Medicaid Application
MAGI
Medicaid Eligibility
IHCPs
Terminology & Acronyms
100
The recommended way to file Medicaid applications
What is Online
100
Standard income counted across all states
What is MAGI
100
Due to ACA this group of individuals under the age of 26 that have aged out of the system can not receive Medicaid Coverage.
What is Foster Children
100
The three eligibility criteria for Indiana Health Coverage Programs:
What is being an Indiana resident, having legal residence (citizenship, national, or qualified immigrant status), and a valid social security number.
100
MEC
What is Minimum Essential Coverage
200
The current two ways to verify eligibility
What is verify information using state & federal electronic data sources and submitting proof for verification
200
Certain assets such as an individuals home, household goods, and personal items are excluded: A Medicaid Income B MAGI C Non-MAGI Income D Excluded Calculations
What is C. Non-MAGI income
200
This group was the only group covered by PE prior to 2014
What is Pregnant Women
200
This will always be the secondary payer if other coverage is available
What is Medicaid
200
CMS
What is Center for Medicaid and Medicare Services
300
After changes in coverage notices will be sent from
What is the Division of Family Resources
300
Which of the following are not additions allowed in MAGI: A. Amounts excluded from foreign earned income (section 911) B. Tax-exempt interest C. Tax exempt Title II Social Security Benefits D. Income collected from Child Support
What is D. Income collected from Child Support
300
The eligibility qualifications for the Healthy Indiana Plan
What is Uninsured adults age 19 -64 upto 100% of the FPL
300
The eligibility for this program is Diagnosed through Indiana State Department of Health Breast & Cervical Cancer Screening Program -OR- ▫ Age 19-64 ▫ Not otherwise eligible for Medicaid ▫ Income less than 200% FPL* ▫ Need treatment for breast or cervical cancer ▫ No health insurance that covers their treatment
What is Breast and Cervical Cancer Program
300
The minimum value for employer sponsored health coverage
What is 60%
400
When appealing benefits consumers can keep their coverage for this long
What is until the appeal hearing
400
Medicaid changes the way it counts:
What is Number of people in the household, Income Assets
400
Age 16 - 64, less than or equal to 350% FPL, Disabled, and Working individuals could qualify for which of the following: A. Home and Community Based Services B. M.E.D. Works C. Spend Down D. Medicare Savings Program
What is B M.E.D Works
400
Name 5 of the IHCPs
What is Hoosier Healthwise, Healthy Indiana Plan (HIP), Care Select, Traditional Medicaid, Medicaid for Employees with Disabilities (M.E.D. Works), Home and Community-Based Service Waivers, Medicare Savings Program, Family Planning Eligibility Program, Breast and Cervical Cancer Program
500
The three MCE's for Medicaid (Hoosier Healthwise and HIP)
What is Anthem, MD Wise, MHS
500
The population that is affected by MAGI
What is Indiana Medicaid populations and all Federal Marketplace Programs
500
Eligibility for this group is income less than or equal to 300% of the maximum Supplemental Social Security Income (SSI)
What is Home & Community Based Services (HBCS) Waivers
500
The amount of time before a consumer is auto assigned to a MCE under Hoosier Healthwise and Healthy Indiana Plan
What is 14 days after enrollment
500
Individual and small group plans must have a standard number or percentage displayed for consumers.
What is Actuarial Value (AV)
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