In FY 2016-17: (Your own example) List your own statistics Sample of Issues Handled: Resolving disputes between and Medicare so Medicare pays its portion. workers’ compensation Assisting low-income beneficiaries to apply for particular assistance programs. Helping low income beneficiaries reduce or eliminate their Medi-Cal share of cost. Reporting mistakes in provider network directories, assisting beneficiaries in getting medical providers. Overturning denials of ambulance claims. Helping beneficiaries in the deductible or donut-hole phase of their Part D coverage find alternative, lower cost sources of expensive medications such as insulin. Helping beneficiaries understand their rights and submit Equitable Relief claims to SSA regarding their Medicare enrollment rights, late penalties, etc. Resolving improper billing by plans and providers for Part B expenses for QMB and dual-eligible clients. Assistance in submitting complaints to CMS through the CTM (Complaints Tracking Module) system regarding plan marketing abuses and plan improper billing. Helping resolve problems between the state and SSA regarding the of Part A and B state’s “buy-in” premiums for qualifying low-income beneficiaries.
In FY 2016-17: (Your own example) List your own statistics Sample of Issues Handled: Resolving disputes between workers’ compensation and Medicare so Medicare pays its portion. Assisting low-income beneficiaries to apply for particular assistance programs. Helping low income beneficiaries reduce or eliminate their Medi-Cal share of cost. Reporting mistakes in provider network directories, assisting beneficiaries in getting medical providers. Overturning denials of ambulance claims. Helping beneficiaries in the deductible or donut-hole phase of their Part D coverage find alternative, lower cost sources of expensive medications such as insulin. Helping beneficiaries understand their rights and submit Equitable Relief claims to SSA regarding their Medicare enrollment rights, late penalties, etc. Resolving improper billing by plans and providers for Part B expenses for QMB and dual-eligible clients. Assistance in submitting complaints to CMS through the CTM (Complaints Tracking Module) system regarding plan marketing abuses and plan improper billing. Helping resolve problems between the state and SSA regarding the state’s “buy-in” of Part A and B premiums for qualifying low-income beneficiaries.
HICAP-Talking-Points-Statewide-Updated.docx