Recent QA Tips and Heads Up Information
Advise the mother that the number DCF provided her is incorrect and refer the mother to DCF to get a different number.
Blind transfer the mother to escalation for further assistance.
Advise the mother that the newborn is not eligible for Medicaid and offer to file a complaint.
Ask the mother for her Medicaid ID or Gold Card number to attempt to determine if the child’s case is linked to hers.
Authorizes the caller to quickly access the case and process changes without passing verification.
Authorizes the caller to quickly access the case, but not to access their information online.
Authorizes the caller to quickly access the case and gives access to information online.
The PIN does not serve any purpose within HealthTrack.
File a complaint to have the TPL removed.
Refer the enrollee to the TPL Corrections number to have the TPL removed.
Submit an MC EX/SC Request to remove the TPL.
Place a request to remove the TPL on the discrepancy log.
Up to three providers can be provided during a call. After three have been offered, refer the caller to the plan.
There is no limit to how many providers can be offered during a call.
Only offer as many providers as can be seen on the first page of results without scrolling.
Only offer to search for PCPs, since Specialists, Hospitals and Direct Service Providers cannot be added to an enrollment.
Place the request on the discrepancy log so the plan will be effective sooner.
File a complaint against the future plan since they won’t be able to cover the caller sooner.
Blind transfer the caller to escalation for further assistance.
File a complaint against the current plan since they cannot provide the services the caller needs.
County
Region
Mailing Address
City, State and Zip Code
Transfer the mother to SNU for additional processing.
Continue with the enrollment.
Blind transfer the mother to escalation for further assistance.
Place the request on the discrepancy log.
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