CoventryCares of KY Lock-in-Program. Lock-In-Program Start date Lock-In-Program: What is it? How...

CoventryCares of KY

Lock-in-Program

Lock-In-ProgramStart date

Lock-In-Program: What is it?

How does this affect Avesis and Providers?

Identify a member in AbH

Identify a member in AcH

Keep in Mind

Assessment

Please click on the links to the left to learning about CoventryCares of KY Lock-

in-Program.

Start Date

Begin date for this change to CoventryCares is 03/01/2013.

Letters to providers were mailed out 03/04/2013.

We can expect call for this change this week.

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Keep in Mind

Assessment

Lock-In-ProgramWhat is it?

This program was developed to educate members who may be intentionally or unintentionally misusing Medicaid benefits and to ensure that program funds are used to provide optimum health services for members.

Members who misuse pharmacy, and/or emergency department benefits may be restricted to the use of one pharmacy, one physician and/or one hospital.

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Keep in Mind

Assessment

Avesis & Providers

If you have a member that is in need of a prescription during

dental treatment you will need to either obtain a referral

form from the member’s Primary Care Physician (PCP) OR ask the PCP to write the prescription on behalf of the

member.

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Keep in Mind

Assessment

Identify a Member in AbH

Go Member Eligibility Search. Enter the member information you wish to verify eligibility for and if a member is part of this program then it will state “yes” under the “Intervention” tab next to the “Member Name” as shown below.

Then when you click on “yes” it will take you to the Intervention Measure where you can see if the member is part of the CoventryCares Lock-in Program.

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Keep in Mind

Assessment

Identify a Member in AcH

Under the Member profile, enter the member ID # and you will receive the following splash page:

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Keep in Mind

Assessment

Keep in Mind

This update is only affecting CoventryCares of KY members.

The member needs to be in a Lock-in-Program for this update to apply to them.

Check AbH or AcH to see if the member is in the Lock-in-Program.

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Keep in Mind

Assessment

Assessment

The assessment has to be completed before 6p, Friday, March 8th.

Please click on the link below to complete the assessment.

You will need your Username and password to complete the assessment.

http://www.quia.com/quiz/4149389.html

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Keep in Mind

Assessment



CoventryCares of KY Lock-in-Program. Lock-In-Program Start date Lock-In-Program: What is it? How...

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