MAGI Examination Level 1
A 5% income disregard is applied only if an applicant/beneficiary's income exceeds the highest
comprehensive full Medicaid program income limit for that individual. - ANS-True
\A client who is receiving full family Medicaid calls to report a new job and is over the income
limit to continue receiving this program of benefits. The caseworker should evaluate the client
for: - ANS-All Medicaid programs
\A Medicaid card can be generated while the application is pending. - ANS-False
\A Medicaid card is generated for a new client after the application has been approved. -
ANS-True
\Application Filer Consent is needed to run OVS in MAGI. - ANS-True
\Daily pending applications can be viewed from the: - ANS-O&M Reports tab
\Due to a client's income they are only eligible for Family Planning Program. 2 months into their
certification they reported that they are no longer working and request reevaluation. What
should the caseworker do? - ANS-Verify and manage the evidence and evaluate for all other
Medicaid programs.
\Family Planning Program covers pregnancy related services. - ANS-False
\From the Insurance Affordability Case, NC Medicaid Direct beneficiaries cards can be viewed
from the individual's Contact tab. - ANS-True
\How can a person apply for MAGI? - ANS-In person
Mail - in paper
Telephone
online
\How is a person removed from a MAGI case? - ANS-By end dating certain evidence for that
person as specified by the job aid
\If a change in circumstance places a case on hold, what are the next steps to take? -
ANS-Navigate to the Eligibility Tab, Check On Hold Decisions, Determine if decision is correct,
Accept with timely or accept with adequate
\If an individual's income has terminated, the caseworker should? - ANS-Edit the evidence by
end dating it.
\In MAGI, for a parent/caretaker to receive full Medicaid MAFC they must have a child in their
care under the age of _____________? - ANS-18
\In order to change the primary care provider for an NC Medicaid Direct customer the
caseworker must change which of the following? - ANS-Primary Care Provider - NC Medicaid
Direct
\It is not required to apply changes after editing evidence to impact the eligibility determination
of a case. - ANS-False
\NCFAST 20020 should be sent to beneficiaries anytime there is a change in circumstance
during the certification period. - ANS-False
\New Change Decisions should be accepted prior to Approving a MAGI recertification without
reviewing the Changed Decision. - ANS-False
\Person search only needs to be completed using name and date of birth. - ANS-False
A 5% income disregard is applied only if an applicant/beneficiary's income exceeds the highest
comprehensive full Medicaid program income limit for that individual. - ANS-True
\A client who is receiving full family Medicaid calls to report a new job and is over the income
limit to continue receiving this program of benefits. The caseworker should evaluate the client
for: - ANS-All Medicaid programs
\A Medicaid card can be generated while the application is pending. - ANS-False
\A Medicaid card is generated for a new client after the application has been approved. -
ANS-True
\Application Filer Consent is needed to run OVS in MAGI. - ANS-True
\Daily pending applications can be viewed from the: - ANS-O&M Reports tab
\Due to a client's income they are only eligible for Family Planning Program. 2 months into their
certification they reported that they are no longer working and request reevaluation. What
should the caseworker do? - ANS-Verify and manage the evidence and evaluate for all other
Medicaid programs.
\Family Planning Program covers pregnancy related services. - ANS-False
\From the Insurance Affordability Case, NC Medicaid Direct beneficiaries cards can be viewed
from the individual's Contact tab. - ANS-True
\How can a person apply for MAGI? - ANS-In person
Mail - in paper
Telephone
online
\How is a person removed from a MAGI case? - ANS-By end dating certain evidence for that
person as specified by the job aid
\If a change in circumstance places a case on hold, what are the next steps to take? -
ANS-Navigate to the Eligibility Tab, Check On Hold Decisions, Determine if decision is correct,
Accept with timely or accept with adequate
\If an individual's income has terminated, the caseworker should? - ANS-Edit the evidence by
end dating it.
\In MAGI, for a parent/caretaker to receive full Medicaid MAFC they must have a child in their
care under the age of _____________? - ANS-18
\In order to change the primary care provider for an NC Medicaid Direct customer the
caseworker must change which of the following? - ANS-Primary Care Provider - NC Medicaid
Direct
\It is not required to apply changes after editing evidence to impact the eligibility determination
of a case. - ANS-False
\NCFAST 20020 should be sent to beneficiaries anytime there is a change in circumstance
during the certification period. - ANS-False
\New Change Decisions should be accepted prior to Approving a MAGI recertification without
reviewing the Changed Decision. - ANS-False
\Person search only needs to be completed using name and date of birth. - ANS-False