Saturday, May 4, 2024, 2:11 PM
Site: Healthy Connections Medicaid E-Learning
Course: Learning Resources (Learning Resources)
Glossary: Frequently Asked Questions
D
Do you have to put the last 4 digits of the zip code for Claims Entry?Yes; you can find zip codes on the US Postal Services website: www.usps.com. Click on Look Up a Zip Code™ |
Do you have to submit claims through Web Tool?No, you may use other options like hard copy or vendor/clearing house. |
Does a beneficiary have to be on Medicaid to qualify for HIPP?No, but they must be Medicaid eligible. |
Does Suspended mean processing?No; Suspended means that the claim is in review. |
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. |
Does the Nursing Facility (NF), Intermediate Care Facility (ICF) / Mental Retardation (MR) or Swing Bed facility have to wait for a denial from DHHS before submitting an invoice to the hospice agency?Yes. The denial must be attached. |
Does the Web Tool’s Lists feature allow you to save a beneficiary’s prior authorization in a field?No, prior authorization may not be necessary for all services. There is a field for prior authorization. |
Does Web Tool’s Status show whether it is approved to be paid?Yes |