Random
Who processes Refugee Medicaid?
Unissha and Natasha
What should happen if a pregnant woman receiving MAF/C refuses to cooperate with child support for another child?
Terminate MAF/C coverage and issue MPW.
A client has a K-visa and is pregnant. How long is this client eligible for benefits?
During her pregnancy and postpartum period.
Which alien classification is NOT Exempt from the 5-yr bar?
-Q Visa, -Refugee, -Iraqi Special Immigrant
Q Visa
What is the base period for a self employed client with a date of application of February 26, 2020?
February 2019 to January 2020
Name 2 instances for which you would not submit a IV-D referral.
NCHC approval, deceased absent parent, child is an SSI recipient, Retro app, independently living children, County transfer out, and good cause
List three items that can be used for residency?
3335
An undocumented alien is applying for labor and delivery coverage. She had a cesarean delivery. What is the maximum amount of days she can be covered?
5 days
DACA Individuals are only eligible foremergency benefits. What does the acronym DACA stand for?
Deferred Action for Childhood Arrivals
What is the conversion factor for semi-monthly pay?
True/False: The work number can be run on undocumented aliens.
True
3 days
A non-qualified alien applies for labor and delivery benefits on 2/26 for a delivery date of May 1st. Why should this application be Denied?
Her expected delivery date is beyond the 45 day processing period.
How long is the reasonable opportunity period?
The client has 90 days to provide proof of citizenship or eligible alien status.
Social Security Benefits
Describe HIPP?
The program provides payment reimbursement to Medicaid families for the cost of their employer-sponsored insurance (ESI). ESI may be available through an employer or a COBRA plan.
ANE babies.
Pedro Hernandez is applying for his whole household. Pedro provides the LPR cards for himself, his pregnant wife and their 3 children who are under the age of 18. The entry date for everyone in SAVE is 1/1/19. Who is eligible for coverage?
His pregnant wife and the children.
Name one item considered a Level I verification for citizenship.
SSA Citizen/identity match, US passport, Certificate of Naturalization, Certificate of Citizenship, etc.
Name 1 piece of evidence that must be present on the dashboard for MPW recipients.
Pregnancy & Pregnancy Base Period
True/False: I can get verbal consent from the to run OVS, so I don't have to have them sign the DMA 5001.
False. The signed DMA 5001 is needed to run OVS, when a client initially completed the application and declined to share their information externally.
Suppress the notice
What alien classification SHOULD NEVER be run through SAVE (Hind-"T" Visa)
Trafficking Victims
Who processes hemodialysis applications for individuals with children in the home?
The first application for hemodialysis is worked by any FCMA staff, once it's determined that the individual is eligible for hemodialysis, the medical review staff issues a blanket approval by stating "all on-going hemodialysis" These apps are worked by Sunnybrook.
MAF/M applications