EPIC STUDY GUIDE QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT!!!
MCO -ANSWER ✔✔Managed Care Organization
Nine Maryland MCOs -ANSWER ✔✔Aetna Better Health, Amerigroup, Jai,
Kaiser, MedStar Family Choice, MD Physicians Care, Priority Partners, UHC
MCO, CareFirst Community Health Plan
Five Maryland MCOs that have a separate policy # than the MA# -ANSWER
✔✔Amerigroup, Kaiser, MedStar Family Choice, Priority Partners, UHC MCO
Three processes for verifying MA eligibility -ANSWER ✔✔EVS Web, EVS
Phone, RTE
Four types of patients that we EVS -ANSWER ✔✔MA, Medicare no secondary,
Prisoners, Self-Pay
Who do we bill for behavioral health for MA? -ANSWER ✔✔Optum Health
SLMB; Who do we bill? -ANSWER ✔✔Specified Low-Income Medicare
Beneficiary; Medicare ONLY!
QMB; Who do we bill? -ANSWER ✔✔Qualified Medicare Beneficiary; Medicare
and MA
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT!!!
MCO -ANSWER ✔✔Managed Care Organization
Nine Maryland MCOs -ANSWER ✔✔Aetna Better Health, Amerigroup, Jai,
Kaiser, MedStar Family Choice, MD Physicians Care, Priority Partners, UHC
MCO, CareFirst Community Health Plan
Five Maryland MCOs that have a separate policy # than the MA# -ANSWER
✔✔Amerigroup, Kaiser, MedStar Family Choice, Priority Partners, UHC MCO
Three processes for verifying MA eligibility -ANSWER ✔✔EVS Web, EVS
Phone, RTE
Four types of patients that we EVS -ANSWER ✔✔MA, Medicare no secondary,
Prisoners, Self-Pay
Who do we bill for behavioral health for MA? -ANSWER ✔✔Optum Health
SLMB; Who do we bill? -ANSWER ✔✔Specified Low-Income Medicare
Beneficiary; Medicare ONLY!
QMB; Who do we bill? -ANSWER ✔✔Qualified Medicare Beneficiary; Medicare
and MA