CBMS PE
Medicaid
Family Planning
ACA/OnmiSalud
C4HCO/Colorado Connect
100

What extra form is required for a PE application 

What is PE Transmittal form 

100

Immigration code C08 will qualify for Medicaid

What is True with an EAC and pregnant or a child under the age of 14  

100

Family Planning Plus is for undocumented individuals 

What is false (FP+ is for lawfully Present only) 

100

What form do you need if you assist any pt. with C4HCO/Colorado Connect?

What is the Certified Application Counselor Authorization form

100

A site ID is required prior to assisting with any C4HCO/Colorado Connect application 

What is True 

200

Case comments are optional 

What is, False Case comments are mandatory 

200

How is MAGI household composition determined?

What is relationship of tax dependency

200

Will Family Planning coverage backdate  

What is Yes, if requested on the application 

200

Income cannot be self-declared for OmniSalud 

What is False (all income can be self-declared) 

200

Sunrise Site ID is "Sun ID"

What is FALSE it is SUN-CAC

300

Which program must be marked as "Opt Out" if the patient declines 

What is Family Planning 

300

Over the age of 65 qualifies for Family Planning? 

What is Yes 

300

Private insurance cannot be used in conjunction with Family Planning Medicaid 

What is False 

300

What is my household size for the OmniSalud? 

mom, dad, son, daughter, and unborn

What is 4 (unborn isn't count until birth)

300

C4HCO/Colorado Connect & PEAK have the same user ID and password 

What is False, 

400

What can be self-declared for a PE

What is everything except proof of pregnancy. Its best to send proof of lawful presence and proof of income to avoid possible denials or longer processing times.  

400

The 3 tax rule definitions.

1. Tax Filer 

2. Tax Spouse

3. Non-Filer 

What is False - # 2 is Tax Dependent 

400

Family Planning Household Size 

Mom, dad, two children = Family size of 

What is 6

400

I can help a customer decide which insurance to pick?

What is False, we can only show them the options they have. Refer to a broker if they need direction

400

C4HCO and Colorado Connect offer the same insurance plans 

What is FALSE, 0nly three plans are offered under the Colorado Connect  

500

CBMS beginning date for a pregnancy 

What is the 1st day of the month of application

500

My step son can be counted in my house hold size only if

What is; he is included in the tax house hold

500

QMB/SLMB would be secondary to Family Planning

What is Yes unless they are on the QMB/SLMB lock in program during the PHE. County will need to make a correction. FP is still primary. 

500

OmniSalud may offer better rates if the family is broken up into separate groups. 

What is True 

500

If an insurance plan is picked out by December 15th, when will the start date of that plan be

What is January 1st as long as the premium was paid by December 25th.