Medicaid Terminology

5. The individual, family, or household members who are eligible to receive Work First, Food Stamps, or Medicaid.
8. A program for medical assistance for children under the age of 19 whose countable income falls under a specified percentage of the Federal Poverty Limit.
9. The up to 12-month period of time that a family may receive Medicaid when they have been determined ineligible for Work First or MAF-C because of new or increased earned income.
11. Use of information from third parties to establish the accuracy of an applicant's statements.
13. Persons whose income and resources are considered in determining the eligibility of an individual or assistance unit for public assistance.
15. A program for men, ages 19 through 60, and women, ages 19 through 55, with income at or below the 185% of the poverty level, to receive family planning services.
16. Once a child under age 19 has qualified for Medicaid he can receive for up to 12 months regardless of financial changes that affect eligibility.
17. Verification of client’s employment, DOC, ACTS, SOLQI, etc. find using a third party verification system.
18. Benefits authorized for a period of time prior to the date of application.
19. A review of a recipient's eligibility for public assistance.
21. Net income of the person from a business enterprise or trade controlled by oneself, i.e., produce sales, farm rental, farming, craft sales, baby-sitting in one's own home.

1. A notice that must be received before the effective date of the change that informs the a/r of action taken.
2. Safeguarding client information.
3. An individual removed from MAGI or Medical Assistance benefits due to an IPV (Intentional Program Violation) or for failure or refusal to comply with all program requirements.
4. A written notice to inform the recipient of intended action.
6. Automatic Medicaid coverage for newborns based solely on mother's eligibility status.
7. A crime in which an applicant or recipient 'intentionally obtains or attempts to obtain public assistance benefits to which he or she is not eligible by making a false statement or withholding information.
10. A cash payment program administered by the Social Security Administration for low-income aged, blind, or disabled persons.
12. A determination of Medicaid eligibility from an existing record (such as from the SDX, county record, etc.)
14. The agency of the federal government that issues regulations for the RSDI and SSI programs, as well as Medicare and Medicaid, under the Social Security Act.
20. The procedure used in the State Office to stop delivery of an assistance check.
22. A program of medical assistance for children and adults who meet the requirements of eligibility.
23. A program for medical assistance for pregnant women whose income falls under a specified percentage of the Federal Poverty Limit.