|
Category |
Contact Reason |
Task Created |
Queue |
Due Date |
|
Application/Review Follow-Up |
CHIP Premium Paid after Denial/Closure |
CHIP Premium Paid |
Eligibility E&D Eligibility LTC Eligibility |
10 Days |
|
Application/Review Follow-Up |
Application Status |
No Task Created |
|
|
|
Application/Review Follow-Up |
Question on Information Requested |
No Task Created |
|
|
|
Application/Review Follow-Up |
Question on Notice Received |
No Task Created |
|
|
|
Application/Review Follow-Up |
Requested Verification/Information Rec'd |
No Task Created |
|
|
|
Application/Review Follow-Up |
Info Received on Denied/Close Program |
Info Rcv'd On Denied/Disc |
Eligibility E&D Eligibility LTC Eligibility |
10 Days |
|
Application/Review Follow-Up |
Passive Review Response |
Passive Review Response |
Eligibility E&D Eligibility LTC Eligibility |
10 Days |
|
Application/Review Follow-Up |
Request to have Determination Reviewed |
Review Eligibility Determination |
Eligibility E&D Eligibility |
10 Days |
|
Application/Review Follow-Up |
WH Premium Paid after Denial/Closure |
WH Premium Paid after Denial/Closure |
Eligibility |
10 Days |
|
Card Request |
Medical MCO |
No Task Created |
|
|
|
Card Request |
State Medical ID Card |
No Task Created |
|
|
|
Case File Request |
Case File Request |
Case File Request |
Mailroom |
2 Days |
|
Change Requests |
Add New Person |
Add New Person |
Eligibility E&D Eligibility LTC Eligibility |
5 Days |
|
Change Requests |
Address Change |
Address Change |
Contact Updates |
5 Days |
|
Change Requests |
Contact Info Change-Phone/Email |
Contact Info Change |
Contact Updates |
5 Days |
|
Change Requests |
Cooperation Request |
Cooperation |
Eligibility E&D Eligibility LTC Eligibility |
10 Days |
|
Change Requests |
Customer Data Update |
Demographic Change |
Contact Updates |
10 Days |
|
Change Requests |
PPS Ended Coverage-Need CH Coverage |
PPS-Ended CovgAdd CH |
Eligibility E&D Eligibility LTC Eligibility |
10 Days |
|
Change Requests |
PPS Started Coverage-End CH Coverage |
PPS Needs CH Closed |
Eligibility E&D Eligibility LTC Eligibility |
10 Days |
|
Change Requests |
Expense Changes |
Expense Changes |
Eligibility E&D Eligibility LTC Eligibility |
10 Days |
|
Change Requests |
Income Change |
Income Change |
Eligibility E&D Eligibility LTC Eligibility |
10 Days |
|
Change Requests |
Non-Cooperation |
Non-Cooperation |
Eligibility E&D Eligibility LTC Eligibility |
10 Days |
|
Change Requests |
Premium Issues-CHIP |
Premium Issues |
Eligibility |
10 Days |
|
Change Requests |
Remove HH Member |
Remove HH Member |
Eligibility E&D Eligibility LTC Eligibility |
10 Days |
|
Change Requests |
Representative Changes |
Representative Changes |
Administrative-CH |
10 Days |
|
Change Requests |
Resource Change |
Resource Change |
Eligibility E&D Eligibility LTC Eligibility |
10 Days |
|
Change Requests |
TPL-Adding |
TPL-Add |
Contact Updates |
10 Days |
|
Change Requests |
TPL-Deleting |
TPL-Delete |
Contact Updates |
10 Days |
|
End/Close Program/Coverage Request |
Program Closure Request |
End Coverage Program |
Eligibility E&D Eligibility LTC Eligibility |
10 Days |
|
End/Close Program/Coverage Request |
Request to Withdraw |
Request to Withdraw |
Eligibility E&D Eligibility LTC Eligibility |
10 Days |
|
End/Close Program/Coverage Request |
Remove Member for Coverage |
End Coverage-Member |
Eligibility E&D Eligibility LTC Eligibility |
10 Days |
|
Follow Up Needed |
Follow Up Call |
Follow Up Call |
Administrative-CH |
5 Days |
|
Follow Up Needed |
Follow Up Email |
Follow Up Email |
Administrative-CH |
5 Days |
|
Follow Up Needed |
Follow Up Walk-In |
Follow Up Walk-In |
Administrative-CH |
5 Days |
|
Follow Up Needed |
Follow Up Written Correspondence |
Follow Up Written Correspondence |
Administrative-CH |
5 Days |
|
Appeal/Fair Hearing |
Fair Hearing Request |
No Task Created |
|
|
|
Appeal/Fair Hearing |
Appeal/Fair Hearing Request |
Appeal/Fair Hearing Request |
Concerns |
10 Days |
|
General Question |
Non-Program Specific |
No Task Created |
|
|
|
General Question |
Program Specific |
No Task Created |
|
|
|
Material Request |
Elderly and Disabled Application(s) |
No Task Created |
|
|
|
Material Request |
Family Application(s) |
No Task Created |
|
|
|
Material Request |
Family Medical Application(s) |
No Task Created |
|
|
|
Material Request |
Family Medical Review Form |
No Task Created |
|
|
|
Material Request |
Marketing Materials |
No Task Created |
|
|
|
Material Request |
Request for Release of Information |
No Task Created |
|
|
|
Material Request |
Request to Resend System Generate Notice/Form |
No Task Created |
|
|
|
Grievances/Complaints |
CHIP Premiums |
GR-Premiums |
Eligibility |
10 Days |
|
Grievances/Complaints |
WH Premiums |
WH Premiums |
Eligibility |
10 Days |
|
Grievances/Complaints |
Civil Rights Complaints |
GR-Civil Rights |
Concerns |
10 Days |
|
Grievances/Complaints |
Clearinghouse Materials |
GR-Materials |
Concerns |
10 Days |
|
Grievances/Complaints |
Customer Self Service Portal |
GR-Self Service Portal |
Concerns |
10 Days |
|
Grievances/Complaints |
Customer Service |
GR-Customer Service |
Concerns |
10 Days |
|
Grievances/Complaints |
Eligibility Determination |
GR-Elg Determination |
Concerns |
10 Days |
|
Grievances/Complaints |
External |
GR-External |
Concerns |
10 Days |
|
Grievances/Complaints |
Hold Time |
GR-Hold Time |
Concerns |
10 Days |
|
Grievances/Complaints |
Legislative Contact |
GR-Legislative |
Concerns |
10 Days |
|
Grievances/Complaints |
Other |
GR-Other |
Concerns |
10 Days |
|
Grievances/Complaints |
Timeliness |
GR-Timeliness |
Concerns |
10 Days |
|
Referred to Agency Partner |
PMDT Contact |
PMDT Contact |
PMDT |
20 Days |
|
Referred to Agency Partner |
Referred to Agency Partner |
No Task Created |
|
|
|
Other |
Other |
No Task Created |
|
|
|
Other |
GR-Other |
Concerns |
Eligibility |
10 Days |