FIP-Related MA Question and Answer Grid

BEM 105, Medicaid Overview
1.  / Who can receive MA under the FIP-related categories?
2.  / What is the difference between Group 1 & Group 2?
3.  / Which MA category is usually the most beneficial for families?
4.  / Which MA category is usually the most beneficial for children under age 19?
BAM 115, Application Processing
5.  / What is the Standards of Promptness for FIP-Related MA?
6.  / What application can be used instead of the DHS-1171 to apply for MIChild and all Other Healthy Kids MA Categories?
7.  / Is an interview required before opening MA?
8.  / When is Retro MA coverage available?
9.  / What application is used to apply for retro MA?
10.  / How is all Healthy Kids Retro MA Eligibility determined?
BEM 110, Low Income Family MA (LIF)
11.  / Who is considered a dependent child?
12.  / Who are the mandatory group members?
13.  / What is the result when the applicant refuses to provide information of a mandatory group member? / Refusal of any of the above to apply causes LIF ineligibility for all of the others. (pg.5)
14.  / Who is excluded from the LIF applicant group?
15.  / Who are LIF optional group members?
16.  / How can groups with no children be eligible for LIF?
17.  / What manual “table” shows the LIF income limits?
18.  / Does income have to be verified for LIF?
19.  / Is there an asset test for LIF? If so, what is the asset limit?
BEM 111, Transitional MA (TMA)
20.  / Can a client receive TMA at initial MA case opening?
21.  / How can someone be eligible for TMA?
22.  / Once eligible for TMA, how long does eligibility continue?
BEM 113, Special N Support (SNS)
23.  / What are the 3 criteria of eligibility?
24.  / How long is the certification period?
BEM 647, TMA Plus (TMAP)
25.  / Who is this category available to?
26.  / Is there an asset test?
27.  / What is the income limit?
28.  / How much is the monthly premium payment for each individual that wants TMAP?
BEM 211, MA Group Composition (non-LIF)
29.  / Who is considered a dependent child?
30.  / Who is in a child’s fiscal group for FIP-Related MA?
31.  / Who is in an adult’s fiscal group for FIP-Related MA?
BEM 131, Other Healthy Kids (OHK)
32.  / What is the age limit for this category?
33.  / What is the income limit?
34.  / Does income have to be verified for OHK?
35.  / What manual “table” shows the OHK income limits?
36.  / Is there an asset test for OHK?
37.  / What are the 4 reasons eligibility can end before the next redetermination?
BEM 655, MiChild
38.  / Who is eligible for this coverage?
39.  / Who determines eligibility for this program?
40.  / When does eligibility begin?
BEM 145, Newborns
41.  / When is a newborn automatically eligible?
42.  / Is a new application required before authorizing MA?
43.  / What form may you receive to indicate birth of a child?
BEM 129, Healthy Kids Under Age 1 (HK1)
44.  / For whom is this MA category available?
45.  / What is the income limit?
46.  / Does income have to be verified for OHK?
47.  / What manual “table” shows the OHK income limits?
48.  / Is there an asset test for HK1?
BEM 125, Healthy Kids Pregnant Women (HKP)
49.  / What is the Eligibility Period?
50.  / What is the income limit?
51.  / Does income have to be verified for HKP?
52.  / What manual “table” shows the OHK income limits?
53.  / Is there an asset test for HKP?
54.  / Do we count the parental income of the pregnant woman?
BEM 126, Group 2 Pregnant Women (G2P)
55.  / For whom is this MA category available?
56.  / What manual “table” shows the G2P income limits?
57.  / Does income have to be verified for G2P?
58.  / Is there an asset test for G2P?
59.  / For whom is the postpartum extension of MA available?
BEM 132, Group 2 Under 21 (G2U)
60.  / For whom is this MA category available?
61.  / What manual “table” shows the G2U income limits?
62.  / Does income have to be verified for G2U?
63.  / Is there an asset test for G2U? If so, what is the asset limit?
BEM 135, Group 2 Caretaker Relatives (G2C)
64.  / For whom is this category available?
65.  / Who is considered a Caretaker Relative?
66.  / What manual “table” shows the G2C income limits?
67.  / Does income have to be verified for G2C?
68.  / Is there an asset test for G2C? If so, what is the asset limit?
69.  / Who is a Specified Relative?