Module 9 Objectives:

To describe and discuss:

  • roles of insurance verification for MADAP/MADAP Plus clients
  • types of plans eligible for premium assistance,
  • payer of last resort requirements to confirm a client’s primary insurance coverage, premium costs (if applicable), investigate formulary and prescription benefit inquiries, and/or arrange premium payments with vendors
  • insurance premium payment processes
  • approved insurance vendors for the SPS and other payment methods
  • coordination of benefits with MADAP Pharmacy Services to address insurance problems
  • types of problems that clients encounter when changes occur in their insurance coverage or program eligibility under MADAP, Medicare, or ACA

NOTEYou must review ALL screens in this webinar in order to receive a completion and your certificate.