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what tool can I use to find out if a drug is covered under my ghp family plan
You can search the formulary to see if your prescriptions are covered.
How do I enroll in GHP Family?
first you need to apply for Medical Assistance. Then, if you’re eligible for Medical Assistance, you can choose GHP Family to provide your healthcare coverage i
Medicaid is a joint federal and state program
TRUE OR FALSE
what is one way to report fraud waste and abuse?
contact supervisor or by email/ phone
what is an example of your external customer?
member, Provider or Doctor
What is an example of your internal customer?
co worker / supervisor /IT Agent
what are the 5 W'S of call documentation?
WHY.. WHERE.. WHO.. WHEN.. WHAT
Making small talk , asking how the weather is, or how the customers day is going is calling building _______
rapport
If a member wants to see a mental health therapist are they covered -under the plan
Yes each member has access to behavioral health benefits
you are on a call and need to reach out to another department.. do you ask for permission from caller to be placed on hold or tell them to hold please?
always ask for permission to place your caller on hold
what does the acronym PHI stand for ?
Protected Health Information
if a member Has a child with special needs and needs assistance who can we refer them to
Special Needs Unit
Adresss and Phone number are an example of NON PUBLIC elements
FALSE ADDRESS AND PHONE NUMBER ARE BOTH PUBLIC ELEMENTS
If you have a baby while your a GHP FAMILY member the baby will be covered 30 days from their date of birth
FALSE THE BABY WILL BE COVERED BY ghp from the first day they are born- the will also have their own account


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