOB

Zip code 

Medicaid/SSN if they have it

200

WENDY NELSON Date of Birth 01/18/1960 Medicaid ID 1000239044 Zip code 02852 Rhode Island 

What level of Medicaid if any does this client have?

None

200

What is the NPI for Virginia?

 1669498515

200

If we have to call into the Georgia IVR system - what is the Provider ID we will put in?

953601852*21

300

What system will we go to verify if someone needs a Medicare number?

MARx

300

My agent is asking for the effective dates for Part A and B?

What should I ask for and where should I go?

Name/Date of Birth

Medicare Number (or SSN if dont have it)

jarvis/PCL

300

Shirley Ryder Date of Birth 03/04/1956

Medicaid ID Q017998

Zip code 80226  

Is she eligible for the Dual Complete CO-S4?

Yes

300
What is Step 3 under Tennessee Verification?

3. Ensure Status is Active and select 'Legacy Coverage & Benefits' tab, if not already selected.

300

If a client shows as inactive in California RPA, does that mean automatically they do not have medicaid?

No we will search Active and Inactive for CA

400

What system will we use first to verify Medicaid?

Jarvis/PCL

400

My agent is needing to find out if a client is showing an "Unlawful Presence"

What should I ask for and where do I go?

Name/Date of Birth

Medicare Number (or SSN)

MARX

400

Brian Isdell DOB:5/14/1956, Medicaid #: 947298899R Zip code 28227

Is the client eligible for UHC Dual Complete NC-D001 (HMO-POS D-SNP) ? 

Yes

400

What is the Phone number for the South Dakota IVR Verification?

(Note not the number under State Assistance Locator)

800-452-7691

400

What is the PA Local Medicaid number we can give an agent for their client?

 Local: (717) 787-1870

500

What system will we use if we are not able to verify Medicaid in Jarvis?

RPA

500

My agent is asking for the Medicaid ID and Jarvis is down 

What do I ask for and where do I go?

Name/Date of Birth

SSN if they have it/state requires

RPA

500

Robert Maciejczak Date of Birth 02/23/1953

Medicaid ID 105170811199 

Zip code 46953

Can they enroll into the 

UHC Dual Complete IN-S001 (PPO D-SNP)


Yes

Note - May use Integrated Care SEP due to the consumer's UHC Medicaid alignment. 

500

What are the ways we are able to search a client in the state of California?

Medicaid ID or SSN

500

What is the NPI to search in Massachusetts 

There is none we will not help with this state