What are state documentation or materials containing information to determine the type of Medicaid assistance or programs referenced on LIS documentation?
100
100
What is the disco code for the description "The organization's request was completely processed?"
100
LIS
What is the acronym for "Low Income Subsidy?"
100
MA-PD Plan
What is a plan offered by a Medicare Advantage (MA) organization that provides qualified prescription drug coverage?
100
Member’s Medicaid Card
What is a copy of the beneficiary’s Medicaid card that includes the beneficiary’s name and an eligibility date during a month after June of the previous calendar year?
200
Chapter 13
What is the chapter of the Medicare Prescription Drug Benefit Manual containing information for premium and Cost-sharing subsidies for low-income individuals?
200
125
What is the disco code for the description "The request was not processed as teh documentation provided does not support the requested LIS level?"
200
HICN
What is the acronym for "Health Insurance Claim Number?"
200
Applicant
Who is the Part D eligible individual applying for the low-income subside with either the Social Security Administration (SSA) or the State Medicaid agency?
200
Facility Documentation of Medicaid Payment
What is a remittance from the facility showing Medicaid payment for a full calendar month for that individual during a month after June of the previous calendar year?
300
minimum of 30 and a maximum of 60 days
What is the CMS recommended time for allowing LIS information to be automatically entered into the CMS systems, before an organization submits a manual LIS correction request to the RPC?
300
131
What is the disco code for the description "This request was not processed as the documentation provided does not support the requested start date?"
300
BAE
What is the acronym for "Best Available Evidence?"
300
Institutionalized Individual
What is the definition for a full-benefit dual eligible individual who is an inpatient in a medical insittuation or nursing facility for which payment is made under Medicaid throughtout a calendar month?
300
CMS Pub No 11166 (Purple Notice)
What is an acceptable CMS LIS Deeming notice?
400
Deeming
What is the term used to describe the process in which an individual automatically qualifies for LIS subsidty, by virtue of having applied and been found qualified for certain other Federal programs?
400
105
What is the disco code for the description "The organization's request is a duplicate because the period requested has already been processed in the Centers for Medicaid & Medicare Services (CMS) system?"
400
QMB
What is the acronym for "Qualified Medicare Beneficiary?"
400
Dual Status Beneficiaries
What is an individual who has entitlement to Medicare and a Title XIX benefit (i.e., Medicaid or Medicare Saving Program) called?
400
Report of State Contact
What is the document called when an organization makes a verification call to the State Medicaid Agency?
500
HCBS Waivers
What are states waivers that provide long-term care services in home and community settings rather than institutional settings?
500
102
What is the disco code for the description "This request was not processed becuase supporting documentation was not included with the LIS Deeming Correction; or the support documentation did not match the member's documentation type on the submission spreadsheet?"
500
MSP
What is the acronym for "Medicare Savings Program?"
500
Transaction Reply Report
What is the report CMS provides to the Part D sponsors (organizations) containing details of the rejected and accepted enrollment transactions that CMS has processed over a specified time period?