Potluck
Deductible Differences
What Program(s) am I
Verification's
Hits
100
True or False: You should always request a new EBT card when you update an address on a Caseheads person page?
What is False-never request a new EBT card for a customer as this could delay them using their current EBT card to purchase food for their families.
100
The amount of money the client may owe to the hospital after Medicaid has been approved.
What is the deductible balance
100
Client is an LPR with date of entry 5/1/2016 applying for herself and her baby who was born on 6/5/2017. She makes 1200.00 per month and there are no other family members.
What is MPW and auto newborn
100
This can be used to verify self-employment income and expenses if the tax records are not available.
What is: (only one needed for the answer) Business Ledgers, Expense Reports, QuickBooks etc
100
This system must be checked if OVS results are inconclusive
What is OLV
200
You just completed a retro application for your client. You must do this in NC Fast. It is true for both MAGI and traditional retro approvals because we are approving past coverage.
What is close the PDC.
200
This must be considered with deductible (MAF-M) cases but not with MAGI cases
What is resources
200
Mom and her son age 18 are both applying for Medicaid. There is no income in the home. Mom is filing taxes and claiming her son. No one is blind, pregnant, or disabled.
What is FPP for mom and MIC for son
200
What verification counts as two forms of Residency?
What is DMA 5153
200
This system can verify Citizenship by the social security number.
What is SOLQIC ins OVS.
300
When searching Real Estate Look-Up what search criteria should you use?
What is complete a search using the customer's name.
300
This group of Medicaid recipients can be included in the household for MAGI cases but not in the needs unit for MAF-M "deductible" cases.
What is SSI recipients
300
Child age 17 lives with mom, step dad and step sister age 22. Mom has no income. Step dads countable income is $4000.00 per month. He files taxes and claims all family members.
What is MAF-M
300
This level I verification should be used as your first source to verify income if it is available.
What is ESC
300
This evidence must be entered for all household members before HITS can be completed.
What is Application Filer Consent
400
Jane age 49 and her son Ron age 18 are both applying for Medicaid. No one is blind, disabled, or pregnant. There is no income in the home. You will evaluate the client for which programs.
What is FPP for Jane and MAF, MIC and HCC for Ron.
400
These two types of income are countable in MAF-M cases but not in MAGI cases.
What is child support and SSA. (other acceptable answers are worker's compensation and VA benefits.)
400
Client is a 35 year old male from Mexico that receives dialysis every three days. He is an LPR with date of entry 4/17/2017. He has no income and no children in the home.
What is MAD- Emergency services
400
This verification is required if your applicant is expecting twins.
What is pregnancy
400
This mandatory hit should always be imported to your ISSI case(s) even if there is no result.
What is The Work Number
500
Client is applying for her children ages 7&8 only. She works and provided 1 check stub showing she made $150.00 last week. Client statement per application is that she makes $10 per hour for 40 hours a week. ESC shows that she made $5200 in the most recent quarter. Based on this information what will you do and why?
What is approve the case using ESC because it is reasonably compatible to client statement in the same benefit program.
500
According to the most recent information from Q&T we must do this for all family and children's approvals prior to authorizing them.
What is send them to checking off the deductible checking log in ISSI.
500
Child age 7 lives in the home with mom and dad. All three came to the US and have EAD cards. (employment authorization) No one is pregnant, blind or disabled
What is MIC
500
This does not have to be verified for ongoing coverage if is happens before the date of application.
What is Terminated income
500
What 3 systems should be checked for an Adult Medicaid screening for potential resources?
What is Real Estate Look-Up, Register of Deeds, AVS.