Intro and programs
List the 3 groups that can receive deductibles
Under 21
Pregnant
Child under 18
Self-employment has a ___ month base period
12
Calculate the self-employment income into a monthly amount: Income-$59,716/year, Expenses- $19,218
$3,374.83
What is the resource limit for MAFM
$3,000
Who does the 5 year ban typically apply to?
LPRs
List 7 ways someone can apply for Medicaid
Income can be considered reasonably compatible if it is within ___%
20
David and Kelly and their two children Kim (14) and Sam (6) are in the home. David is a tax filer, filing jointly with Kelly. They are claiming both children on their taxes. Please list the household size for each of the Household Members:
David-4
Kelly-4
Kim-4
Sam-4
If a 19 year old is living in the home, working full time, not in school, would their income count for the deductible?
Yes
What does the acronym S.A.V.E. stand for?
Systematic Alien Verification for Entitlement
What does MAGI stand for?
Modified Adjusted Gross Income
Convert the income into a monthly amount: $3,284.46/biweekly
7,061.58
Grandma Alice, her husband Grandpa Jason and their niece Dora (10) live in the home. Alice and Jason are non-filers. Dora is being filed on the taxes of her mom who lives outside of the home. List the household size of each Household Member:
Alice-2
Jason-2
Dora-1
List 2 types of countable TRADITIONAL income that are not countable for MAGI
To satisfy citizenship and identity using chart 2, you also need a document from chart ___
5
Name 3 MEC programs
MAFC, MIC, MPW, MAFN
List 3 types of non-countable income for MAGI
Caitlin and James are divorced and do not live together. Caitlin has primary physical custody of their 10-year-old son, Rob, but James claims Rob as a tax dependent. What is Rob's HH size?
Rob's Household Size: 2 (Rob and Caitlin)
If someone is being evaluated for MAFM and has an inpatient stay, what policy applies?
DRG
If a client states they are a US citizen, but SOLQIC pulls a "B", what would we do?
Grant 90-day ROP
List all four eligibility criteria for Medicaid
List 3 types of countable MAGI income
Name 2 of the three exceptions to the tax dependent household
1. Claimed by someone other than the spouse or child (bio, adopted or step; minor or adult) of the taxpayer
2. Under the age of 19, expects to be claimed as a tax dependent and is living with both parents but whose parents do not expect to file a joint tax return
3. Under age 19 taxpayer is the individual's non-custodial parent
Explain what the AU, BU and NU are
AU- The applicant(s) who is/are seeking Medical Assistance (Medicaid) coverage.
BU- Those who have financial responsibility for the applicant (AU) and whose income/resource is countable.
NU- Those who appear in the FPL household size; this determines the a/b’s income limit for Traditional Medicaid.
What are the 3 groups that are considered to have Qualified Immigration Statuses
LPRs
Cuban Haitian Entrants
COFA individuals
CHIPRA Provisions