MassHealth Medicaid Saving Plans and SACA
My child is 19 years old and is receiving Medicare. I don't want to apply for MassHealth. I just need assistance with paying for his Medicare premiums. Which application would this member need to submit?
Medicare Savings Plan
Members who are eligible for _______ coverage, have an immigration status that prevents them from qualifying for a more comprehensive coverage.
Limited
What is HIPAA?
Health Insurance Portability and Accountability Act
Jane calls in to order an ID card. Which system do you use?
MMIS
Who can make changes to account without the member being on the phone?
NAV & ARD
You get a call from a mother who needs to apply for long term care for her 17 yr old son, which application will they need to complete?
SACA-2
MassHealth CommonHealth is not for Disabled Adults.
False
What does PHI stand for?
Protected Health Information
What is the date that will show when the agency affiliation is active?
12/31/2299
When does a PSI expire?
12 months after it was signed
The "Waiver Population" uses which application
ACA-3
CMSP is the abbreviation for?
Children's Medical Security Plan
What information is considered PII?
Credit Card Number
A member calls in to see if her documents were received and if they can be expedited. What status must the document show in order to expedite it?
New
What is an ARD?
Authorized Representative Designation
If a member is 68 and wants to apply for MassHealth, what application would the member complete?
SACA-2
MassHealth CommonHealth is not for Disabled Adults.
False
Information that can be used along or with a combination of other data to uniquely identify an individual is called:
Personal Identifiable Information
Someone, who is 45 years old, calls in to check to see if their coverage is active, which system or systems would you use?
MMIS & the system that is listed on the Agency Affiliation field.
Authorized Representative Designation form expires 18 months after the form is signed.
false
An ARD form does not expire 18 months after it is signed. If a member wants to end an ARD relationship, the member would need to request for it to be ended.
An applicant is 29 years old and wants a paper application sent to them. Which application would you send?
ACA-3
MassHealth coverage determination is based on what?
MAGI (Modified Adjusted Gross Income) and Citizenship and categorical eligibility
To keep the program's integrity regarding HIPAA and PHI, we must keep records secure, prevent hacking, sharing and gossiping about PHI, proper disposal of records, authorized release of information, verify 3rd party disclosures, and only access information per job requirements and/or duties.
True
MMIS stands for _______.
Medicaid Management Information System
On the PSI form, a member can indicate when they want the PSI for that individual to expire.
True
Yes, on section 6 of the PSI, the member can provide a date they would like the relationship to end.