A
True or False? 'Scheduled for Auto Renewal' means the HIP AG does not receive a Medicaid Mailer.
True, Scheduled for Auto Renewal' means the HIP AG does not receive a Medicaid Mailer.
True or False, When completing a redetermination for an MCCA case, income does not need to be verified for the community spouse who is not receiving benefits.
False, When completing a redetermination for an MCCA case, income of the non-recipient community spouse must be verified. Resources do not need to be verified for the community spouse who is not receiving benefits.
Auto Closure at redeterminations can occur for which type of Health Coverage AGs?
A. Non-HIP
B. HIP
C. Neither Non-HIP nor HIP
D. Both Non-HIP and HIP
B. HIP
Which program requires the Summary of Eligibility be signed and returned at redetermination?
SNAP
True or False? All versions of Medicaid Mailers contain pre-populated information based on the existing case.
True, All versions of Medicaid Mailers contain pre-populated information based on the existing case.
True or False? An outbound call attempt is required to resolve discrepant information prior to sending a DFR 2032 if all information can be verified verbally.
True, An outbound call attempt is required to resolve discrepant information prior to sending a DFR 2032 if all information can be verified verbally.
Individuals receiving which program can complete a redetermination by using an approved mail-in form?
A. SNAP
B. TANF
C. Refugee Cash Assistance
D. Health Coverage
D. Health Coverage, Federal regulations say that a person receiving any type of Medicaid must complete a redetermination annually. State rules say that redeterminations may occur by completing a phone interview, an office interview, a home visit, OR BY USING AN APPROVED MAIL-IN FORM.
When a HIP AG is evaluated against the Auto Renewal Criteria, it falls into one of __ possible groups.
A. 1
B. 3
C. 5
D. 6
B. 3
SNAP/TANF redeterminations can be completed:
A. By phone
B. Face to Face
C. By mail
D. Both Face to Face and By phone
D. Both Face to Face and By phone
Medicaid Assistance Groups due for redetermination are evaluated for specific ________ which will enable them to be auto renewed.
A. Criteria
B. Ideas
C. Format
D. Changes
A. Criteria
The required Medicaid Mailer is due back within how many days of the mailing date?
A. 13 days
B. 20 days
C. 30 days
D. 90 days
B. 20 days
How many months of income are required to be verified for Sheltered Workshop earnings?
3 months
__________ is the amount which Medicaid will not pay to the Long Term Care facility each month when a Medicaid recipient is a resident of the facility.
Liability
How often are Medicaid redeterminations conducted?
Medicaid redeterminations are conducted every 12 months.
What does MCCA stand for?
Medicare Catastrophic Coverage Act
True or False, When a closed HIP AG provides all necessary documents BEFORE the effective date of discontinuance, the benefit needs to be restored without Conditional Status.
True, When a closed HIP AG provides all necessary documents BEFORE the effective date of discontinuance, the benefit needs to be restored without Conditional Status.
For an MCCA redetermination, the community spouse's ________ and ________ expenses are used in the allocation calculation.
Shelter and Utility
MCCA cases do not require resource verification of the ____________ spouse at redetermination if they are not receiving benefits for themselves.
Community
When completing a SNAP/TANF redetermination, what is the first step to take after contact is made with the recipient?
A. Tell them what verifications they need to provide
B. Ask them if they have had a change in income
C. Update the Schedule module to "Show"
D. Explain the IMPACT program
C. Update the Schedule module to "Show"
If a Medicaid Mailer is returned and is unsigned, when do we NOT have to pend for signature?
A. The Mailer was required to be returned and no changes are reported.
B. The Mailer was required to be returned and changes are reported.
C. The Mailer was not required to be returned and no changes are reported.
D. The Mailer was not required to be returned and changes are reported.
C, If a Mailer is returned and is unsigned, we must pend for the signature unless the mailer was not required to be returned and no changes are reported.
Household consists of Mom (MA D-Not Auto Renewed) and her 2 children (MA Z and MA 2-Both not Auto Renewed). All are due for redetermination. How many and what type of Mailer(s) are sent?
A. 1 Asset Mailer not required to be returned
B. 1 Asset Mailer and 1 Non-Asset Mailer both required to be returned
C. 1 Non-Asset Mailer not required to be returned
D. 1 Asset Mailer required to be returned
A. Mom receives 1 Asset Mailer for herself and the children which is not required to be returned unless there are changes.
When a Medicaid Mailer is required to be returned for a HIP AG, what is the one item that must always be verified even if the mailer states 'no changes'?
A. Non-Financial criteria
B. Resources
C. Income
D. Expenses
C. Income, When a Medicaid Mailer is required to be returned for a HIP AG, income must always be verified even if the mailer states 'no changes'.
A Medicaid AG is closed for failure to provide the required Medicaid Mailer and/or necessary verifications. How long does the client have to supply all required information and still be eligible for rescind?
A. 30 days after the effective date of closure
B. 60 days after the effective date of closure
C. 90 days after the effective date of closure
D. If the information is supplied after the effective date of closure, the client is not eligible for rescind and must reapply.
C. 90 days after the effective date of closure
If a SNAP recipient fails to keep the interview appointment by the 15th of the redetermination month, the SNAP will auto close at:
A. Adverse of the month after redetermination month
B. The 15th of the redetermination month
C. The end of the certification month
D. SNAP does not auto close in this circumstance
C. If a SNAP recipient fails to keep the interview appointment by the 15th of the redetermination month, the SNAP will auto close at the end of the certification month.
Auto Closure at redetermination occurs in which of the following situations?
A. Overdue HIP AG did NOT return a REQUIRED Mailer.
B. Overdue HIP AG returned REQUIRED Mailer, redetermination started, but not completed.
C. Overdue HIP AG provides a Mailer that was NOT required, redetermination started, but not completed.
D. All of the above situations are subject to be Auto Closed.
D. All three situations described are subject to Auto Closure.