Learning Resources
Frequently Asked Questions
All categories |
MED BASICS |
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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. | |