Advise the agent to place this on the discrepancy log.
Escalate this to Marsha and Lisa because the recipient should be excluded with TPL 19
Advise the agent to tell the caller that due to the type of Medicaid that is on file, they will need to select a plan.
Advise the agent to verify if the recipient has a special condition on file to determine if the caller is eligible to enroll with that plan.
Tell the agent to tell the caller to call the plan to find another pharmacy accepts the plan and carries the medication.
Submit a supervisor task.
Advise the agent to complete a GC9.
Find Marsha or Lisa because they should be able to escalate this to AHCA.
Tell the agent to tell the caller to file a grievance with the plan.
Tell the agent to advise the caller to contact the plan again.
Advise the agent to process a plan change using a GC1.
Advise the agent to review the Heads Up, and more information is needed to verify if this recipient qualifies for a GC1.
Advise the agent to process a plan change using a GC1
Advise the agent to process the plan change using a GC1610
True
False
The cut-off day is the Thursday before the 2nd to the last Saturday of every month.
The cut-off day is the second to the last day of the month.
The cut-off is immediately after the green check mark appears in HealthTrack.
The cut-off is the last day of the month.
The cut-off date is the 2nd to the last day of the month.
The cut-off is the last day of the month
The cut-off is the Thursday before the 2nd to the last Saturday of the month.
The cut-off is immediately after the green check mark appears in HealthTrack.
Advise your agent to place this on the discrepancy log.
Advise your agent to advise the caller of the effective date on the Auto-Assignment.
Advise your agent to submit a supervisor task so you can escalate this because HealthTrack is not working. Tell everyone the system is down.
Advise the agent to submit a supervisor task for further research.
Advise the agent, if the recipient wants the auto-assignment into Freedom, select accept assignment.
Advise the agent to place this on the discrepancy log for processing.
Advise the caller to contact DCF.
Advise the caller to contact the AHCA Medicaid Helpline.
Refer the caller to Freedom Health.
Place this on the discrepancy log.
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