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MA 3185 Discourageme
MA 3185 Discouragement
| Question | Answer |
|---|---|
| What must an individual who comes into the local agency seeking medical or financial assistance be given? | The opportunity to apply for Medicaid. |
| If they are not given this right, what could happen? | The agency could be cited for discouragement. |
| Discouragement occurs any time a staff member of the local agency suggests that the individual ___________________ to apply for benefits. | wait |
| Waiting to apply until other benefits such as SSA or VA have been applied for or are approved is ________________________________. | not necessary and would be considered as discouragement. |
| Workers should not suggest that the individual make an ___________________ when appearing at the agency. | appointment to apply |
| Workers should not suggest that the individual complete a _____________________________ when he appears at the agency. | mail-in or online application |
| If a worker fails to explain how the ________________________________ is determined for individuals who appear at the agency and voluntarily request a mail-in application. | date of application |
| Failure to explain available Medicaid programs would be considered ___________________________ . | discouragement |
| Discouragement may have occurred if a worker incorrectly states or suggests that the individual is ________________________________. | ineligible for Medicaid |
| Workers must give materially _____________________________ information about available Medicaid programs or options. | correct and complete |
| Discouragement can occur with or without a _____________________. | signed application |
| Has discouragement occurred if an individual signed an application and was informed of and/or offered the greatest benefit for which they may have been eligible? | No |
| Did discouragement occur if an individual was not informed of and/or offered retroactive Medicaid? | Yes |
| Discouragement may have occurred if an application is taken for ABD only or MQB when there is potential ______________________. | dual eligibility |
| If an individual applies in a non-caretaker coverage group and has ______________________________, they should be offered the opportunity to apply for assistance for them. | minor children |
| If the individual claims they were discouraged from applying, the individual must provide ______________ of their claim, when supporting evidence in the agency is insufficient. | proof |
| When discouragement occurs in the local agency, the local agency must re-assess___________________________________ and protect the original date of application. | re-assess the denial, withdrawal, or inquiry |