MHC Roles
Acronyms & Technical Terms
Coverage Groups
Medicaid
Immigration
100

This role assists with Medicaid enrollment, performs outreach & education, assists with MCO enrollment (exception EDD), & assists with entering a QHP application.

What is a Caseworker Role

100

Acronym for Modified Adjusted Gross Income.

What is MAGI?



100

These are the Adult Coverage Group(s) / Track(s).

What is A02, A03, & A04?

100

A healthcare program jointly funded by the state & federal governments that provides low-income persons with medical coverage?

What is Medicaid?

100

A period of time a non-citizen must be in the United States as a qualified immigrant before they may be eligible for Medicaid.

What is the 5 Year Bar?



200

This role assists with Medicaid/QHP enrollment and performs outreach/education.

What is the Navigator Role?

 

200

Acronym for Maryland Health Connection.

What is MHC?


200

These are the Pregnant Women Coverage Group(s) / Track(s)



What are P02 & P11?

200

A program that provides birth control, STD screenings, emergency contraception, & permanent sterilization.

What is Family Planning?

200

An individual who does not meet the citizenship requirement, but has a qualified immigration status?

What is a Non-Citizen?



300

This role assists with Medicaid, QHP, & MCO enrollment.

What is the Call Center Representative Role



300

Acronym for SOP.

What is Standard Operating Procedure?

300

These are the Children Coverage Group(s) / Track(s)



What are P06, P07, F98, P13, & P14?

300

A child(ren) receives 12 months of continuous coverage.

What is Continuous Eligibility?



300

This category is for a Qualified Immigrant, Non-Qualified Immigrant, and Not Lawfully Present (undocumented).

What are Non-Citizen Categories?


400

This role assists with Medicaid and QHP enrollment.

What is the Certified Application Counselor Role?



400

Acronym for VCL.

What is a Verification Checklist?

400

These are the Parents & Caretaker Relatives Coverage Group(s) / Track(s) 



What are F05 & F99?

400

This is a declaratory program.

What is community MA?

400

A foreign national who has been granted the legal right to live and work in the United States permanently.

What is a Legal Permanent Resident?



500

This role assists with QHP enrollment and assists with Medicaid enrollment only if there is a QHP applicant.

What is the Insurance Broker Role?

500

Acronym for SAVE.

What is Systematic Alien Verification for Entitlements?

500

This is the Former Foster Care 21 up to 26 years old Coverage Group(s) / Track(s) 



What is E05?

500

Where can a consumer apply for Medicaid?

What is the local health dept, local dept of social services, self-service (the consumer portal), mobile app, call center, navigator, broker, or app counselor?

500

An individual who meets one of the qualifying immigration categories, as well as all the technical and non-technical requirements for Medicaid.

What is a Qualified Non-Citizen?