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14 Cards in this Set

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Which document put medicaid into federal law?
Title 19 of the 1965 Social Security Act
If you are a family receiving medicaid b/c you are receiving SSI how long can you keep your medicaid coverage after you lose SSI eligibility d/t increase in earnings?
6-12 months
If you are a family receiving medicaid b/c you are receiving SSI how long can you keep your medicaid coverage after you lose SSI eligibility d/t an increase child support?
4 months
Medicaid recipients are split into 2 broad categories, what are they?
1) Mandatory groups
2) Categorically needy
Who issues medicaid in the state of Ohio?
The Ohio Department of Job and Family Services (ODJFS)
3 eligibility requirements?
1) US citizen of meet Medicaid Citizen requirements
2) Ohio Resident
3) Meet certain financial requirements
Provides coverage to the following persons:
1) Children up to 19y.o.
2) Pregnant women
3) Families w/ children under 18
4) Adults 65 and older
5) Legally blind
6) Disabled
What does medicaid cover? (9)
1) Prescription meds
2) Hospital Care
3) Home Health Care
4) Long Term Care
5) Hospice Care
6) Certain out patient services
7) Mental Health Services
8) DME and supplies
9) Transportation
How many PT visits does Medicaid authorize for out patient PT?
Up to 30 visits per year
What program is responsible for childrens' health screening?
Early Periodic Screening, Diagnosis and Treatment (EPSDT)
Under what circumstance will Medicaid approve abortion?
Rape, Incest or when necessary to save the Mom's life
Typical "look back" period to audit transfer of assets?
36 months for institutionalization or application to medicaid. 60 months in some circumstances.
How is the length of the transfer of assets penalty assessed?
Dividing the value of transferred assets by the average monthly private-pay rate for nursing facility care.
Stipulations for treating Medicaid patients at an out patient rehab clinic?
Can be non-physician directed BUT the services must be prescribed by and MD or OD.