Medicaid Classifications
This APC has the highest income limit.
What is MIC-1?
The 4 basic eligibility concepts are
What is Enumeration, Residency, US Citizenship and Alien Requirements?
Information provided by the client
What is self-attestation?
What program does a client need to be receiving in order to be evaluated for TMA?
What is MAF-C?
A case worker should start 2 months prior to the end of the certification period
What is the recertification (exparte) process?
This APC certification period for begins the month all eligibility factors are met and ends on the last day of the month when 12-month post-partum period occurs.
What is MPW?
An individual is ____________ when they provide their SSN verbally or providing their social security card OR the birth certificate including the Verification of Facts verifies block 17C is checked "yes".
What is enumerated (Enumeration)?
If a child under age 19 meets an exception to the MAGI rules, what type of household do they fall in?
What is a Non-Filer Household?
Changes must be reported to the agency within ___ calendars of the occurrence.
What is 10 days?
Notifying a recipient at re-determination that she/he is no longer eligible for coverage to inform the recipient of the proposed termination.
What is a timely DSS-8110?
This APC has a 6 month certification period.
What is MAF-M
These forms can be used for clients who are not able to provide state residency verification
What is the DHB-5152 & DSS-5275?
This household consist of the tax filer, tax filer spouse and dependents.
What is a Tax Filer Household?
This is called _____ _____ when we would not react to a change in the middle of a certification period for a child under 19
What is Continuous Eligibility?
I am using the electronic data source and client's statement.
What is Reasonable Compatibility?
The four MAF classifications are
What is C, N, M and D?
The SSN verification code of "A" indicates _________ is verified
What is Citizenship?
The ___ ____ ____ in MAGI budgeting determines the number of individuals in household.
What is tax filing status?
When a case manager updates evidence on the evidence dashboard, what should they do in order to activate the evidence?
What is apply changes?
Which form can be used to complete a redetermination of eligibility if it has been received within the agency 60 days of the current review date.
What is a DHB-5200?
This APC requires you not to be pregnant, not qualify to or be enrolled in Medicare benefits, parent/caretaker with a child under 21 in the home with MEC
What is MXP (Adult Medicaid Expansion)?
LPR's admitted on or after 8/22/96 must satisfy a 5 year waiting period before being eligible for full Medicaid unless they are
Who are pregnant women and children under age 19?
List the MAGI budgeting exceptions.
What is A tax dependent of someone other than spouse or parent? Under age 19 and living with both parents who will not file jointly? Under age 19 and will be claimed by a non-custodial parent?
Which income would we use if the budget unit member goes back to work in the same month that he receives terminated income, the CM is to project income for the certification period using only ____ ______.
What is new income?
Client is due for review. No results in electronic sources. Client is not receiving any other benefits. Evidence dashboard reflects previous self employment history. The case manager should send what forms to the client?
What is the DHB-5097 & NCF-20020?