Trucare
The user group that 'Outreach Attempt' tasks are sent to after a member has been UTR for 6 months.
What is CM Triage 5 Queue?
Requests for meals and lodging are sent to this vendor.
What is MTM?
Members call here to request things like a new PCP or the swimming voucher
What is Customer Service?
CMS Director for Regions 9 & 10
Who is Cheryl Wallin?
$75 per quarter used for produce at Wal Mart
What is the grocery card?
Each goal has two of these - one for the member and one for the CM
What is an Intervention?
Members that experience diagnosis' such as Spina Bifida and Intellectual Disabilities apply for this to receive assistance with things such as vehicle and home modifications or group home placement.
What is APD?
The dental provider for Title 21 members.
What is Envolve?
CMS Senior Director
Who is Lisa Skinner?
12 sessions per year per member for up to two hours each provided by The Sunshine Method.
What is tutoring?
The task that is auto generated after submitting the FL Referral Assessment.
What is a Social Service Referral?
Medicaid members that are aging out of CMS call here to discuss plan options for after their 21st birthday.
What is Choice Counseling?
Type of evidence based treatment that aims to enhance social skills and emotional regulation for children on the spectrum.
What is Applied Behavior Analysis?
CMS Statewide School Specialist
Who is Jessica Azevedo?
Members with a diagnosis of diabetes may qualify for one of these.
What is a Health Coach?
This changes (AKA flips) the chart to Active Status on reports.
What is a Taskable Intervention?
Members have a nurse from this organization attend their biannual MDT meetings to reauthorize PPEC.
What is KEPPRO/EQ Health
Accessed via the launch pad and used to send educational materials to members surrounding things like their diagnosis, COVID preventions and preventative care.
What is Krames?
CMS Director for North Florida Regions, Medical Foster Care, PIC
Who is Jennifer Holler?
Used for ordering hypoallergenic bedding and HEPA vacuums.
What is United Medco portal?
This is created after opening a case for a new member. One of the required fields is 'Source'.
What is a Referral?
The PIC provider for Martin, St. Lucie and Okeechobee counties
What is Treasure Coast Hospice?
A program for Title 21 members that provides psychiatric and behavioral health services; except for to members who have a primary diagnosis of ADHD or Autism.
What is BNET?
Region 10 Supervisor who has been with CMS the longest
Who is Talita Thornton?
This program rewards members for engaging in preventative care via Via gift card.
What is My Health Pays?