The basics
Which policy chapter covers changes?
2200
____________ is the page where we can put in a request for an under or an over issuance.
Referral Details Page
The same SEC/SEM that creates a manual correction is the same SEC/SEM to authorize it. (T/F)
False, a different SEC/SEM must authorize it.
What is the eligibility correction that issues auxiliary benefits in IEDSS?
Manual Issuance
Timely notice of adverse action (notice that goes out telling the client their benefits will be closed or reduced) must be sent within how many days from the action taking place?
10 plus 3 for mailing - 13 days
Voluntary Withdrawals MUST be made in writing for which program?
Health Coverage
Which process is used when we need to correct benefits for a PREVIOUS month when the client's benefits were incorrect based on an agency error?
UNDER/OVER ISSUANCE
Liability Overrides are the same as an Override. T/F
False,
A liability is the amount which Medicaid will not pay to the Long Term Care Facility.
An Override is used to correct eligibility.
What 3 things makes an ICF valid and complete?
Signature
Questions answered
necessary verifications provided
We ask tax filing questions whenever someone reports that someone new has moved into their home and they receive MAGI categories. T/F?
True - tax filing information should be asked whenever a new household member is added and when a person who was NOT previously known to be a filer reports new income.
How long can individuals receive TMA?
Which process is used to correct benefits that have not been authorized?
Override
When would you use override?
When correcting benefits for any program for any months that have not been authorized.
_________ is the day that we STOP calculating benefits for the upcoming month and begin working on the month after that.
Recur Run
What is a deviation?
A deduction for an incurred medical expense not covered by Medicaid and not subject to payment by Medicare or other insurance.
Which process is a manual correction of the determined eligibility for any program for a past month or a month for which the system did not determine eligibility correctly?
a FIAT
Collecting benefits from the client when we accidentally overpaid them is called what?
Benefit Recovery
Billy Bob quit his job at Old McDonald's Farm on February 9th. He called in to report it on Feb. 15th and provided verification from his employer on Feb. 26th. When will Billy Bob's SNAP increase?
For the month of March because changes go into effect the month AFTER the month of the change so long as it is reported and verified timely.
Name eligibility criteria for an individual to receive TMA.
- Low income parent caretaker with income less than 133% of FPL in 3 out of last 6 months
Which process is used to correct CURRENT/AUTHORIZED benefits for SNAP?
A manual issuance/aux
What is a FIAT used for?
To determine eligibility for any program for a past month of a month for which the system did not determine eligibility. (When adding a person to the assistance group who was eligible for that assistance.)
A client turned 60 last month and we sent them an ICF but they are not considered SNAP elderly - - are they still required to provide that ICF?
YES, individuals who turn age 60 during the SNAP certification period are still required to complete and submit an Interim Contact Form, even after they turn age 60.