Learning Resources
Frequently Asked Questions
Currently sorted By last update descending Sort chronologically: By last update
What should I do if one line does not pay on your claim?Correct and refile that one line. | |
If the beneficiary doesn’t have an ID number for the MCO, how do we obtain it?Contact the MCO. | |
Will recertification dates be listed on Web Tool?No, it would violate HIPPA. | |
Can you export data from Web Tool?Not at this time, however you can print screen and save it as a file. | |
Can you only see a certain amount of beneficiaries?Yes, but you must have a visible sign stating so. | |
For ambulatory care, are children under 19 exempt from copay?Children under 19 are exempt from all copays. | |
What do you do if a beneficiary 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. | |
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. | |
Who updates the website for manuals? | |
How often are provider manuals updated?Provider manuals are usually updated monthly based on program area. | |