SOBRA
The acronym SOBRA stands for
What is Sixth Omnibus Budget Reconciliation Act
What is when a a penalty is cancelled before it begins. This occurs when the premiums are paid before the penalty start date.
Role Reason-None; Status Reason-Ineligible Applicant
What is consumer is not related to the PA and/or the PA does not have ability to apply for the consumer - You may need to review relationships and the program block if the applicant should be eligible!
Definition of a caretaker
What is a person who has care and control over a minor child.
The acronym for IROD is
What is Information received on a denied/discontinued case
MS2156 forms are required for
CHIP program is also known as
What is Title 21
Role Reason-Pending SSN Verif; Status Reason-Doesn't Meet Program Requirements
What is SSN status is set to SSN provided - Check the Verifications and Individual Demographics screens.
What is any blood relative within the 5th degree of kinship, a stepfamily member, legally adoptive parents and other relatives of adoptive parents, a court-appointed person etc.
IROD timeframe
What is 45 days after the date of application or 12 days after the date of denial, whichever happens last.
These forms are sent with the MS2156
What is the MS2156A or B and the Consumer Pend NOAs
The policy regarding premium delinquency during a CE period
What is PM2024-01-01
Role Reason-State Residence; Status Reason-State Residence
What is consumer is not a resident of KS - Check the Contact and Residency screens.
Policy memo regarding common-law marriage
What is PM2015-11-01
Comments field on the Non-Compliance record is used
What is to report the reason for the FTP - Example: FTP Proof of Income for SP.
What is to record the type of assistance requested and the effective date(s) of treatment
CHIP can backdate when
What is when a baby is reported within 30 days of birth, when a baby is born to a mom with active coverage, OR at review.
Role Reason-Spouse of FTP Income; Status Reason-FTP Income
What is spouse of a consumer that did not provide needed income verifications - Check Non-Compliance List.
Relationship begin dates are set to
What is the first day of the month of request, unless the HH members are blood relatives, which is then set to their DOB.
A case should be rescinded when
What is an ES has verified that all necessary information has been received
Fiscal determinations are pended for
What is 5 days, and repended an additional 5 days after confirming the Fiscal determination has not been received
Premium refunds and adjustments can be addressed when
What is an agency error resulted in the incorrect premium OR a timely reported change was not acted upon timely and resulted in the incorrect premium.
Role Reason-Blank; Status Reason-BDA After the month
What is the consumer's beginning date of aid is after the month - Check the program block to see what the consumer's BDA is listed as.
Proof of legal divorce is required when
What is when consumers previously reported they are common-law/married and are now reporting single AND they are still residing in the same home.
The Review Reconsideration Period is
What is the timeframe which allows coverage to be backdated to the first date of the new review period when certain conditions exist.
All information must be provided by the latter of the following:
a. Last day of the third month following the initial review period
b. 45 days from the date a review form was received, when applicable
c. The due date used on the request for information notice
d. 12 days from the date action was taken to process the review