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State Grid Puzzle Activity
16
Administrative:This type of approval is made by an Intake Coordinator or a CAC
MedicalDirector:In Arizona, a post-surgery lap-band adjustment does NOT require a review by the _____ (bariatric surgery)
ForwardHealth:In Wisconsin, Breast Reconstruction surgery after 7/1/15 requires a review using criteria from ____
Contact Information:In any state, this line item lists all important phone numbers:
InsulinPumps:In Delaware, this DME item is never a rental item. They are for purchase only.
AMCContinuityofCare:For Texas STAR and STAR PLUS members, TOC/COC cases are tasked by Intake to this work queue:
Medical Director:In Florida, Cosmetic and Reconstructive Surgery cases must all be reviewed by the ____
Noncoveredbenefit:In Texas CHIP, Cranial Molding Orthosis are tasked to the Medical Director as a ____
Twentyone:In Hawaii, Sterilizations and Hysterectomies can be approved if the member is at least how old?
Schnur:In Tennessee, this sliding scale is used for breast surgeries:
PriorAuthorization:In Kansas, a circumcision needs no ____
RINotificationCoordinator:In Rhode Island, denials are tasked to this work queue: (Notice of determination line)
TNAcuteInpatient:In Tennessee, if an inpatient hospice case is approved, it is tasked to what queue?
LAHealthyFirstStepsUrgent:In Louisiana, all high risk OB maternity cases are tasked to this work queue:
Skillednursing:In Pennsylvania, home health care includes the following services: home health aide, home infusion, Medical Social Worker, PT/OT/ST, and ______
Pharmacy:In Mississippi CAN, oral chemotherapy requests are all transferred to the _____phone number.
Ninety:In New Mexico, COC/TOC cases are given ____ days to transition to another provider or until the member can be reasonably transferred without disruption of care.
Vision Vendor:In Kansas, Vision requests from Opticare are reviewed using the _______ _______ Service Requests form
Fourteen:In Nebraska, standard cases have a Turn Around Time of how many calendar days?
Priorauthorization:In New Jersey, no _____ ____________ is required regardless of product for dental anesthesia.
State Grid Puzzle Activity
Across:3. | In Delaware, this DME item is never a rental item. They are for purchase only. | 6. | In any state, this line item lists all important phone numbers: | 7. | In Kansas, Vision requests from Opticare are reviewed using the _______ _______ Service Requests form | 8. | In Wisconsin, Breast Reconstruction surgery after 7/1/15 requires a review using criteria from ____ | 10. | In Tennessee, if an inpatient hospice case is approved, it is tasked to what queue? | 11. | In Florida, Cosmetic and Reconstructive Surgery cases must all be reviewed by the ____ | 13. | In Louisiana, all high risk OB maternity cases are tasked to this work queue: | 14. | This type of approval is made by an Intake Coordinator or a CAC | 15. | In Mississippi CAN, oral chemotherapy requests are all transferred to the _____phone number. |
| | Down:1. | In Kansas, a circumcision needs no ____ | 2. | In Rhode Island, denials are tasked to this work queue: (Notice of determination line) | 4. | In Tennessee, this sliding scale is used for breast surgeries: | 5. | For Texas STAR and STAR PLUS members, TOC/COC cases are tasked by Intake to this work queue: | 8. | In Nebraska, standard cases have a Turn Around Time of how many calendar days? | 9. | In Arizona, a post-surgery lap-band adjustment does NOT require a review by the _____ (bariatric surgery) | 12. | In New Mexico, COC/TOC cases are given ____ days to transition to another provider or until the member can be reasonably transferred without disruption of care. |
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© 2015
PuzzleFast.com, Noncommercial Use Only
State Grid Puzzle Activity
Across:3. | In Delaware, this DME item is never a rental item. They are for purchase only. | 6. | In any state, this line item lists all important phone numbers: | 7. | In Kansas, Vision requests from Opticare are reviewed using the _______ _______ Service Requests form | 8. | In Wisconsin, Breast Reconstruction surgery after 7/1/15 requires a review using criteria from ____ | 10. | In Tennessee, if an inpatient hospice case is approved, it is tasked to what queue? | 11. | In Florida, Cosmetic and Reconstructive Surgery cases must all be reviewed by the ____ | 13. | In Louisiana, all high risk OB maternity cases are tasked to this work queue: | 14. | This type of approval is made by an Intake Coordinator or a CAC | 15. | In Mississippi CAN, oral chemotherapy requests are all transferred to the _____phone number. |
| | Down:1. | In Kansas, a circumcision needs no ____ | 2. | In Rhode Island, denials are tasked to this work queue: (Notice of determination line) | 4. | In Tennessee, this sliding scale is used for breast surgeries: | 5. | For Texas STAR and STAR PLUS members, TOC/COC cases are tasked by Intake to this work queue: | 8. | In Nebraska, standard cases have a Turn Around Time of how many calendar days? | 9. | In Arizona, a post-surgery lap-band adjustment does NOT require a review by the _____ (bariatric surgery) | 12. | In New Mexico, COC/TOC cases are given ____ days to transition to another provider or until the member can be reasonably transferred without disruption of care. |
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© 2015
PuzzleFast.com, Noncommercial Use Only