Font size
WorksheetsFCM CM to APPS Knowledge Check 4
Total questions: 15
Worksheet time: 45mins
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.
(a)
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.
(a)
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 1st check on 8/3 is not current and representative and should NOT be used to calculate Adam’s budget.
(a)
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.
(a)
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.
Emily applies for her son Keonte (14) on 7/31. He is eligible for NCHC-K. Her daughter Nia (17) is receiving NCHC-K until 12/31.
Which statement is correct?
DO NOT charge a $50 enrollment fee. Instead, add Keonte into Nia’s NCHC case until 12/31.
Charge Emily the $50 enrollment fee.
Change Emily a $100 enrollment fee.
DO NOT charge a enrollment fee. Approve Keonte for NCHC-K for 7/1-6/30.
True or False: Traditional Budgeting has a $3,000 resource limit. All resources must be verified.
(a)
Evaluate applicants under traditional rules when:
The applicant is ineligible for FULL Medicaid due to excess income AND the household has unpaid medical bills
The applicant is ineligible for FULL Medicaid due to excess income, but the income is counted differently using traditional rules
Both
Neither
Lauren (19) is applying for Medicaid on 4/1. Lauren has a retro need from an ER visit in March. She owes the hospital $14,900. She has no other unpaid medical bills.
Lauren works earning $2,500/mo.
True or False: Since Lauren will have to choose to either receive MAF-M retro only OR MAF-M ongoing since she cannot meet both a retro and ongoing deductible.
(a)
If your applicant is only eligible for FPP, when would you complete an adult Medicaid spin off?
The applicant is age 65+ (or will be 65 in the next 45 days)
The applicant is Blind
The applicant is states they are disabled
The applicant already deemed disabled by social security or receiving SSA
Any of these reasons
