Changes
What is the turn around time to complete a newborn change once received from the client?
5 days
In what month do we "Start" an Ex-parte review and what month do we "Start" an MAFM review in?
10th month for Ex-parte reviews
4th month for MAFM Review
What does TWN stand for?
The Work Number
If a clients certification period is different from other household members receiving and we are aligning the certification period, what classifications programs cannot be aligned?
MPW, MAFM and ANE
You can add a unregistered household member to a case by using the Evidence Dashboard? True/False
False
Appropriate action must be taken within _____ calendar days after the local agency learns of the change.
30
At age 19 a ________ _______ evaluation must be completed for beneficiaries.
Critical Age
refers to the standard used to compare the self-attested income/resources and income/resources as reported by an electronic data source.
Reasonable compatibility
After approval, the caseworker should check to see if other household members are receiving. To facilitate case management, the certification period of the case that was just approved should be extended to match the others in the household. True/False
False, it should be shortened
What evidence do you key if a client fails to provide information requested that could not be verified by electronic verification to make a determination on a review?
Product Exclusion
Beneficiaries receiving full Medicaid in any Family and Children’s program, including MPW, and who allege disability may be eligible to have their benefits continued while a disability determination is made. What Lawsuit is this called?
Franklin v. Kinsley
If MAGI case terminates for any reason such as "failure to provide information', the reopen is limited to how many calendar days from the month of termination?
90
What DSS form would you send to an employer to verify income?
DSS-8113
If a review is going through the STP process, the caseworker will not begin a review on this case? True/False
True
What four pieces of evidence is required to be entered on the Evidence dashboard to submit a IV-D Referral, and in what order?
A. Absent Parent
B. Child Support Enforcement
C. Absenteeism
D. IV-D Referral
A beneficiary may receive up to twelve months of _______________ when ineligible for MAF-C because of new or increased income
Transitional Medicaid (TMA)
This letter is mailed 180 days prior the end of the certification period, giving the beneficiary 30 days to allege disability. Medicaid may never be reduced or terminated until at least 60 days after this letter.
DHB-2187
Child Support, Worker's Compensation Payments, and Cash Contributions are MAGI Non-Countable or Countable Income?
MAGI Non-Countable Income
_______ _______ is suggested by contacting the beneficiary whenever possible.
Aggressive processing
What evidence on the evidence dashboard would you enter if a client is receiving Medicare Part B?
Benefit Evidence
Scenario: Client has mail that was returned to the agency with a USPS forwarding label with a different State forwarding address. What are four steps that you can take to verify the new address?
A. Review agency records and other program records for a current address
B. Review electronic sources for an updated address, including OVS results
c. Attempt to contact the beneficiary by telephone to obtain a current address.
d. Send a DHB-5097/DHB-5097sp, Request for Information to the most recent mailing address to request verification of a new address.
A client receiving MAF-D was terminated on 12/31/2024 for failure to provide self-employment income . The client then provided the self-employment verifications to reopen the case on 01/20/2025, and has been found eligible for MXP. What type of notice is sent to the client?
*Be specific
Adequate DSS-8110
Educational Scholarships , Awards, or Fellowships Grants are considered what type of countable income?
Unearned Income
A family's case is in Wake County and the client has reported that they have moved to Johnston County. One child's certification period ends 02/28/2025. A ex-parte review must be completed before a _______ _____ can be completed.
County Transfer
What is the meaning of the icon on the evidence dashboard that are green, purple, and red?
A. Items to verify (Green)
B. Evidence in Edit (Purple)
C. Issue (Red)