Indiana Navigator Exam Questions & Answers 100% Correct

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? Family Planning Eligibility Program - Answer program allowing men and women the ability to receive certain family planning services Package A - Answer Standard- Full Medicaid Coverage Package B - Answer "pregnancy" medicaid Package C (CHIP) - Answer Children Health Insurance Plan- for children to age 19 What is the FPL for CHIP? - Answer up to 250% Package E - Answer Emergency Services Only Package P - Answer Presumptive Eligibility What does MAGI stand for? - Answer Modified Adjusted Gross Income What is MAGI? - Answer How income is counted and how household composition and family size are determined Not a number on a tax return Base on Federal Tax rules No Asset Test or diregards - Answer exception of 5% across the board bring income standard to 138% instead of 133% What is counted towards MAGI for Medicaid and CHIP? - Answer taxable income, self employment an farm income after depreciation and deduction of capital losses counted What isn't counted towards MAGI? - Answer Child Support, non taxable income How is household determined? - Answer by the principles of tax dependency When does a child not count towards the household? - Answer when they are not not required to file a tax return. What other people are counted toward MAGI household? - Answer Extended family if claimed on taxes, chlildren of non custodial parents, children of unmarried parents Starting January 1, 2014, who is eligible for PE - Answer BOTH pregnant women and low income categories SNAP - Answer Supplementary Nutritional Assistance PRogram TANF - Answer Temporary Assistance for Needy Families Three methods to apply for Medicaid - Answer Paper, Phone, Online (preferred Online)