Indiana Navigator Exam Questions With Correct Answers

The fast track payment goes toward what - Answer a members first power account contribution what are the responsibilities are required for Indiana Navigator certification - Answer assessing the level and type of consumer need assisting the enrollment checking consumer enrollment status if an Indiana navigator does not comply with or meet state requirements, the Indiana department of insurance outlines; what are actions that take place - Answer suspend certification revoke certification permanently issue a cease and desist order what are the reasons individuals would dis-enroll from HIP - Answer became eligible for other Medicaid category (disability,aged) moved out of state failed to complete redetermination how many months of HIP coverage are tobacco users given to stop tobacco use in order to avoid a 50% increase in their POWER account contribution amount for the next year? - Answer 12 months which HIP plan does not cover substance use disorder treatment - Answer none which HIP plan covers a max of 60 visits annually of physical, speech, and occupational therapies - Answer HIP State plan an application organization has ____ days following the expiration date in which to complete the renewal application - Answer 30 the patient protection and ACA was passed in - Answer 2010 an Indiana navigator must complete the following in order to renew his/her certification - Answer complete the renewal process within one week of the current certification expiration what is the different between and Indiana navigator and a federal navigator - Answer a federal navigator receives state funding, whereas an Indiana navigator does not. which HIP plan covers transportation - Answer HIP State plan a member wishing to change health plans may do so by calling 877-GET-HIP-9 during what time period - Answer November 1st- December 15th is a change in personal health insurance coverage required to report to the IDOI - Answer no what is considered a conflict of interest for an Indiana Navigator - Answer having a business relationship with an insurance carrier receiving commission from an insurance company for enrolling consumers in specific plans receiving free or discounted travel from an insurance carrier _________ are base amounts that a member pays for services prior to their health insurance paying for coverage - Answer deductible which of the following does an individual not have appeal rights for - Answer presumptive eligibility determinations what service is not offered under the family planning eligibility program - Answer fertility counseling what services are offered under family planning eligibility - Answer initial diagnosis treatment for STDs and STIs emergency contraceptives hysteroscopic sterilization with an implant device what health coverage program is considered Minimum Essential Coverage - Answer coverage under a grandfathered plan example of exemption from the requirement to maintain MEC does include - Answer an individual with membership in a federally recognized Indiana Tribe an individual with household income below filing limit an individual determined ineligible for Medicaid because their state did not expand eligibility under the ACA what are the benefits of HIP plus members - Answer comprehensive benefits, including vision, dental, and chiropractic coverage HIP members will have the opportunity at the end of each year to switch to another health plan for the following year. when will these changes become effective - Answer January 1st to be eligible for HIP, your income must be under what percent of the federal poverty level - Answer 138% HIP basic and state plan basic - Answer members have copays on most services what is the age range for eligibility for HIP - Answer 19-64 what is the first action taken in the HIP enrollment process - Answer member completes and signs application online with a navigator, at home or at a local FSSA DFR office how can you prove US citizenship - Answer drivers license social security card legal birth certificate under which HIP plan is adult dental covered but limited to 2 clearnings per year and 4 restorative procedures - Answer HIP Plus which HIP plan features a 100- day limit for skilled nursing facilities - Answer HIP plus and HIP basic what is the income needed for a HIP member to be subject to a lockout period - Answer greater than 100% and less than 138% FPL