Medi-Cal #1 Medi-Cal #2 General Assistance CalWorks #1 CalWorks #2
100
What is Substantial Gainful Activity?
A working disabled individual's earnings cannot exceed $1130.
100
What is Medicare Part B premium for 2017?
$109
100
What is exempt from a time limit?
Unemployable, AGAP, 64yrs and older, and FFC?ILSP.
100
What is CW 29?
Actual income goes on what form?
100
What is Recurring Special needs?
therapeutic diets, special transportation, special laundry costs, excessive use of utilities, and cost of special telephone equipment are all types of?
200
What is Self-Attestation?
A new term from HCR. It means an individual is formally stating that something is true.
200
What is Mandatory Verifications?
Blindness, citizenship, disability, death, identity, incapacity, income, immigrant status, medicare eligibility, other health coverage, pregnancy, residence, and social security number.
200
What is Former Foster Care individuals?
Exempt until age 25.
200
What is Assistant Unit?
Defined as a group of related persons living in the same home who have been determined eligible for CalWorks & for whom cash aid has been authorized.
200
What is a sanction is applied?
This person is removed from the AU when?
300
What is a MFBU?
1.Determine which family members are applying for Medi-cal.
2.Evaluate family composition and potential MFBU members.
3.Establish relative responsibility where necessary.
4.Determine program linkage.
300
What is SLMB?
For this Medicare Saving Program, a client has to have income that is at or below 120% FPL.
300
What is CAPI?
A state funded program for ABD Non-citizens.
300
What is Doctor's name (signature), diagnosis, and the due date?
On a pregnancy verification letter , what 3 things MUST be included?
300
What is 16 days?
Temporary homeless assistance is provided for how many consecutive days?
400
What is Minor Consent?
This program has services to help individuals with sexual assault, pregnancy, family planning, STDs for ages 12 and older, outpatient mental health care for ages 12 and older, and drug or alcohol abuse for 12 and older.
400
What is a MC 0216?
When CALHEERS attempts to do a redetermination and needs additional verification from the client.
400
What is ineligible?
Fleeing felons, parole and probation violators, CalWorks timed out adults, and undocumented individuals.
400
What does the diversion program provide?
What is a single lump sum payment, instead of continuing CalWorks benefits?
400
What is the SAR cycle?
Payment month, data month, and submit month are apart of?
500
What is $1500?
A married couple (Bob and Haley) applying for Non-MAGI Medi-cal, owns 2 vehicles. Bob has a 2016 Honda with a FMV of $1000 with encumbrances of $5000, and Haley has a 2001 Toyota with a FMV of $1500. The couple shares a checking account with a FMV of $1096. The only income in the HH is $1100/Month from SSA Disability. What is their property revenue counted towards their resource limit?
500
What is an ineligible member?
Persons who are eligible, but refuse Medi-cal; their income and property must be included in the eligibility determination.
500
What is 50%?
Recipients receive this amount of deduction from their net earned income?
500
What are the steps to determine the "U" parent?
1. Determine which parent is the PWE.
2. Determine if the PWE is unemployed or worked less than 100hrs in a 28 day calendar prior to date of application.
500
What are the 6 points of eligibility for CalWorks cases?
Age, Relatedness, Deprivation, Property, Time Limits, Income.






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