Indiana Navigator Exam with correct
Answers
IHCP (Indiana Health Coverage Programs) - Correct Answers -Indiana Medicaid
services are offered through this program on if their are eligible
Office of Medicaid Policy and Planning (OMPP), which is under FSSA - Correct
Answers -IHCP is addiminister by who
What do Indiana Health Coverage Programs cover? - Correct Answers -Mandatory
Service and most of the optional services established by the federal government
8 types of Medicaid - Correct Answers -Hoosier Healthwise, Traditional Medicaid, Care
Select, M.E.D. Works, HIP(Healthy Indian Plan, Waivers, Presumptive Eligibility, Family
Planning Eligibility Program
Hoosier Healthwise - Correct Answers -Health Care program offered to low income
families, pregnant women, and children. Children may be covered up to age 19. Often
no or little cost for coverage.
IDOI - Correct Answers -Indiana Department of Insurance
Who should a navigator send complaints to? - Correct Answers -Insurance company
first, then IDOI
FFM - Correct Answers -Fererall- Facilitated Marketplace
What does a FFM do? - Correct Answers -Allows consumers to compare information on
all available health plans as well as apply for coverage
How to determine eligbility for FFM? - Correct Answers -Applies to citizens and legal
residents in families wit household income between 100% and 400% of FPL
Care Select - Correct Answers -Coverage to serve aged, blind, disabled, wards of
courts foster children, or children receiving adoptive services. Also may have Asthma,
diabetes, heart failure, congestive Heart failure, Hypertensive Heart Disease,
Hypertensive Kidney Disease, Rheumatic Heart Illness, Severe Mental Illness, Serious
Emotional Disturbance (SED) for wards or fosters, Depression
M.E.D. Works - Correct Answers -Medicaid for people with disabilities that are
employed. May be a small monthly premium based on income.
, Healthy Indiana Plan (HIP) - Correct Answers -Health Coverage Plan for individual who
have income that is too high (up to 100% of FPL or $23,550 annually for family of 4),
doesn't have access to insurance through work or has been uninsured for 6 months,
and enrollment is limited
Traditional Medicaid - Correct Answers -Low Income program that offers coverage for
medical services
Waivers - Correct Answers -coverage that allows members to live in a community and
avoid institutional placement.
What are the 5 waiver programs? - Correct Answers -Aged and Disabled Waiver,
Trauatic Brain Injury Waiver, Community Integration and Habilitation Waiver, Family
supports Waiver, and the Psychiatric Residential Treatment Facility Transition Waiver
What does HCBS stand for - Correct Answers -Home and Community Based Services
Presumptive Eligibility - Correct Answers -(PE) a program for low income women who
are pregnant and apply for medicaid. Coverage that allows pregnant women to receive
important prenatal care while waiting for medicaid to approve them.
Can PE be appealed? - Correct Answers -No
When is the ending date for PE? - Correct Answers -The last day of the following month
after apply for PE OR the day Medicaid approves or denies the application.
Hospital - Correct Answers -What entity make the Presumptive Eligibility Determination?
Family Planning Eligibility Program - Correct Answers -program allowing men and
women the ability to receive certain family planning services
Package A - Correct Answers -Standard- Full Medicaid Coverage
Package B - Correct Answers -"pregnancy" medicaid
Package C (CHIP) - Correct Answers -Children Health Insurance Plan- for children to
age 19
What is the FPL for CHIP? - Correct Answers -up to 250%
Package E - Correct Answers -Emergency Services Only
Package P - Correct Answers -Presumptive Eligibility
What does MAGI stand for? - Correct Answers -Modified Adjusted Gross Income
Answers
IHCP (Indiana Health Coverage Programs) - Correct Answers -Indiana Medicaid
services are offered through this program on if their are eligible
Office of Medicaid Policy and Planning (OMPP), which is under FSSA - Correct
Answers -IHCP is addiminister by who
What do Indiana Health Coverage Programs cover? - Correct Answers -Mandatory
Service and most of the optional services established by the federal government
8 types of Medicaid - Correct Answers -Hoosier Healthwise, Traditional Medicaid, Care
Select, M.E.D. Works, HIP(Healthy Indian Plan, Waivers, Presumptive Eligibility, Family
Planning Eligibility Program
Hoosier Healthwise - Correct Answers -Health Care program offered to low income
families, pregnant women, and children. Children may be covered up to age 19. Often
no or little cost for coverage.
IDOI - Correct Answers -Indiana Department of Insurance
Who should a navigator send complaints to? - Correct Answers -Insurance company
first, then IDOI
FFM - Correct Answers -Fererall- Facilitated Marketplace
What does a FFM do? - Correct Answers -Allows consumers to compare information on
all available health plans as well as apply for coverage
How to determine eligbility for FFM? - Correct Answers -Applies to citizens and legal
residents in families wit household income between 100% and 400% of FPL
Care Select - Correct Answers -Coverage to serve aged, blind, disabled, wards of
courts foster children, or children receiving adoptive services. Also may have Asthma,
diabetes, heart failure, congestive Heart failure, Hypertensive Heart Disease,
Hypertensive Kidney Disease, Rheumatic Heart Illness, Severe Mental Illness, Serious
Emotional Disturbance (SED) for wards or fosters, Depression
M.E.D. Works - Correct Answers -Medicaid for people with disabilities that are
employed. May be a small monthly premium based on income.
, Healthy Indiana Plan (HIP) - Correct Answers -Health Coverage Plan for individual who
have income that is too high (up to 100% of FPL or $23,550 annually for family of 4),
doesn't have access to insurance through work or has been uninsured for 6 months,
and enrollment is limited
Traditional Medicaid - Correct Answers -Low Income program that offers coverage for
medical services
Waivers - Correct Answers -coverage that allows members to live in a community and
avoid institutional placement.
What are the 5 waiver programs? - Correct Answers -Aged and Disabled Waiver,
Trauatic Brain Injury Waiver, Community Integration and Habilitation Waiver, Family
supports Waiver, and the Psychiatric Residential Treatment Facility Transition Waiver
What does HCBS stand for - Correct Answers -Home and Community Based Services
Presumptive Eligibility - Correct Answers -(PE) a program for low income women who
are pregnant and apply for medicaid. Coverage that allows pregnant women to receive
important prenatal care while waiting for medicaid to approve them.
Can PE be appealed? - Correct Answers -No
When is the ending date for PE? - Correct Answers -The last day of the following month
after apply for PE OR the day Medicaid approves or denies the application.
Hospital - Correct Answers -What entity make the Presumptive Eligibility Determination?
Family Planning Eligibility Program - Correct Answers -program allowing men and
women the ability to receive certain family planning services
Package A - Correct Answers -Standard- Full Medicaid Coverage
Package B - Correct Answers -"pregnancy" medicaid
Package C (CHIP) - Correct Answers -Children Health Insurance Plan- for children to
age 19
What is the FPL for CHIP? - Correct Answers -up to 250%
Package E - Correct Answers -Emergency Services Only
Package P - Correct Answers -Presumptive Eligibility
What does MAGI stand for? - Correct Answers -Modified Adjusted Gross Income
