mc exemptions presentation .pptone is available). if the client does not meet the exemption...

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Page 1: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Welcome SlideWelcome Slide

Page 2: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Objectives

Page 3: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Lesson 1

Page 4: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Who Must be Enrolled

Page 5: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Medicare Clients

Page 6: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Medicare Clients, cont’

Page 7: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Managed Care for Dental/Mental HealthDental/Mental Health

Page 8: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Lesson 2

Page 9: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Managed Care Exemptions

Page 10: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Medicare OHP Plus Clients

Page 11: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Medicare OHP Plus Clients, ,cont’

Page 12: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

End Stage Renal Disease

Page 13: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Exemption pCodes have

Ch d Changed

Page 14: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Exemption Codes

Page 15: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Exemption Codes, cont’

Page 16: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Exemption Codes, cont’

Page 17: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Exemption Codes, cont’

Page 18: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Exemption Codes, cont’

Page 19: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Exemption Codes, cont’

Page 20: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

E ti C d t’Exemption Codes, cont’

Page 21: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Lesson 3

Page 22: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Search for Exemptions in the MMIS

Page 23: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Search for Exemptions, cont’Search for Exemptions, cont

Page 24: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Search for Exemptions, cont’Search for Exemptions, cont

Page 25: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Search for Exemptions, cont’Search for Exemptions, cont

Page 26: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Search for Exemptions, cont’Search for Exemptions, cont

Page 27: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Lesson 4

Page 28: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Add Managed Care gExemptions in the

MMISMMIS

Page 29: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Exemption Procedures

Page 30: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Exemption Procedures cont’Procedures, cont

Page 31: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

E ti Exemption Procedures, cont’Procedures, cont

Page 32: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Add ExemptionsAdd Exemptions

Page 33: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Add Exemptions, cont’Add Exemptions, cont

Page 34: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Add Exemptions, cont’Add Exemptions, cont

Page 35: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Add Exemptions, cont’Add Exemptions, cont

Page 36: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Add Exemptions, cont’Add Exemptions, cont

Page 37: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Add Exemptions, cont’Add Exemptions, cont

Page 38: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Add Exemptions, cont’Add Exemptions, cont

Page 39: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Add Exemptions, cont’Add Exemptions, cont

Page 40: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Add Exemptions, cont’Add Exemptions, cont

Page 41: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Add Exemptions, cont’Add Exemptions, cont

Page 42: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Add Exemptions, cont’Add Exemptions, cont

Page 43: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Add Exemptions, cont’Add Exemptions, cont

Page 44: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Thi d P Third Party Liability (TPL)Liability (TPL)

Page 45: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

TPL, cont’,

Page 46: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

TPL, cont’

Page 47: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Additional Information

Page 48: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

Contact HIG

Page 49: MC Exemptions Presentation .pptone is available). If the client does not meet the exemption criteria, they will be auto enrolled in a managed care plan (if an exemption. If the client

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