FCM CM to APPS Knowledge Check 4

Carrie (37) applies for Medicaid for her daughter Ana (15) on 9/20. She has no income on the date of application, however, on 10/2 she reports that she will start a new job on 10/5 earning $75,000/year.

True or False: Do not count Carrie’s new income for Ana since it starts after the date of application.

Angie applies for ongoing Medicaid on 9/25. She states that she has a retro need for the month of July. She states that she works but there is no electronic source verifying her income.

Which month’s income is needed ?

• July Only

• August Only

• August and September

• July and August

Pam is applying for Medicaid for her son Gabe (10) on 4/15. Pam states she works at Ross 40 hours a week, $8/hr and paid weekly. ESCWS has Q1 hit from ROSS shows $4,390.

Is it necessary to pend for wages?

• YES, you do not have reasonable compatibility (RC)

• NO, you have reasonable compatibility (RC)

True or False: To use ESCWS for retro, at least one of the months the applicant is requesting coverage for must be in that quarter.

Luca applies for Medicaid on 9/15. She states she has a retro need in August. She works and is paid bi-weekly. She provided both check stubs from August.

8/7: $400 8/21: $400

What is the countable income for her retro and ongoing budget?

• $800/$1,720

• $860/$860

• $800/$860

• $860/$1,720

Candice applies for Medicaid for her daughter Stacie (5) on 9/19. Candice states she was terminated from her job 9/15 and will receive her last check 9/30.

Is verification of Candice’s income required?

• Yes, her income will count until the month of last pay.

• No, take statement of terminated income for children under 19

Adam (24) applies for Medicaid on 8/24. He started a new job on 8/1. Adam works 25 hours a week, $10/hr. and paid weekly. The Work Number (TWN) verifies Adam’s wages as the following:

8/3 $25 8/10 $250 8/17 $250 8/24 $250

True or False: The 1^st check on 8/3 is not current and representative and should NOT be used to calculate Adam’s budget.

True or False: When you have reasonable compatibility (RC), budget the applicant’s statement of income. Leave their statement in NC Fast Income/Benefit Evidence.

The applicant’s statement of income can be used as verification for all of the following reasons except:

• The applicant states they cannot obtain the verification from any source

• The worker cannot obtain the verification from any source

• The statement is not questionable

• The applicant refuses or fails to provides verification of income

Tim (34) applied for Medicaid on 5/5. He lost his job on 4/30 where he earned 400/week. His last pay will be 5/10 for $400.

Which statement is correct? (choose all that apply)

• Do not count any income for Tim since his job terminated prior to the month of application.

• Since Tim is over age 19, count his income until the month of last pay (MAY).

• Since the month of last pay is not a full month of pay, count actual ($400) for May and count $0 starting in June.

• Count base period income ($400 x 4.3=$1,720) in May and then count $0 starting in June.