Indiana Navigator Exam All Possible Questions and Answers with complete solution

IHCP (Indiana Health Coverage Programs) - Answer-Indiana Medicaid services are offered through this program on if their are eligible Office of Medicaid Policy and Planning (OMPP), which is under FSSA - Answer-IHCP is addiminister by who What do Indiana Health Coverage Programs cover? - Answer-Mandatory Service and most of the optional services established by the federal government 8 types of Medicaid - Answer-Hoosier Healthwise, Traditional Medicaid, Care Select, M.E.D. Works, HIP(Healthy Indian Plan, Waivers, Presumptive Eligibility, Family Planning Eligibility Program Hoosier Healthwise - Answer-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. Care Select - Answer-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 - Answer-Medicaid for people with disabilities that are employed. May be a small monthly premium based on income. Healthy Indiana Plan (HIP) - Answer-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 - Answer-Low Income program that offers coverage for medical services Waivers - Answer-coverage that allows members to live in a community and avoid institutional placement.What are the 5 waiver programs? - Answer-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 - Answer-Home and Community Based Services Presumptive Eligibility - Answer-(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? - Answer-No When is the ending date for PE? - Answer-The last day of the following month after apply for PE OR the day Medicaid approves or denies the application. Hospital - Answer-What entity make the Presumptive Eligibility Determination?