MC Sections Review

Magi MC

100

Tax Filing status determines this for Magi HH

household composition

200

Magi is for this age group

19-64

300

Name 4 types of Magi excluded income

• Child support
• Educational Assistance
• Workman’s Compensation Benefits
• Federal Tax Refunds & Earned Income Tax Credit
• Sponsor Income
• Needs Based Assistance from Other Agencies
• Veterans benefits
• SDI
• Employment & Training Program
• Bona Fide Loans
• Foster Care Payments

400

Mom, dad, and child apply for MC. Mom and Dad file Married filing jointly and claim child as Dependent. What is tax HH size for each member?

3

500

If we have a tax HH of 4 with income of $3978, what is the aid code for 10 year old child?

T2

Non - Magi

100

What is the property limit for HH of 1?

$130,000

200

As of 01/01/2024 what will the Non Magi property limits be?

No Limit

300

What is the Maintenance Need for LTC?

$35

400

This program has an FPL level of 250%

Working Disabled Program

500

When granting QMB what day will eligibility begin?

Daily Double: Is retro available?

The first day of the next month after MC is granted.

Daily Double Answer: No retro months

Meds

100

What MEDS screen is used for citizenship and/or identity?

INQE or QE

200

What screen is used to find Medicare entitlement?

Daily Double: What code is used to indicate state buy in?

INQB or QB

Daily Double Answer: 41

300

INQT is used for this type of income

SSA income such as SSR, SSV, or SSD

400

What screen is used to find SSI/SSP income?

INQX or QX

500

What is shown on INQ1?

Special aid codes such as MPPP, IHSS, or APTC

CalSAWS

100

What screen do we enter customers Medicare in?

Medicare List

200

We need to request this before requesting verifications

Magi determination

300

What screen determines your tax HH size for Magi

Tax HH List

400

What screen is the CHDP interest on?

Health Care Referral

500

Name three ways customers can apply

In person

By mail

By phone

BenefitsCal website/e-application

Fax

Covered CA/ CalHEERS

Authorized Representative (AR)

All Programs

100

Determinations must be made with-in __ days

45

200

How many days does the county have to process a deemed newborn application once we are made aware of the birth?

10 days

300

For a MC app dated 08/16/23 what is the RE due month?

July

400

Define the 90 day cure period

All MC beneficiaries have an additional 90 days after the discontinuance date on the NOA to provide the required information to complete the determination without having to reapply.

500

Define Horizontal Integration

HST must identify if clients are potentially eligible for other programs such as CF or CW.