Virginia Medical Assistance ROCO Quiz 1

When must a client FIRST request retroactive coverage?

• When they apply for Medical Assistance

• Within 45 days of receiving the Notice of Action

• Any time - they can request re-evaluation of retroactive coverage an unlimited number of times.

• At anytime, during the application process or anytime after, as long as retroactive coverage has not been denied

The Medicaid Assignment of Rights. All of these are TRUE EXCEPT:

• The client must appear in court or other proceeding, if needed

• The client can choose whether or not to report a liable third party

• The client must provide information, or attest to lack of information

• The client must identify liable third parties

Which one is NOT correct? Local agencies are responsible for:

• Explaining DCSE services to all MA applicants who apply on behalf of children who have an absent parent

• Obtaining a copy of the insurance card when covered by other insurance.

• Obtaining the company name, policy number and coverage, if covered by other health insurance

• Giving the client the DCSE Fact Sheet when applying for children when there are absent parents

Check all that apply. A client must apply for _____ in order to qualify for Medical Assistance in Virginia.

• Unemployment, if they have a work history

• SSI, if disabled

• SSA, if disabled and has a work history

• Medicare coverage, if it appears the client would meet criteria

Check all that apply. While living in a correctional facility, offenders:

• Are never eligible for Medicaid

• May be eligible for full coverage Medicaid

• May be eligible for Plan First coverage

• May be eligible for inpatient hospitalization coverage

Check all that apply. The Cover Virginia Incarcerated Unit is responsible for:

• Taking telephonic applications for Medicaid

• Reinstating ongoing coverage for all offenders upon release, if eligible

• Managing coverage for released offenders for the first 30 days after release

• Updating the case with changes

An offender with active Medicaid coverage in AC 108 or 109 should be:

• placed in his own case in VaCMS and transferred to the CVIU

• kept on the case with the family and the family's case should be sent to CVIU

• close the inmates' coverage. He or she is not eligible for Medicaid

• moved to his own case but maintained at local DSS

Check all that apply. The retroactive period:

• Is always the 3 months prior to your application date

• Each month can be evaluated separately for all covered groups

• May have the same months evaluated based on new applications filed

• Eligibility is determined by using actual income received. Income is not converted.

The following immigrants meet alien status requirements for Virginia Medical Assistance

• Legally present adults over age 65

• Generally, legally present pregnant women

• Legally present children under age 21

• SSI recipients

• See M220.314.B for all the requirements

For MEDICAID, if immigrant status is verified in VaCMS through the federal hub:

• The BPS must run SAVE to check for changes to status

• The BPS must still obtain a copy of the front and back of the alien card

• The immigrant must provide his/her most recent letter from USCIS

• None of these