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WA Medicaid 2.0
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What are the main 2 tabs you will use on Provider one?
Benefit inquiry and View Enrollment roster
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if a member is 18 or younger where must they go to get their vaccinations?
PCP or local health department
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what 3 services are not typically reimbursed for the WA Medicaid Plan?
1. Non Medical Necessary 2. Non covered items/and or services 3.Covered services from OON providers without PA by Molina
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what is the time frame for scheduling an Emergency care appointment.
24 hours a day 7 days a week
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When a member is calling in to add another insurance do you close the case or leave it open?
open and assign to workbasket for enrollment tier 1
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can a 13 year old consent to outpatient treatment by a chemical dependency treatment program?
Absolutely
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What is ABA?
therapy is used to help children with autism learn to function better in their daily lives.
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What are Alternate resources that can be used to check benefits
EOC (evidence of Coverage) and Public website( Molinahealthcare.com)
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