Applicants/beneficiariesthat are required toprovide a SSN, otherthan deemed infants,have ___ days to provideproof of their SSN orapplication for SSN. What is aVSO(Veteran'sserviceoffice) Anapplicant/beneficiarythat is requesting oralready has ___benefits is required toprovide a SSN.An individual'sinitial enrollmentperiod forMedicare is a totalof ___ months.Medicare is afederal healthinsuranceprogram forwhich groups?The applicant orbeneficiary did notprovide enoughinformation to addthe OHC to whatrecord:• Applicants/beneficiariesthat are required to providea SSN, other than deemedinfants, have ___ days toprovide proof of their SSNor application for SSN.  EWs are not requiredto obtain what kind ofinformation whenreporting OHC couldendanger anapplicant orbeneficiary or createa barrier to care:Medicare openenrollmentperiod occursfrom ________through________T/F If the applicant isotherwise eligible forMedi-Cal but has notmet the UAIRequirement can theEW approve it? Anapplicant/beneficiarythat is requesting oralready has ___benefits is required toprovide a SSN.Redeterminations toverify monetaryamounts of veterans'benefits and VA healthenrollment for newapplicants and currentMedi-Cal beneficiarieshappen ever _____months (12) If the applicant is otherwiseeligible for Medi-Calpending the requirement toprovide OHC information,the EW will approve theapplication pending therequirement to provideOHC information and followup with the:Medi-Cal applicantsand beneficiaries arerequired to take allaction necessaryto obtain__________What is theMilitaryVerificationand Referralform MC 05 If an applicant hasnot declared that theyhave satisfactory_____status, thenthey are not requiredto provide a SSN.___infants arerequired toprovide a SSNafter they turn 1year of age.• Applicants/beneficiariesclaiming ___ category 16immigration status arenot required to provide aSSN if they don’t haveone. Medicare openenrollmentperiod whichoccurs________T/F When anindividual isgettingtemporary SDI,do we count itas (UAI)What does an EWdo after theapplication hasbeen approvedpending the UAIrequirement?Redeterminations toverify monetaryamounts of veterans'benefits and VA healthenrollment for newapplicants and currentMedi-Cal beneficiarieshappen ever _____months (12) T or F: U.S. militaryveterans, or thespouses/dependents ofU.S. military veterans,are required to applyfor veteran benefitsavailable through theVAName 2individuals thatwill not bereferred to EDDto apply for UIBAn individual'sinitial enrollmentperiod forMedicare is a totalof _ monthsApplicants/beneficiariesclaiming ___ category 16immigration status arenot required to provide aSSN if they don’t haveone. T/F When anindividual isgettingtemporary SDI,do we count itas (UAI)The applicant orbeneficiary did notprovide enoughinformation to addthe OHC to whatrecord:What does an EWdo after theapplication hasbeen approvedpending the UAIrequirement?Medicare openenrollmentperiod whichoccurs________T or F: If the applicant isotherwise eligible for Medi-Cal pending the outcome oftherequirement to apply forveteran benefits, then theEW will approve theapplication pending therequirement to provideveteran's information andfollow up witApplicant/beneficiaryhas _______ fromdate they arenotified of need toapply for Medicare toprovide proof ofMedicare approval ordenial___infants arerequired toprovide a SSNafter they turn 1year of age.Medicare openenrollmentperiod occursfrom ________through________What is aVSO(Veteran'sserviceoffice) Name 2individuals thatwill not bereferred to EDDto apply for UIBApplicant/beneficiaryhas _______ fromdate they arenotified of need toapply for Medicare toprovide proof ofMedicare approval ordenial1. Medi-Calapplicants andbeneficiaries arerequired to take allactions necessaryto obtain__________Some OHCinformation isreceived directlyby DHCS and isstored in theMEDS record inthis system:2. T/F If the applicantis otherwise eligiblefor Medi-Cal but hasnot met the UAIRequirement can theEW approve it? Medicare is afederal healthinsuranceprogram forwhich groups?If the applicant is otherwiseeligible for Medi-Calpending the requirement toprovide OHC information,the EW will approve theapplication pending therequirement to provideOHC information and followup with the:T or F: U.S. militaryveterans, or thespouses/dependents ofU.S. military veterans,are required to applyfor veteran benefitsavailable through theVAEWs are not requiredto obtain what kind ofinformation whenreporting OHC couldendanger anapplicant orbeneficiary or createa barrier to care:T or F: If the applicant isotherwise eligible for Medi-Cal pending the outcome oftherequirement to apply forveteran benefits, then theEW will approve theapplication pending therequirement to provideveteran's information andfollow up witWhat is theMilitaryVerification andReferral formMC 05  Applicants/beneficiariesthat are required toprovide a SSN, otherthan deemed infants,have ___ days to provideproof of their SSN orapplication for SSN. What is aVSO(Veteran'sserviceoffice) Anapplicant/beneficiarythat is requesting oralready has ___benefits is required toprovide a SSN.An individual'sinitial enrollmentperiod forMedicare is a totalof ___ months.Medicare is afederal healthinsuranceprogram forwhich groups?The applicant orbeneficiary did notprovide enoughinformation to addthe OHC to whatrecord:• Applicants/beneficiariesthat are required to providea SSN, other than deemedinfants, have ___ days toprovide proof of their SSNor application for SSN.  EWs are not requiredto obtain what kind ofinformation whenreporting OHC couldendanger anapplicant orbeneficiary or createa barrier to care:Medicare openenrollmentperiod occursfrom ________through________T/F If the applicant isotherwise eligible forMedi-Cal but has notmet the UAIRequirement can theEW approve it? Anapplicant/beneficiarythat is requesting oralready has ___benefits is required toprovide a SSN.Redeterminations toverify monetaryamounts of veterans'benefits and VA healthenrollment for newapplicants and currentMedi-Cal beneficiarieshappen ever _____months (12) If the applicant is otherwiseeligible for Medi-Calpending the requirement toprovide OHC information,the EW will approve theapplication pending therequirement to provideOHC information and followup with the:Medi-Cal applicantsand beneficiaries arerequired to take allaction necessaryto obtain__________What is theMilitaryVerificationand Referralform MC 05 If an applicant hasnot declared that theyhave satisfactory_____status, thenthey are not requiredto provide a SSN.___infants arerequired toprovide a SSNafter they turn 1year of age.• Applicants/beneficiariesclaiming ___ category 16immigration status arenot required to provide aSSN if they don’t haveone. Medicare openenrollmentperiod whichoccurs________T/F When anindividual isgettingtemporary SDI,do we count itas (UAI)What does an EWdo after theapplication hasbeen approvedpending the UAIrequirement?Redeterminations toverify monetaryamounts of veterans'benefits and VA healthenrollment for newapplicants and currentMedi-Cal beneficiarieshappen ever _____months (12) T or F: U.S. militaryveterans, or thespouses/dependents ofU.S. military veterans,are required to applyfor veteran benefitsavailable through theVAName 2individuals thatwill not bereferred to EDDto apply for UIBAn individual'sinitial enrollmentperiod forMedicare is a totalof _ monthsApplicants/beneficiariesclaiming ___ category 16immigration status arenot required to provide aSSN if they don’t haveone. T/F When anindividual isgettingtemporary SDI,do we count itas (UAI)The applicant orbeneficiary did notprovide enoughinformation to addthe OHC to whatrecord:What does an EWdo after theapplication hasbeen approvedpending the UAIrequirement?Medicare openenrollmentperiod whichoccurs________T or F: If the applicant isotherwise eligible for Medi-Cal pending the outcome oftherequirement to apply forveteran benefits, then theEW will approve theapplication pending therequirement to provideveteran's information andfollow up witApplicant/beneficiaryhas _______ fromdate they arenotified of need toapply for Medicare toprovide proof ofMedicare approval ordenial___infants arerequired toprovide a SSNafter they turn 1year of age.Medicare openenrollmentperiod occursfrom ________through________What is aVSO(Veteran'sserviceoffice) Name 2individuals thatwill not bereferred to EDDto apply for UIBApplicant/beneficiaryhas _______ fromdate they arenotified of need toapply for Medicare toprovide proof ofMedicare approval ordenial1. Medi-Calapplicants andbeneficiaries arerequired to take allactions necessaryto obtain__________Some OHCinformation isreceived directlyby DHCS and isstored in theMEDS record inthis system:2. T/F If the applicantis otherwise eligiblefor Medi-Cal but hasnot met the UAIRequirement can theEW approve it? Medicare is afederal healthinsuranceprogram forwhich groups?If the applicant is otherwiseeligible for Medi-Calpending the requirement toprovide OHC information,the EW will approve theapplication pending therequirement to provideOHC information and followup with the:T or F: U.S. militaryveterans, or thespouses/dependents ofU.S. military veterans,are required to applyfor veteran benefitsavailable through theVAEWs are not requiredto obtain what kind ofinformation whenreporting OHC couldendanger anapplicant orbeneficiary or createa barrier to care:T or F: If the applicant isotherwise eligible for Medi-Cal pending the outcome oftherequirement to apply forveteran benefits, then theEW will approve theapplication pending therequirement to provideveteran's information andfollow up witWhat is theMilitaryVerification andReferral formMC 05  

Eligibility Requirements - Call List

(Print) Use this randomly generated list as your call list when playing the game. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


1
o
2
G
3
G
4
N
5
I
6
N N
7
o
8
o
9
B
10
I
11
G
12
N
13
G
14
B
15
I
16
B
17
I
18
N
19
G
20
o
21
B
22
B B
23
N
24
B
25
G
26
N
27
N
28
o
29
N
30
B
31
G
32
o
33
o
34
I
35
B
36
G
37
G
38
o
39
B
40
I
41
I
42
I
43
G
44
B
45
I I
46
o
47
o
48
I
  1. o-Applicants/beneficiaries that are required to provide a SSN, other than deemed infants, have ___ days to provide proof of their SSN or application for SSN.
  2. G-What is a VSO (Veteran's service office)
  3. G-An applicant/beneficiary that is requesting or already has ___ benefits is required to provide a SSN.
  4. N- An individual's initial enrollment period for Medicare is a total of ___ months.
  5. I-Medicare is a federal health insurance program for which groups?
  6. N-
    N-The applicant or beneficiary did not provide enough information to add the OHC to what record:
  7. o- • Applicants/beneficiaries that are required to provide a SSN, other than deemed infants, have ___ days to provide proof of their SSN or application for SSN.
  8. o-EWs are not required to obtain what kind of information when reporting OHC could endanger an applicant or beneficiary or create a barrier to care:
  9. B-Medicare open enrollment period occurs from ________ through ________
  10. I- T/F If the applicant is otherwise eligible for Medi-Cal but has not met the UAI Requirement can the EW approve it?
  11. G-An applicant/beneficiary that is requesting or already has ___ benefits is required to provide a SSN.
  12. N-Redeterminations to verify monetary amounts of veterans' benefits and VA health enrollment for new applicants and current Medi-Cal beneficiaries happen ever _____ months (12)
  13. G-If the applicant is otherwise eligible for Medi-Cal pending the requirement to provide OHC information, the EW will approve the application pending the requirement to provide OHC information and follow up with the:
  14. B-Medi-Cal applicants and beneficiaries are required to take all action necessary to obtain __________
  15. I-What is the Military Verification and Referral form MC 05
  16. B-If an applicant has not declared that they have satisfactory _____status, then they are not required to provide a SSN.
  17. I-___infants are required to provide a SSN after they turn 1 year of age.
  18. N- • Applicants/beneficiaries claiming ___ category 16 immigration status are not required to provide a SSN if they don’t have one.
  19. G- Medicare open enrollment period which occurs ________
  20. o-T/F When an individual is getting temporary SDI, do we count it as (UAI)
  21. B-What does an EW do after the application has been approved pending the UAI requirement?
  22. B-
    B-
  23. N-Redeterminations to verify monetary amounts of veterans' benefits and VA health enrollment for new applicants and current Medi-Cal beneficiaries happen ever _____ months (12)
  24. B-T or F: U.S. military veterans, or the spouses/dependents of U.S. military veterans, are required to apply for veteran benefits available through the VA
  25. G-Name 2 individuals that will not be referred to EDD to apply for UIB
  26. N- An individual's initial enrollment period for Medicare is a total of _ months
  27. N-Applicants/beneficiaries claiming ___ category 16 immigration status are not required to provide a SSN if they don’t have one.
  28. o-T/F When an individual is getting temporary SDI, do we count it as (UAI)
  29. N-The applicant or beneficiary did not provide enough information to add the OHC to what record:
  30. B-What does an EW do after the application has been approved pending the UAI requirement?
  31. G- Medicare open enrollment period which occurs ________
  32. o-T or F: If the applicant is otherwise eligible for Medi-Cal pending the outcome of the requirement to apply for veteran benefits, then the EW will approve the application pending the requirement to provide veteran's information and follow up wit
  33. o-Applicant/beneficiary has _______ from date they are notified of need to apply for Medicare to provide proof of Medicare approval or denial
  34. I-___infants are required to provide a SSN after they turn 1 year of age.
  35. B-Medicare open enrollment period occurs from ________ through ________
  36. G-What is a VSO (Veteran's service office)
  37. G-Name 2 individuals that will not be referred to EDD to apply for UIB
  38. o-Applicant/beneficiary has _______ from date they are notified of need to apply for Medicare to provide proof of Medicare approval or denial
  39. B- 1. Medi-Cal applicants and beneficiaries are required to take all actions necessary to obtain __________
  40. I-Some OHC information is received directly by DHCS and is stored in the MEDS record in this system:
  41. I- 2. T/F If the applicant is otherwise eligible for Medi-Cal but has not met the UAI Requirement can the EW approve it?
  42. I-Medicare is a federal health insurance program for which groups?
  43. G-If the applicant is otherwise eligible for Medi-Cal pending the requirement to provide OHC information, the EW will approve the application pending the requirement to provide OHC information and follow up with the:
  44. B-T or F: U.S. military veterans, or the spouses/dependents of U.S. military veterans, are required to apply for veteran benefits available through the VA
  45. I-
    I-
  46. o-EWs are not required to obtain what kind of information when reporting OHC could endanger an applicant or beneficiary or create a barrier to care:
  47. o-T or F: If the applicant is otherwise eligible for Medi-Cal pending the outcome of the requirement to apply for veteran benefits, then the EW will approve the application pending the requirement to provide veteran's information and follow up wit
  48. I-What is the Military Verification and Referral form MC 05