CHIP
What is a must to be enrolled with UPMC for Kids?
Must be a PA resident.
How often are vision exams and materials covered for CHIP & MA members?
What is one year service date to service date.
When are we allowed to disconnect a call?
What is when we are being cursed at and no response.
What does GIC stand for?
What is GAPS IN CARE.
Who are we partnered with to provide Pharmacy benefits for our members?
What is Express Scripts.
How long do chip members have before they term for conditional enrollment?
What is 120 days.
How often are locked in members allowed to change their providers?
What is 30days.
What is the average time for ACW(after call work)?
What is 2-3mins.
What four visits were qualified to receive an OTC gift card?
What is 15 month, 30month, 9-17 yrs old wellness visits, and HbA1c testing.
What is Health Maintenance Organization.
What are the three main factors used for determining chip eligibility?
What is income, TFS, and other insurance.
What is the MA breakdown for braces coverage from the SOB?
What is (If braces were put on before the age of 21, services will be covered, until they are completed, or age 23, whichever comes first, as long as the member remains eligible for Medical Assistance.) .
What should you say if you get a AVA call?
What is thank you for verifying yourself through our automated phone system.
What is your primary role in health promotions?
What is informing the members of any preventative screenings or services available to them and to offer to get those services scheduled.
Name 4 qualifying life events?
What is Loss of coverage, marriage, birth, permanent relocation, adoption, previous policy holder died, Named legal guardian, gained new foster child, and newly eligible for Gov Assistance.
Who do members contact to transfer from one chip MCO to another and what is that number?
What is Chip Helpline at 800 986 5437.
What is the copay for non-emergent services for an MA member?
What is 3.00 dollars.
What are we not permitted to do to get a PRD?
What is call the subscriber ourselves.
At what age are women allowed to have the option to choose to have yearly mammogram exams completed?
What is age 55 and older.
Name 3 UPMC government products?
What is UPMC for Life, UPMC for Life Dual, UPMC for Kids, UPMC for You, CHC.
What do we do if a chip member is termed for OI but their OI policy terminated?
What is Take the information from the parent and send to COB for investigation and Cold transfer the parent to the DHS Statewide Customer Service Center at 877-395-8930 or 215-560-7226 for Philadelphia residents
What is the MA breakdown for braces coverage from their SOB?
What is (If braces were put on before the age of 21, services will be covered, until they are completed, or age 23, whichever comes first, as long as the member remains eligible for Medical Assistance.) .
What is the number for Transperfect?
What is 844 847 6851.
What is the phone number for mammogram scheduling?
What is 412 641 4700.
When was the ACA act implemented?
What is March 23 2010