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MA 3185 Discourageme

MA 3185 Discouragement

QuestionAnswer
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
Created by: SurryDSS
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