RH Eligibility
What is the RH Access Fund’s income requirement – at or below X% of the Federal Poverty Level (FPL)?
250%
All RHCare clinics are required to submit a CVR for all visits that have a primary diagnosis code of Z30, Z31, or Z32 regardless of the payer.
True
Provide an allowable primary diagnosis code (ICD-10 codes) for an RH visit.
Z30.011-Z30.019, Z31..., Z32...
This form must be submitted to ScreenWise within 5 days of a patient's enrollment.
ScreenWise Enrollment Form
What is the maximum age a child can be and still receive WIC benefits?
5 years old
Bonus: What is the full name of the bill that gives states the option to extend WIC to age 6?
What are the three eligibility requirements clients must meet to qualify for the RH Access Fund?
1. They must be able to get pregnant, or get someone else pregnant; 2. They must have income at or below 250% of the Federal Poverty Level; and 3. They must NOT be enrolled in full-benefit OHP.
Vasectomy: Federal regulations require that the procedure be provided at least 30 days after the day the client signs the consent form and no more than 180 days from the signature date.
True
What does CVR stand for?
Client Visit Record
What is the acceptable ScreenWise age range for someone needing breast or cervical cancer diagnostic services?
Age 18-39 for breast or cervical cancer diagnostic services.
To be eligible based on income, a household must be at or below this percentage of the U.S. Poverty Income Guidelines
185%
What is the one situation where a patient with RHAF seeking STI services only can have their visit covered?
When 'Another Immigration status' is reported
These three topics are required annually for direct service providers.
Reporting Suspected Abuse, Counseling Adolescents, Racism, Health Equity, and Reproductive Health.
A patient enrolled in the RH Program receives an HPV vaccine today in clinic. She has been approved by Merck for her first injection today. What charge(s) will she have from her visit today?
The administration fee for the vaccine.
What is the difference between an enrolling provider and an ancillary provider?
Enrolling:
Ancillary:
Since 2010, paper vouchers have been replaced by this electronic system to purchase food. participants.
What is EBT (or eWIC)
What is the one thing that would make a previously eligible patient ineligible for RHAF before their 2 years are up?
The patient getting on OHP
If the RH Coordinator is going to take a leave of absence of one month or longer the agency must: 1. Notify RH Program staff within 7 business days of the absence, and 2. Assign an interim RH Coordinator.
False
1. Notify RH Program staff within 10 business days of the absence
The following labs are ordered for a patient who is experiencing heavy bleeding and fatigue and who is enrolled in the RH Program: a pregnancy test, screen for anemia (Hemoglobin and Hematocrit), and TSH (to check her thyroid). What are the self pay charges in the ESB for today's lab services?
Trick question: None! They are all covered by RHAF as part of a bundled rate/reimbursement.
Does screenWise pay for breast or cervical cancer treatment?
No.
If needed, patients may apply for the Medicaid Breast and Cervical Cancer Treatment Program (BCCTP).
This federal agency provides the funding and oversight for the WIC program.
The U.S. Department of Agriculture (USDA)
What are the three funding streams for the RH Access Fund?
Title X, CCare, RHEA
The enrollment form is available in 8 different languages. Can you list all eight of them?
English, Spanish, Korean, Marshallese, Russian, Simplified Chinese, Vietnamese, and Somali
How must a patient on OHP/CCO Pacific Source seeking confidentiality be billed as?
Open card
To qualify for ScreenWise based on income, the household income at or below what percentage % of Federal Poverty Level.
250%
While WIC serves mothers and children, this group of caregivers can also sign up and receive benefits for eligible children in their care.
Fathers, grandparents, and foster parents.