Medicaid
What does MAGI stand for?
Modified Adjusted Gross Income
What benefit do we select in Compass to initiate an MA or MSP application?
Health Care Coverage
What does the MSP benefit cover?
*for an extra 100 points, how much will clients pay without this benefit?
Medicare Part B premium
*$185
A Client calls in to recertify their SNAP benefits but Health Care Coverage is automatically selected. What can you do?
Make sure Food Assistance is also selected and move forward with both applications
Where can a client call to update information on an existing case?
the Change Center
What two categories fall under Non-MAGI in PA?
ABD (Aged, blind, disabled) and MAWD (Medicaid for workers with disabilities)
What 2 pieces of information need to be collected about a clients financial accounts?
1. Type of Resource
2. Estimated Value
What tier of MSP has the lowest income limit?
QMB
A Client calls in on the CAP line after being referred by their CAO to apply for Medicaid. What do you do?
Apply them on Compass and report to trends
1. Online through Compass
2. Over the phone with the DHS Consumer Service Center for Healthcare Coverage
Which type of Medicaid defines households by tax filing status?
MAGI
Where can we find the clients school district, and city, township or borough? (Share screen and navigate to the site)
Municipal Statistics
What tier of MSP does a client need to reapply for yearly?
QI
After screening a client on the PACE line, they show as likely eligible for QMB Tier MSP. What is this client considered?
Dual Eligible
Where can a client call to apply for a Medicaid Waiver?
Maximus or PA Enrollment Services
What is the resource limit for a married couple under ABD?
$3,000
**Daily Double**
Where can the Rights and Responsibilities be found? (share screen and navigate to it)
Documents > Training and Reference Materials > Rights and Responsibilities folder
What are the resource limits for MSP?
1. $9,660 for single individuals
2. $14,470 for a married couple
A Client calls on the PACE line and shows a likely eligible for MSP. They have existing healthcare coverage that they're worried will be effected by MA. What do you tell them?
Where can a client call if they want to file a complaint regarding their Medicaid coverage?
Medicare Center Hotline
Under MAWD, a client may still pay a health insurance premium. What is the maximum percentage they may pay of their countable work income?
5%
What are the three optional questions that must be asked on a Medical Assistance application?
1. Phone Number
2. Social Security Number
3. Has a representative, power of attorney, or additional contact person?
Work income is counted differently for MSP. What is the Standard Work Expense Deduction?
$65 of working income is not counted and only 50% of the remaining work income is countable
Opt the client in through the LIS application AND complete a Health Insurance Coverage application on Compass.
A client wants to dispute a bill that came while they were eligible for Medical Assistance. Where would you direct them?
Their Healthcare provider