DSNP
Other term for Medicare Part C
Medicare Advantage
AR
Arkansas
Used to check Medicaid Eligibility
DMEVS
A federal law that required the creation of national standards to protect sensitive patient health information from being disclosed without the patient's consent or knowledge.
HIPAA
AK
Alaska
Houses all job aids, source of truth
Knowledge Central
A department within the Plan responsible for answering questions about membership, benefits, grievances, and appeals.
Customer Service
MN
Minnesota
This must be satisfied in the event that the caller is not authorized on the member's account
Verbal consent
A Federal insurance program that caters individuals over 65years old and/or having long term disabilities
Medicare
MA
Massachusetts
List of prescription medications that are covered by the member's plan
Formulary
DSNP members have ____ & ____.
Medicare and Medicaid
MO
Missouri
Under HIPAA verification guidelines, an advocate must verify 3 pieces of information except:
Member's first and last name
Date of birth
Last 4 digits of SSN
Member ID
Last 4 digits of SSN