Across
- 3. In Hawaii, Sterilizations and Hysterectomies can be approved if the member is at least how old?
- 6. In Tennessee, this sliding scale is used for breast surgeries:
- 7. In Florida, Cosmetic and Reconstructive Surgery cases must all be reviewed by the ____
- 13. This type of approval is made by an Intake Coordinator or a CAC
- 14. In Rhode Island, denials are tasked to this work queue: (Notice of determination line)
- 15. In Pennsylvania, home health care includes the following services: home health aide, home infusion, Medical Social Worker, PT/OT/ST, and ______
- 16. In Texas CHIP, Cranial Molding Orthosis are tasked to the Medical Director as a ____
Down
- 1. In Louisiana, all high risk OB maternity cases are tasked to this work queue:
- 2. 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.
- 4. In any state, this line item lists all important phone numbers:
- 5. In Tennessee, if an inpatient hospice case is approved, it is tasked to what queue?
- 8. For Texas STAR and STAR PLUS members, TOC/COC cases are tasked by Intake to this work queue:
- 9. In New Jersey, no _____ ____________ is required regardless of product for dental anesthesia.
- 10. In Wisconsin, Breast Reconstruction surgery after 7/1/15 requires a review using criteria from ____
- 11. In Mississippi CAN, oral chemotherapy requests are all transferred to the _____phone number.
- 12. In Delaware, this DME item is never a rental item. They are for purchase only.
- 17. In Kansas, Vision requests from Opticare are reviewed using the _______ _______ Service Requests
- 18. In Nebraska, standard cases have a Turn Around Time of how many calendar days?
