2017 Test Prep: Quiz 4

Question 1 / 8

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1. Recipient states they have already processed an Express enrollment and would only like to know the status of their Medicaid eligibility and why the process is taking so long to get approved for Medicaid. How do you proceed?

You ask the member to please hold while you transfer them to express.

You state you will contact Escalation to have them verify.

Inform caller for any questions and concerns on their Medicaid eligibility they will need to contact DCF or SSA.

About This Quiz

Answer the questions below. This will help you meet the new requirement of 86% passing grade. You may utilize available resources (ie. SMMC Tool Kit, Script, etc. )

2. What first name or nickname would you like us to use?

You may optionally provide this to label your report, leaderboard, or certificate.

2. If a member has a temporary loss of 180 days (6 months) or less under ______________,then they may be reinstated into the previous plan if they are approved for full Medicaid and are eligible to enroll.

MMA

LTC

MediKids

3. Members who are eligible for Express will display an "A" or "N".

True

False

4. What does Temporary Loss mean?

Temporary Loss only refers to MMA because the member will be Reinstated.

Temporary Loss only refers to LTC because the member can still receive services for 60 days.

5. Mother calls on 9/20/2016 and states that her child was born on 09/18/2016. She just reported her birth yesterday. You try and access the case with the Medicaid ID and the gold card, but no case is found in HealthTrack. You should transfer to Express to process an Express enrollment.

True

False

6. What is the procedure when a member is listed with "R"?

Inform the member their Medicaid is going to be restored and should call back within 24-48 hours.

Inform the member they are eligible for an express enrollment and you will transfer them accordingly.

7. Recipient calls to process and enrollment. You access the case and see the member has an "A" for MMA and a "A" for LTC. How do you proceed?

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