The Basics
What are the two categories of Adult Medicaid?
What is Private Living Arrangement & Long Term Care
What is Categorically Needy & Medically Needy
Adult Medicaid Beneficiaries can receive either _______ or _________ income.
Hint: SSI, RSDI, Wages etc.
What is Unearned and Earned Income
Another name for Reserves.
What is Resources
Name a type of countable income.
Hint: Can be either unearned or earned
Wages, RSDI, SSA , etc.
Adult Medicaid for Non-SSI Recipients is for which 3 types of individuals?
What is Aged, Blind & Disableld
How many types of Categorically Needy Classifications are there? What are they?
What is 3, N Q and B
Unearned or Earned Income can either be ____________ or ____________ for the beneficiary. Either way both must be entered within NC FAST.
Countable or Non-Countable
Name the three types of Reserves
Name a reserve which is non countable
Homesite, essential usage vehicle, Liquid account with FOR status - means it belongs to someone else and it is not the clients money
Name four basic eligibility requirements for Medicaid.
US Citizen or Qualified Alien
NC Resident
Not receiving Medicaid within another aid program/category
Incarcerated
Furnishing SSN or applying for one
Not in Mental Institution
Provide verification of health insurance
Cooperate with Child Support Enforcement
Apply for all other benefits in which entitled to
If someone is a Medicare Recipient, what will be there classification?
What is Q Class
What is our base period in which we will use to determine income eligibility requirements for beneficiaries at application/review?
What is the month before the month the recert is started. (No earlier than the 9th month of a 12 month CP and no earlier than the 3rd month of a 6 month CP)
Name a type of Personal Property.
What is Vehicle
Within PLA, VA pensions are counted only for ________ __________, it is not counted for the benefiiciary.
What is ineligible spouse.
Define Reasonable Opportunity Period. How long is this period?
What is 90 -95 days allowing for mailing
it's an opportunity for immigrants to obtain citizenship documents when applying for Medicaid- the time frame/clock begins when the first 5097 request for information is sent.
If someone is over the income for Full Medicaid (MAABD) they are potentially to receive under the MQB program, if they receive ___________ and meet the ________ requirement
What is Medicare and What is Meet the Reserve Requirement.
What is Weekly
What is gross monthly average
Define First Moment's Balance.
If our resource verification month is August 2022, what will be our first moment's balance for current and retro?
What is the last business day of the preceding month of the resource verification month.
Current will reflect the first moment's balance of 7/31/2022 as of Midnight 8/1/2022.
Retro will reflect the first moment's balance of 6/30/2022 as of Midnight 7/1/2022
Retro will reflect the first moment's balance of 5/31/2022 as of Midnight 6/1/2022
All reserves must be ___________ within NC FAST whether ________ or __________ ____________.
What is entered and what is countable or non-countable.
If someone is living in the HH of another, what is this telling us to evaluate for?
What is 1/3 Reduction or Full Maintenance Income Limit.
Which classification must a recipient be evaluated under, if they are no longer considered categorically eligible for Full Medicaid and they are no other best available programs?
What is Medically Needy
What is the policy term"discount" applied automatically within NC FAST for total countable income for earned and unearned income?
Define the formula.
What is Income Exclusion
Gross Earned - $65 Subtract 1/2 the remainder (divide by 2) + Unearned Income - 20 (if this wasn't already applied )
Name at least three different ways we can verify reserves.
Name at least three different ways a beneficiary can reduce their reserves, if their reserves exceed the resource limit of ________ for an individual or ______ for a couple.
If a beneficiary is over the reserve limit, what form(s) must be sent to notify the client?
AVS Liquid, Life Insurance policy, Client Attestation (Online sources - DMV)
Sell/give away, rebutt, outstanding checks (HH Expenses)
$2000 individual $3000 for couple.
DHB 5097 request for information and DHB 5157
(The client may have a deductible to potentially meet)
What is Countable
This is a true statement.