Smmc Refresher Quiz #3

Inform her that all recipients will have to pay a co-pay when visiting providers.

Refer her to the plan to verify whether she has to pay a co-pay.

Advise the caller that pregnant recipients are not required to pay a co-pay.

Refer her to the provider to ask if she needs to pay a co-pay.

“Express Enrollment” is a process where recipients can choose an MMA plan after completing the Medicaid Application with DCF.

“Express Enrollment” is where a recipient can enroll into Medicaid and Medicare at the same time.

“Express Enrollment” is for newborn recipients only.

“Express Enrollment” is a paid program through DCF and recipients who enroll receive better coverage.

The recipient can have two different plans if they want to, but this will cause them to receive less coverage.

The recipient can either have two different plans, or a comprehensive plan. It is their choice as to which is better for them.

The recipient cannot enroll into a comprehensive plan because they have Medicare.

The recipient can only choose comprehensive plans because they have both MMA and LTC.

Inform the recipient that if the doctor takes the LTC plan, the visit should be covered.

Refer the recipient to the LTC plan to see if they cover doctor’s visits.

Advise the recipient that LTC plans cover long-term care services only and do not cover medications or doctor’s visits.

Advise the recipient to call the doctor to see if they accept the LTC plan.

DCF / Medicare

DCF / SSA

AHCA / SSA

AHCA / DOEA

Inform the recipient they can only change the Direct Service Provider during Open Enrollment.

Advise the recipient the Direct Service Provider cannot be changed and refer to the AHCA Medicaid Helpline to complain.

Tell the recipient they may change the Direct Service Provider at any time by calling their assigned care coordinator/case manager through the LTC plan. Refer to the LTC plan.

Advise the recipient that there may be another person within the company that can bring better food. Refer the recipient to the Direct Service Provider.

She has 24 hours after the plan becomes effective to change before the newborn is locked in.

She has 90 days to change the plan before the newborn is locked in.

She has until the end of this month to change the plan before the newborn is locked in.

She has 120 days after the plan becomes effective before the newborn is locked in.