Medicaid Terminology
A person younger then eighteen living with a parent or caretaker.
What is Dependent Child?
A place where you can assess benefit eligibility.
What is Eligibility Assessment? (Can be found on benefits.ohio.gov)
This is where you go to apply for benefits.
What are the potential outcomes of a Medicaid Application.
Denial or Approval
The new tab was created to support you in documenting the screening as well as resources connection.
What is the Care Guide Tab?
An individual who expects to be claimed by someone else.
What is Tax Dependent?
This is a document that allows staff to complete benefits application on family behalf.
What is Designation of Authorized Representative (DAR) Form?
This is where you determine if a patient has outstanding medical bills.
What is MITS?
This is when a patient or family does not qualify for benefits.
What is Medicaid Denial?
This is where the idea for the new resource specific checklist tasks and updated pre-populated text came from.
What is the Care Guide Team aka us.
The group of individuals, defined in a relationship to one specific applicant or recipient, who impacts the applicant's or recipient's family size or household income.
What is Medicaid Household?
This is the document that will be completed to learn about a family if they would like CMX to complete application on their behalf.
What is CG Medicaid Eligibility Screening?
Proof of Income, Social Security Number, and Permanent Resident Cards are examples of what.
What are Verification Documents?
This is the timeframe given to families to select a Managed Care Plan one approved for Medicaid.
What is 30 Days?
These 2 new support and service types distinguish between the Care Guide services you provide now and the new ability to support families in applying for Medicaid.
What is Medicaid Approved and Active & Medicaid Eligibility?
An individual who doesn't expect to be listed on any tax return for this year.
What is Non-Filer?
This reason for closure is used when the patient is not eligible to apply for Medicaid.
What is Ineligible to apply for Medicaid?
Verification documents are uploaded here once received.
What is media tab? (MC_Scan - send to HIM to be uploaded)
This is the process a CMX will follow once Managed Care Plan has been selected.
What is Updating Registration?
This is what I do NOT do when a patient is connected to a Managed Care Plan, still has needs, and I am placing a referral to Care Navigation.
What is close the program?
Time limited medical assistance because of an initial, simplified determination of eligibility based on the individual's self declared statement.
What is Presumptive Eligibility?
These resources would be provided when a patient is not eligible to apply for Medicaid.
What is HCAP, referral for HCAP, and other benefit application/resources?
Information uploaded to NCH Database following submitting application.
What is E-App Number?
What process is followed when a patient is approved for Medicaid and has identified needs.
What is Escalation?
This is the name of the new report on your dashboard that patients will appear on when they have a managed care plan appear in Epic?
What is Patient Connected to Managed Care Plan?