Across
- 1. The patient must complete the (blank) consent
- 5. When (blank) insurance is identified, you will continue with the immediate need assessment
- 8. If the completed forms are received within 30 days, we will (blank) their enrollment
- 9. Who must initiate the request for immediate need?
- 10. When the insurance is (blank)immediate need assessment will be paused and an insurance verification will be prioritized and conducted.
- 11. How many channels of enrollment are there for the Online Enrollment Portal
- 12. When the insurance check is (blank) obtain verbal attestation of the patient's insurance status & continue the immediate need assessment
- 14. The annual gross household income must not exceed 500% of the (blank)
Down
- 2. The patient must provide (blank) from their HCP
- 3. Program designed for patients to start HIV treatment immediately as defined by their HCP
- 4. Part of the PAP eligibility requirements states that the patient must be (blank)
- 6. If the completed forms are NOT received within 30 days, we will (blank) the patient from the program
- 7. What will you do if the patient meets the immediate need eligibility criteria
- 13. Upon (blank) the patient will receive the retail pharmacy member ID and processing information
