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FCM CM to APPS Knowledge Check 2

Total questions: 20

Worksheet time: 37mins

Name
Class
Date
1.

Which of the following MUST be verified via 3rd party at application?

a)

Household Composition

b)

NC Residency

c)

Marital Status

2.

All of the following verify US Citizenship EXCEPT for:

a)

SSA data match (SOLQIC) returned successfully with the code ‘A’

b)

U.S. Passport (can be expired)

c)

Birth certificate from one of the United States/territories, Register of Deeds or Certificate of Birth Abroad

d)

The Mother’s Verification of Facts

e)

Certificate of Naturalization

3.

Jennifer applies for Medicaid in NC on 7/7.

She stated that she recently moved from Florida and she was receiving Medicaid there.

Jennifer provides a termination letter from Florida which verifies that her FL Medicaid terminates 7/31.

Jennifer does not have any unpaid medical bills in NC.


When would Jennifer’s Medicaid begin in NC?

a)

July 1st

b)

August 1st

c)

July 7th

d)

August 7th

4.

Julia applies for Medicaid for herself and son, Matthew.

Also in the home is Julia’s husband Mark and daughter Alice.


Who must provide their social security numbers?

(Check all that apply)

a)

Julia

b)

Mark

c)

Matthew

d)

Alice

5.

Olivia (22) is pregnant and applying for Medicaid. She lists her address as Concord, NC (Cabarrus County).


Which statement is correct?

a)

Olivia must apply in Cabarrus county

b)

Olivia can apply in Mecklenburg county and the application should be transferred to Cabarrus County within 2 business days

c)

Olivia can apply in Mecklenburg county and the case will be transferred to Cabarrus County once the application is approved.

6.

Workers MUST shorten the Certification Period in NC Fast when approving an application & there is a critical age in the certification.

a)

True

b)

False

7.

For an adult , who is age 21 or older, to receive MAF-C, they must meet the following requirements EXCEPT?

a)

Provide day to day care for a child

b)

The child must be under 18

c)

There must be a certain degree of kinship to the child

d)

The child must be a US Citizen or a lawfully present alien

e)

The child must be enrolled in school

8.

Applicants must provide 2 different forms of verification of their ____________ address at application.

a)

Physical

b)

Mailing

c)

Physical AND Mailing

d)

Physical OR Mailing

9.

Anna (27) and her boyfriend James (29) are applying for Medicaid.


Since Anna and James are not married, they must each provide 2 forms of NC Residency.

(a)  

10.

The following aliens that are potentially eligible for ongoing (non-emergency) Medicaid except for:

a)

Protected Aliens

b)

Undocumented Aliens

c)

Lawful Permanent Residents (LPR)

d)

Lawfully Present Visa holders

11.

Svetlana (34), her husband Giovan (40) and their son Ivan (12) are non-protected legal permanent residents (LPR), code DV1, with a date of entry (DOE) of 5/14/2018.


Who is potentially eligible for ongoing Medicaid? (choose all that apply)

a)

Svetlana

b)

Giovan

c)

Ivan

d)

No one

12.

What is the code for DACA?

(a)  

13.

John was pended for verification of immigration status on 7/17.


What is the earliest date the 2nd pend can be sent?

(a)  

14.

The DMA 5153 (NC Residency Declaration) must be signed if the box is checked for online apps.

a)

True

b)

False

15.

What letter is displayed in SOLQIS when a SSN is verified?

(a)  

16.

What letter is displayed in SOLQIC when US Citizenship is verified?

(a)  

17.

What system is used to verify immigration status?

(a)  

18.

Each applicant that states they are a Qualified Alien must provide proof of alien status and their alien status must be verified in SAVE.

a)

True

b)

False

19.

Which of the following LPRs within their 5-year ban is potentially eligible for ongoing (non-emergency) Medicaid coverage?

a)

A 55-year-old woman

b)

A 15-year-old child

c)

A 24-year-old man

d)

A 19-year-old woman

20.

What are the critical ages for FCM?

a)

6/19/21

b)

5/18/20

c)

18

d)

65