MLTC pop quiz

Provider calls to inquire on the reason for a denied claim. Which Tab in Casetrakker can you confirm if the provider was authorized to provide the denied service?

Members granddaughter Janice called requesting additional hha hours for member; as members health condition has changed. Jane is requesting member receive 5 days/ 8 hours each day as member is in the hospital due to a stroke and will be returning home soon. MSR will call or send an email to the :

Members granddaughter Jane Doe, called requesting additional hha hours for member; as members health condition has changed. Jane is requesting member receive 5 days/ 8 hours each day as member is in the hospital due to a stroke and will be returning home soon. What is the activity detail in CaseTrakker?

Prospect Calls to Reschedule UAS Assessment. Where in CaseTrakker can an MSR confirm there is an already scheduled UAS assessment?

Ms Lopez calls to inform she is back from vacation and would like her aide to come back tomorrow. MSR should send an email to [blank]

Provider calls because they received an authorization to start Home Care services on 04/15/18 for 20 hours a week but the plan of care is 22 hours a week. MSR should contact :

Members Daughter Calls & Request Services for A Family Member to Take Care of Her Mom.Who should MSR send an email to :

MBRS DAUGHTER CALLED TO ADVISE MBR WILL BE ENROLLED INTO CPHL IN 2 WEEKS BUT RECEIVED A LETTER ADVISING MBR WILL BE ASSIGNED TO CARING HOME CARE. MBR WISHES TO STAY WITH SAME AGENCY SHE HAS NOW, WHITE GLOVE. MSR SHOULD CONTACT THE CARE MANAGER

Intake UAS Nurse

Intake Representative

Care Manager

Social Worker

Member Services Representative

Intake Coordinator

Enrollment

FHS

Care Coordinator

Field Assessor

UM Representative

Relay Health

Member Satisfaction