Monday, May 6, 2024, 5:35 PM
Site: Healthy Connections Medicaid E-Learning
Course: Learning Resources (Learning Resources)
Glossary: Frequently Asked Questions
Can you accept a beneficiary as just a private pay patient even if they have Medicaid?Yes, you just have to let them know before they receive any services. |
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. |
Is the Web Tool updated daily?Yes, the Web Tool is updated every night. |
If I send a HIIRF, will I see anything saying it was received?No, just wait a few days and check eligibility again. |
How do patients learn updated information?Patients learn of updates at their enrollment anniversary dates, or you may share information with them. |
If a Health Insurance Information Referral Form (HIIRF) is completed with no documentation, will the beneficiary's TPL record be updated?No, MIVS will further investigate and draft a letterhead showing steps taken. |
What do you do if monies are sent to the patient?Change them to self pay after or before service completion. |
Can MIVS track down where other payer’s money goes if you are not paid?No, but they can contact other payers to obtain payment information. |
How long do you have to request a hearing for an appeal?You have 30 days to request a hearing. |
If my third party has several addresses, which one do I choose?You would contact the company to find out which address is for your service area. |