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Consumer Assistance
Limitations
Medicaid Basics
Advanced Medicaid
Misc.
100
In Indiana what is your job title?
What is Navigator
100
Indiana Navigators and Application Organizations (AOs) have rules relating to what they can and cannot accept from insurance companies. Give 2 examples items that can not be accepted by an insurance company.
What is cash, paid commission, grants, credit/loans, gifts, free or discounted travel, and/or prizes.
100
CHIP stands for?
What is Childrens Health Insurance Program.
100
How often is eligiblity reassessed?
What is every 12 months.
100
What population does HIP 2.0 cover?
What is the gap (100% - 133% FPL)
200
Organizations with employees and/or volunteers assisting Hoosiers is called
What is Application Organization
200
As a navigator what can you accept from consumers? A. Monetary Compensation for your services B. Goods or other advertisement with a value of less than $100 per year, per insurance issuer C. Goods and services with a value under $100 a month D. Accept anything the consumer offers you
What is B. Goods or other advertisement with a value of less than $100 per year, per insurance issuer
200
How is Medicaid funded?
What is through the state and federal government.
200
What can a consumer appeal on a Medicaid determination?
What is Termination of benefits, Suspension of benefits, Reduction of benefits, and/or Delay in determining eligibility
200
The three Managed Care Entities are.
What is Anthem, MD WISE, MHS
300
To meet Indiana Standards and requirements what must each Individual providing services to consumers obtain?
What is Indiana Navigator Certification
300
True or False. As an Indiana Navigators and AOs cannot provide specific plan selection advice and may provide consumers with general information that will help them make the best personal choice
What is False. Navigators and AOs cannot provide specific plan selection advice
300
The program that covers individuals are uninsured adults, age 19 - 64, and are under 100% of the FPL.
What is Health Indiana Plan (HIP)
300
Allows qualified individuals to have services paid for by Medicaid pending the outcome of a full Medicaid determination.
What is Presumptive Eligiblity (PE)
300
What is the annual deductible for HIP?
What is 1,100 per year.
400
What is a business or family interest that keeps the Indiana Navigator or Application Organization (AO) from acting in the best interest of the consumer?
What is Conflict of Interest
400
In addition to financial challenges, consumers may face other barriers to health coverage, including language and disability wherer can you find resources to assist these consumers?
What is The federal Marketplace call center, The federal Marketplace website, Area Agencies on Aging, Division of Disability and Rehabilitative Services
400
To assist individuals who have high medical needs but do not meet Medicaid income eligibility requirements
What is Medicaid Spend Down
400
What does MAGI stand for?
What is Modified Adjusted Gross Income.
400
How much can and individual contribute to a power account?
What is no more than 2% of income each month
500
What can result in Reprimand, Civil penalty (fine), Suspension of certification, Revocation of certification (temporary or permanent), and/or Cease and desist order
What is actions taken against Navigator(s) or AO(s) by the IDOI based on complaints
500
What are the 2 documents that a Navigator must review and sign?
What is the Conflict of Interest Disclosure Form and Privacy & Security Agreement
500
The amount of time that immigrants must be present in the US to recieve medicaid.
What is 5 years.
500
Medicaid discounts a percentage of income when using MAGI. What is this called and what is the numberic representation.
What is Income Disregaurd and 5%.
500
What is the code that dictates Indiana Navigator Regulations.
What is IC 27-19