To make sure enrollment is handled efficiently, Ramsell Public Health Rx develops and maintains manuals on current State and Federal provisions for eligibility. These step-by-step guides detail screening and documentation required to determine an applicant’s eligibility.
Additionally, these manuals assure client eligibility information is provided to Ramsell Public Health Rx systems, and at the same time safeguard client confidentiality.
Enrollment training is most important for sponsors that use a network of enrollment site locations. Also an effective communication tool, training sessions help ensure compliance with program policies and procedures.
Training Modules are customized for each program. Ramsell Public Health Rx’s current training modules include eligibility screening processes; enrollment documentation requirements; manual and electronic application completion and submission process; client grievance policy; and guidelines on roles and responsibilities for everyone involved in the process: the client, Ramsell Public Health Rx, the program sponsor, and the pharmacy. Ramsell Public Health Rx provides training attendees a certificate of completion and their personal enrollment manual.
Internet Enrollment Option
Ramsell Public Health Rx’s Internet web site is secure and HIPAA compliant for enrollment application processing - available 24 hours a day, 7 days a week. Access to this site is restricted to authorized enrollment workers.Electronic Eligibility Verification
Ramsell Public Health Rx’s Electronic Eligibility Verification System (EEVS) is a user friendly telephony system providing access to client eligibility information 24 hours a day, 7 days a week.Client ID Card
Ramsell Public Health Rx creates HIPAA compliant Client ID cards and disseminates them to all program clients.
Oakland, Calif., May 12, 2008 - Ramsell Public Health Rx today announced that it will administer a full suite of Pharmacy Benefit Management (PBM) solutions for the Bridging the Gap, Colorado (BTGC) program, a State Pharmaceutical Assistance Program (SPAP) that covers the costs of a participant’s Medicare deductible, co-payment and coinsurance. The customizable PBM solution will provide a comprehensive package to meet BTGC’s service needs, including coordination of benefits, claims adjudication, pharmacy network management and data management.