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Across
  1. 7. This program offers Medicaid coverage to people who are disabled, working, and at least 16 years old but not yet 65 years old
  2. 9. Any immigrant who is permanently residing in the United States with the knowledge and permission or acquiescence of the United States Citizenship and Immigration Services
  3. 10. This is the only type of assistor for whom you can do an identity proofing override for if they tell you they have reviewed and will fax the ID proofing documents for a consumer
  4. 14. When a consumer has employer based health insurance but is able to have Medicaid pay for their premiums
  5. 17. Consumer has MA through LDSS/HRA and wants help paying for their Medicare Part A and/or B premiums, co-insurance, and deductibles
  6. 18. Consumers that believe the Marketplace made a mistake can ask for a fair review and file this
Down
  1. 1. You will receive this form if you or a family member were either enrolled in Medicaid or Child Health Plus or in a health insurance plan offered by your employer (small employer, <50 employees).
  2. 2. Consumer has MA through the Marketplace and wants their Medicare premiums reimbursed
  3. 3. QHP consumers must meet this before the health plan will begin sharing the cost of medical services
  4. 4. Use this subtype when a consumer calls to check on the status of any pending documentation
  5. 5. Some consumers may become eligible for Medicaid even if their monthly income is too high by presenting medical bills equal to the amount their income is over the Medicaid level
  6. 6. Agents use this Incident About when consumers have uploaded an employer sponsored health insurance termination letter and emedny needs to be updated
  7. 8. Agents select this immigration status when an applicant is not a U.S. Citizen and does not have a valid immigration status or visa
  8. 11. Agents use this to verify Medicaid coverage
  9. 12. Agents use this program to file defects
  10. 13. Consumers who cannot pass identity proofing can alternatively create a NY.GOV ID on this government agency’s website
  11. 15. Within Essential Plan consumers, this population can receive adult dental through a CBIC card
  12. 16. If a consumer is excluded from managed care, they will have a code of “90” in this column within eMedNY