Frequently Asked Questions


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Frequently Asked Questions

 

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MED BASICS

Are program representatives organized by demographics?

Yes they are, depending on service area.
Entry link: Are program representatives organized by demographics?

Can I handwrite on the claim forms?

Yes you can, or you use a printing service.
Entry link: Can I handwrite on the claim forms?

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.
Entry link: Does the Medicaid card have all the information needed?

For ambulatory care, are children under 19 exempt from copay?

Children under 19 are exempt from all copays.
Entry link: For ambulatory care, are children under 19 exempt from copay?

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.
Entry link: How are MCO plans chosen for a beneficiary if they are auto-enrolled?

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).
Entry link: How can you get copies of enrollment letters?

How do patients learn updated information?

Patients learn of updates at their enrollment anniversary dates, or you may share information with them.

Entry link: How do patients learn updated information?

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.
Entry link: How does Medicaid know what the provider is receiving from another carrier/third party payer?

How often are provider manuals updated?

Provider manuals are usually updated monthly based on program area.
Entry link: How often are provider manuals updated?

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.
Entry link: If a beneficiary doesn’t have their copay, can you refuse them?


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