Forms
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True Or False
Acronyms
Countable or Not Countable?
100

Medicaid Renewal/Recertification Form

What is a MAD 608?

100

Tab chosen to receive the packet

What is the Recertification tab?

100

If a customer reports income lower than FPL but scans show income higher than FPL, I can process the case as verified with income from scans found.

FALSE - you would need to contact the customer/send HUMAD.

100

FEIN

What is Federal Employer Identification Number?

100

Child Support 

Not Countable Income

200

Initial Medicaid Application

What is a MAD 100?

200

View Eligibility Summary

What is the Eligibility section?

200

Job Aid 48 focuses on Reasonable Compatibility

FALSE - Job Aid 48 is for 90-Day Reconsiderations

200

NOCA

What is Notice Of Case Action?

200

Tips and Gratuities

 Countable Income

300

FPL Levels for Medicaid

What is a MAD 222?

300

Tab that houses case comments

What is the Data Collection tab?

300

There's no difference between MAGI Children and MAGI CHIP.

FALSE - The difference is in the income limits.  Also, children cannot have a primary insurance from a parent/caretaker to receive CHIP.

300

SAVE

What is Systematic Alien Verification for Entitlements?
300

Refund of State Taxes

Countable Income

400

Electronic form of MAD 608

What is a RMB (Renew My Benefits) Form?


400

Review Documents submitted for case

What is the ECF (Electronic Case File)

400

We can use WN and DWS as coded verification for income in ASPEN

FALSE - we use these as resources but should never use them as coded verification in ASPEN

400

IBP

What is Interim Business Process?

400

Educational Assistance (BIA)

Not Countable Income

500

MAD 313

What is a Notification of Birth?

500

Section that houses employment information for customer

What is the Income section?

500

Income for a household of 2 totaling $2200 would fall under FPL for MAGI Adult.

FALSE - MAGI Adult HH 2 income FPL should be under $2186

500

ABAWD

What is Able Bodied Adults Without Dependents?

500

Blood, Plasma, Sperm, Egg, Embryo or compensation received for other body parts

Countable Income