DMI/SVI
What the difference between DMI and SVI
answers may vary........
where do you go in NGD to pull up scripting
on the top left click on the Welcome mat
how long do HICS Escalations normally take to be resolved?
HICS escalations take approximately 30 days to complete.
What screen do you start every call on ?
FFM CONTACTS SCREEN
Do you need to read every question on the application to the consumer word by word ?
YES! WORD BY WORD
what can happen if a consumer does not resolve their DMI on time?
they can lose their financial assistance or lose their coverage coverall
how do you check if a state is state based or federal?
click on the state in the welcome script
what probing questions should you ask the consumer if they told you that they haven't received their plan materials?
when did you enroll in your plan?
has it been 2 weeks since you enrolled in your plan?
what is the name of the view you go to to see the letters the consumer received
DOCUMENTS VIEW
TRUE OR FALSE: Consumers can only fill out a electronic application with the marketplace
False! they can fill out a paper application
when does a SVI happen?
.....
Whats the marketplaces phone # and hours of operations
1-800-318-2596. Hearing-impaired callers using TTY technology can call 1-855-889-4325.
24 hours a day, 7 days a week. We are closed on Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas Day.
what do you have to do if you accidently terminated their health plan instead of their dental plan
SUBMIT HICS ESCALATION.
How many pieces of information do you need to pass disclosure? AND which piece of information is REQUIRED ?
3 pieces of information
*FIRST AND LAST NAME IS REQUIRED*
TRUE OR FALSE: Consumers use the marketplace application to apply for medicaid or chip
TRUE
bc of covid you no longer have to submit documents.
A. SVI
B.DMI
In response to the coronavirus (COVID-19) national emergency, you are no longer required to submit documents to verify your eligibility for your special enrollment period. You can disregard any messaging you may have received asking you to send documents to resolve your special enrollment period verification issue, also known as an SVI.
How long do consumers have to file an appeal ?
Your final eligibility determination notice includes appeal instructions, and you generally have 90 days from the date on your notice to ask for an appeal.
Name 3 reasons why a consumer may lose their financial assistance
What is the name of the applet that you go to, to provide a consumer a password reset?
Consumer Form applet
NOPE! if you are legally married, you need to file a JOINT tax return to receive assistance from the marketplace
If my husband doesnt apply for the coverage do i still have to submit his income documents to resolve my income dmi ?
YES!!!!!
what are the 3 different ways a consumer can submit their appeal ?
If the consumer ended their own coverage and wants to apply again in September, what can you do to help this consumer?
Go through the application and see if the application might generate a SEP.
What is the name of the list applet that you need to check on every call?
Consumer Indicators list applet
Can i included my deceased spouse on my application?
If your spouse has passed away this year, you should include your spouse on your Marketplace application and report your status as married for eligibility purposes.