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Intake and Enrollment

Horizontales
Action made by RC to assist a consumer in order to schedule CFEEC
Conflict Free Evaluation and Enrollment Center
Yearly process required to keep Medicaid Coverage
Amount paid to HRA or an MLTC to have Medicaid Coverage if consumer has excess income.
HealthFirst Staff that generates referrals from providers
Long Term Care Plan that covers World Wide Emergency
Document required from PCP to recommend the need of services
System utilized to verified RN assessments
Milestone use for SHP after 5th contact
Complete Care feature (benefit)
Recommendation needed from CMT to re-enroll in SHP
Final Step to finalized a Plan to Plan enrollment
One of the ways to verify providers
HF Field Staff in charge of determine eligibility
Maximus File to check Medicaid Renewal Status
Verticales
File from the State use to check the status of enrollment
Milestone use to change status to evaluation
Entity in charge of processing MLTC enrollments
Codes obtain by Maximus when cases are rejected
Location of the Roll Ups
Long Term Care plan for 21 years old or older
Request made to get language assistance for the field staff
Staff indexing referrals received via RIGHTFAX
Program offering housekeeping services
Enrollments for consumers remaining in the Nursing Home
Milestone placed automatically once referral is created
Medicaid provided by New York State of Health
Consumer Directed Personal Assistance Program
Diagnosed that makes a consumer ineligible for Complete Care