Friday, May 3, 2024, 10:37 AM
Site: Healthy Connections Medicaid E-Learning
Course: Learning Resources (Learning Resources)
Glossary: Frequently Asked Questions
Are program representatives organized by demographics?Yes they are, depending on service area. |
Does a beneficiary have to be on Medicaid to qualify for HIPP?No, but they must be Medicaid eligible. |
How often are provider manuals updated?Provider manuals are usually updated monthly based on program area. |
Who updates the website for manuals?MCCS sends the updates and changes once received from DHHS. |
Where can you find an out of state referral form?That form can be found on SCDHHS.gov. |
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. |
What do you do if a beneficiary is out of visit counts?When checking eligibility, you will see what visit counts they have left. You can request more from your representative or treat them as a self pay. |
For ambulatory care, are children under 19 exempt from copay?Children under 19 are exempt from all copays. |
Can you only see a certain amount of beneficiaries?Yes, but you must have a visible sign stating so. |
Can you export data from Web Tool?Not at this time, however you can print screen and save it as a file. |