State Grid Puzzle Activity

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Across
  1. 1. Wisconsin Medicare: For Notice of Determination, Standard cases, for approvals, what notice is not required?
  2. 4. Massachusetts Medicaid: What hyperlink would you click on to look at Benefits and Exclusions?
  3. 9. Michigan Medicare: What line item would you use to search for In-Network Providers?
  4. 11. RI Medicaid: If a CAC needs to look at a list of non-covered benefits (exclusions), they would go to the Attachment C of what document?
  5. 12. Nebraska Medicaid: For a Birthing Center request, direct the Provider to call which number with the birth outcome upon delivery?
  6. 14. Maryland Medicaid: If a request is for a cardiology service, what CPT code list will the PA nurse refer to?
  7. 16. Washington Medicaid: If you receive a request for outpatient Dialysis, no prior authorization is required for what type of provider?
  8. 18. NE Medicaid: There is a benefit limit of how many combined visits per calendar year for PT, ST, and OT?
  9. 19. Wisconsin Medicaid: For CAC role, if a DME rental is greater than $500 for an Expedited request, what WQ will they task to?
Down
  1. 2. FL Medicaid: For hearing aid requests, CAC will refer requester to what phone number on the contact line?
  2. 3. Arizona Medicare: You receive a request for orthotic brace costing $1500. Where would the case be tasked?
  3. 5. New Jersey Medicaid: If a parent is requesting a private duty nurse for their 15 year old, what work queue would the CAC task the case to?
  4. 6. WI Medicaid: CAC receives request for Hospice for Inpatient Notification. Who will the CAC task to?
  5. 7. KS Medicaid: if you need to give approval notice on a weekend to a provider, how can you notify them?
  6. 8. NJ Medicaid: What documents would you refer to in order to see a list of who to task cases to?
  7. 10. Under the Reference or Procedure column heading, where would you go to give a member the number to Member Services?
  8. 13. Rhode Island Medicaid: For a TOC, the member has up to how many months to change to INN provider?
  9. 15. AZ Medicaid: The CAC gets a request for Capsule Endoscopy, the Provider is Non-Par, what line item would they then refer to?
  10. 17. New York Medicare: If a caller is requesting a Peer-to-Peer, whose phone number would the CAC or Nurse refer them to?