Application's 1
Application's 2
Application's 3
Application's 4
Application's 5
100

TRUE OR FALSE:

An individual or their representative has the right to make an application for Medicaid on the day they come into the agency requesting medical or financial assistance.

What is True

100

Is a caseworker allowed to discourage someone from applying for Medicaid?

What is No

100

How many days does the caseworker have to key an application into NCFAST?

What is 3 Days

100

What kind of income is used for Retroactive applications?

What is, Actual Gross Income

100

What is the Base Period for a Retroactive Application?

What is, the month coverage is being requested 

200

Certain information that can only be requested and/or verified after eligibility is determined

What is, a Post Eligibility Verification

200

What should be your first step when being assigned an Application?

What is, Person Page Clean-up's

200

How far back can retroactive coverage cover?

What is 3 months

200

For in person applications, how do you determine the application date?

What is The date the Application is signed in the agency

200

If the application is missing a mailing address, is this considered incomplete?

What is, yes

300

TRUE OR FALSE:

In-person and telephone applications should be keyed into NCFAST during the interview?

What is, True

300

For phone applications, how do you determine the application date?

What is, The date of the phone interview

300

How many days is the processing timeframe?

What is, 45 Calendar Days

300

What form is a DHB-5003?

What is, Approval Notice

300

What are the ways someone could apply for Medicaid?

What is, In person, Paper, Mail-in, Fax, ePass, FFM, and Phone

400

What are the four possible outcomes for an application?

What is Inquiry, Withdrawal, Approval, and Denial 

400

If information requested from the 1st 5097 has not been provided, on what day must we send the 2nd 5097?

What is, the 13th day

400

If an Applicant fails to provide requested information by the 45th day, the application will be denied for____________.

What is failure to provide 

400

What is the citizenship code that displays on SOLQIC if an a/b is in fact a U.S. Citizen?

What is, A

400

A ________________ is received when an a/b applies for Medicaid in a different county than the one they reside in.

What is, Courtesy Application.

500

Where is the DHB-5003 generated?

What is, in Traverse

500

The CW must exhaust ALL options of Verifying information PRIOR to asking the a/b to provide Verification. 

These options include ____________ and ______________.

What is, Online Verification and Agency Records.

500

Notice Regarding the Status of Your Application for Medical Assistance

What is, The NCF-20023

500

What is the DSS-8109 notice?

What is, A Denial Notice 

500

A __________ must be completed by the CW, and uploaded to the IA Application page to show that we evaluated for all Programs, The Eligibility Outcome, and The a/b's Certification Period.

What is, A Budget.