Medi-Cal (MC)
Affordable Care Act (ACA)
Modified Adjusted Gross Income (MAGI)
Non-MAGI MC
Covered CA
100

The two categories of Medi-Cal 

What is MAGI & Non-MAGI?

100

The ACA created MAGI MC, a new category that expanded MC eligibility to include individuals between the ages of ____ and ____ with no children.

22 and 64

100
What does the Acronymn MAGI stand for?
Modified Adjusted Gross Income
100
To be eligible for the 250% Working Disabled Program, a person must be ____________ and ___________.
Working (Earned Income) Disabled
100
What does the acronym APTC stand for?
Advanced Premium Tax Credit
200

Medi-Cal is the name of this Federal program in CA.

What is Medicaid?

200

What is the name of California's marketplace (exchange) for medical insurance?

Covered CA

200
An adult may be eligible for MAGI MC if their income is at or below ______% FPL.
138%
200

Name 2 Programs that a entitle a person to receive cash-linked Medi-Cal.

CalWORKs, Foster Care, KinGap, Adoption Assistance, SSI/SSP, TANF

200
Name 3 agencies that share information through the Federal Data Hub.
IRS EDD SSA Dept. of Homeland Security Dept. of Corrections
300

Medi-Cal should not be confused with ____________, the federal program administered through the Social Security Administration.

Medicare

300
As of 2014, most consumers are required to have health insurance that meets __________.
Minimum Essential Coverage (MEC)
300
Children may be eligible for MAGI MC if the household's income is at or below _____% FPL.
250%
300
A person who is receiving SSI/SSP may be eligible for the ______ program if they are paying premiums for Medicare.
QMB
300
On what day of every year will open enrollment for Covered CA health plans begin?
October 15th
400

The processing timeframe is 45 days and 90 days.

What is a Medi-Cal application?

400
Consumers may be eligible for financial assistance through Advanced Premium Tax Credits (APTCs) and Cost Sharing Reductions (CSRs) if they have income between _______ and _______ FPL?
139% and 400%
400
What is the form number for the Statement of Facts, a required form?
SAWS 2 Plus
400
Name the 3 categories of income for Non-MAGI MC.
Earned Unearned Income Inkind
400

Name 2 of the 4 companies that offer health care plans through Covered CA in El Dorado County.

Anthem Blue Cross Blue Shield

Kaiser Health Net

500

Name the 4 types of deprivation for Medi-Cal

Deceased Parent Disabled/Incapacitated Parent Absent Parent Unemployed Parent

500
If a consumer fails to meet the MEC requirements, they will be penalized _____% of their income for 2014 and _____% of their income for 2015.
1% and 2%
500

Name 3 reasons a person would be determined to be ineligible for MAGI MC?

Income over 138% FPL

Age 65 and over Medicare Beneficiary

Cash-Linked MC

500
Name the 3 MPPPs and thier aid codes.
QMB - 80 SLMB - 8C QI-1 - 8D
500

Name the 4 Metal Tiers and the percentage of out of pocket medical expenses they cover.

Bronze - 60% Silver - 70% Gold - 80% Platinum - 90%

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