Dual eligibility Study guides, Class notes & Summaries

Board of Psychology Members - ANSWER-Seven people appointed by governor and confirmed by the Senate. Five members must be psychologists licensed in Florida who are in good standing. Two members must be citizens of the state who are not and have never been psychologists. No connection to psychology. One member must be 60+ y/o. Appointed for four years and shall serve until their successors are appointed. Licensure Requirements - ANSWER-1) Doctoral-level psychological education or the equivalen...

2024 Dual & Chronic Condition Special Needs Plans (D-SNPC-SNP) Assessment.Dual Special Needs Plans (D-SNP) are defined as: - correct answer Medicare Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid. Meredith, a D-SNP member, loses Medicaid eligibility. What impact does this have on her D-SNP enrollment? - correct answer She will enter a grace period during which she is responsible for plan cost sharing, and she will be disenrolled at the end of the grace ...

United Health Care Insurance Exam| Questions and Verified Answers| Grade A (2023/2024 New Update) QUESTION Do consumers have to be an AARP member to enroll in an AARP-branded plan with UnitedHealthcare? Answer: Yes, if the consumer is enrolling in a Medicare Supplement Plan QUESTION How many status levels are in the Authorized to Offer Program? Answer: 2 QUESTION According to AARP, there are how many individual AARP members? Answer: Nearly 37 milli...

NAHP certification test questions & answers 2024 databases are - ANSWER-Databases are structured to facilitate the storage, retrieval, modification, and deletion of data in conjunction with various data-processing operations. empathy - ANSWER-the feeling that you understand and share another person's experiences and emotions a patient's surname is - ANSWER-the last name what claims occur when a person is both eligible for Medicare and Medicaid? - ANSWER-Dual eligibility. Some peo...

CalMHSA Medi-Cal Peer Support Certification Examadult - correct answer an individual who is 18 years of age or older beneficiary/recipient - correct answer an individual who receives peer services from a Medi-Cal Peer Support Specialist California Mental Health Services Authority (CalMHSA) - correct answer the certifying entity approved by the California Department of Health Care Services (DHCS) to certify peer support specialists, peer support specialist training entities, and peer suppor...

adult - ANSWER an individual who is 18 years of age or older beneficiary/recipient - ANSWER an individual who receives peer services from a Medi-Cal Peer Support Specialist California Mental Health Services Authority (CalMHSA) - ANSWER the certifying entity approved by the California Department of Health Care Services (DHCS) to certify peer support specialists, peer support specialist training entities, and peer support specialist continuing education providers certificant - ANSWER an i...

Wellcare Exam (2024) || Complete Questions and Solutions (Rated A+) Wellcare Exam (2024) || Complete Questions and Solutions (Rated A+) Business Required Document (BRD) - ANSWER - written by business analyst (BA); created when new CMS regs come out, DTRR comes to us daily, read and apply Functional Specific Document (FSD) - ANSWER - detailed doc w/tables, names of files. etc. Accumulation Files - ANSWER - DSNP are excluded, MOOP accums sent daily to PBM, 9M layout format; outbound is a...

WellCare ACT Mastery Exam (Latest 2023/ 2024 Update) Version 5 | Questions and Verified Answers| Grade A| 100% Correct Q: Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? Answer: All of these Q: Dual-eligible and LIS beneficiaries that are not at-risk may use a Dual-Eligible SEP once per each of the ______ calendar quarters only. (Select all that apply.) Answer: a. First b. Second c. Third Q: An...

Dual Special Needs Plans (DSNP) are defined as which of the following: - Medicare Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid When does the Special Election Period for Dual/LIS Change in Status begin for DSNP members that lose Medicaid eligibility? - Upon notification or effective date of the loss, whichever is earlier A DSNP might be in the best interest of which of these consumers? - Joe, whose low income qualifies him for full Medicaid coverag...

Medicaid is a means-tested program correct answers Eligibility depends on financial resources Each state administers its own Medicaid program under federal guidelines, and Medicaid is financed by both state and federal governments Automatically qualify for Medicaid correct answers 1. Families with children receiving support under the Temporary Assistance for Needy Families (TANF) program 2. People receiving Supplemental Security Income (SSI), which includes the elderly, blind, and disabl...