Thursday, November 30, 2023, 4:36 PM
Site: Healthy Connections Medicaid E-Learning
Course: Learning Resources (Learning Resources)
Glossary: Frequently Asked Questions
MED BASICS
Are program representatives organized by demographics?Yes they are, depending on service area. |
Can I handwrite on the claim forms?Yes you can, or you use a printing service. |
Does the Medicaid card have all the information needed?No, you should further investigate eligibility using eligibility resources and the information provided on the card. |
For ambulatory care, are children under 19 exempt from copay?Children under 19 are exempt from all copays. |
How are MCO plans chosen for a beneficiary if they are auto-enrolled?The plan is chosen based on the beneficiary’s needs, service area, and any needed specialists. |
How can you get copies of enrollment letters?To receive a copy of a beneficiary’s enrollment letter, they may contact Healthy Connections Choices or the beneficiary’s plan (that they were enrolled into). |
How do patients learn updated information?Patients learn of updates at their enrollment anniversary dates, or you may share information with them. |
How does Medicaid know what the provider is receiving from another carrier/third party payer?There are spaces/sections on the claim form that identify what you receive from the other carrier. |
How often are provider manuals updated?Provider manuals are usually updated monthly based on program area. |
If a beneficiary doesn’t have their copay, can you refuse them?No, as a Medicaid provider you cannot refuse a beneficiary if they do not have their copay. |