Smmc Refresher Quiz #8

The recipient will be Mandatory.

The recipient will be Voluntary.

The recipient will be Excluded.

The recipient is not Eligible.

Advise the recipient to contact LTC to schedule an actual Personal Care provider through Medicaid so the sister does not need to help anymore.

Refer the recipient to DOEA to speak to the case manager and enroll in Participant Direct Option.

Advise the recipient that Medicaid will not pay for the sister to provide services, refer the recipient to the AHCA Medicaid Helpline to file a complaint.

Refer the recipient to the LTC plan to speak to the case manager and enroll in Participant Direct Option.

Inform the recipient they are PACE enrolled, and we are unable to assist them with a plan change. Refer to the Elder Helpline for additional assistance on changing the plan.

Process an MC Exemption Request to remove the PACE indicator so the recipient can change the plan on the website.

Refer the recipient to the PACE plan to process the plan change.

Inform the recipient that they are PACE enrolled, and cannot change. Refer to the AHCA Medicaid Helpline to complain.

Inform the recipient they must pay their Direct Service Provider out of pocket.

Inform the recipient they must contact the AHCA Medicaid Helpline to make sure their Direct Service Provider gets paid.

Inform the recipient they must contact the LTC plan to make sure their Direct Service Provider gets paid.

Inform the recipient that their neighbor will not get paid for helping them with shopping and chores.

Inform the recipient they cannot change the LTC plan because they have a Nursing Home Indicator.

Inform the recipient they are PACE eligible, and can either stay with the current LTC plan, or change to a PACE plan. Refer to DOEA if the recipient wants to enroll in a different plan.

The recipient is Mandatory and may change the LTC plan anytime during the 120-day change period or OE.

Inform the recipient they are PACE enrolled, and cannot change. Refer to the Elder Helpline for additional assistance on changing the plan.

Inform the recipient they will receive medical services through Straight Medicaid and the PACE plan will cover their LTC services.

Inform the recipient they do not receive MMA medical services and are only eligible for LTC services through the PACE plan.

Inform the recipient they will receive medical services through Medicare and the PACE plan will cover their LTC services.

Inform the recipient that their PACE plan will cover medical and LTC services, refer to the PACE facility for additional assistance.

The recipient will be Mandatory for MMA and Mandatory for LTC.

The recipient will be Excluded for MMA and Voluntary for LTC.

The recipient will be Excluded for MMA and Mandatory for LTC.

The recipient will be Mandatory for MMA and Excluded for LTC.