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Member and Provider Services Unit and 1 more... less...

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Member and Provider Services Unit

Average # of business days to respond to an attorney's request for information

Current Value

23.2

Jul 2024

Definition

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Story Behind the Curve

This measure represents the response time of the Casualty Recovery Team when an attorney is involved in the recovery of Medicaid monies for previously paid services.

Attorneys outreach the Member and Provider Services (MPS) Unit’s Casualty Recovery Team via phone, fax, email, and mail to verify Medicaid coverage of their client and to obtain the total amount of claims paid. Interaction begins with the client informing their attorney that they are covered by Medicaid, or by a returned Accident/Questionnaire which discloses an involved attorney.  The team responds to requests in chronological order of the date received.

As illustrated in the graph, our processing time for most months is less than the target of ten days.  The months above the target are due to a high volume of cases, staff absences, as well as other annual work processes such as the Department of Motor Vehicle data match for accidents, annual file updates, and sending files to public records.

Narrative last updated:  06/16/23

Partners

  • Medicaid Beneficiaries
  • Attorneys
  • DMV

Clear Impact Suite is an easy-to-use, web-based software platform that helps your staff collaborate with external stakeholders and community partners by utilizing the combination of data collection, performance reporting, and program planning.

Scorecard Container Measure Action Actual Value Target Value Tag S A m/d/yy m/d/yyyy