Learning Resources
Frequently Asked Questions
| All categories |
MED BASICS |
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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. | |
How are MCO plans chosen for a member if they are auto-enrolled?The plan is chosen based on the member’s needs, service area, and any needed specialists. | |
How can you get copies of enrollment letters?To receive a copy of a member’s enrollment letter, they may contact Healthy Connections Choices or the member’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 the member doesn’t have an ID number for the MCO, how do we obtain it?Contact the MCO. | |
What do you do if a member 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. | |
What do you do if you contact a Primary Care Provider and they have no record of a patient?If this were to happen, you would need to contact the Managed Care Organization directly. | |