1. Medi-Calapplicants andbeneficiaries arerequired to take allactions necessaryto obtain__________EWs are not requiredto obtain what kind ofinformation whenreporting OHC couldendanger anapplicant orbeneficiary or createa barrier to care:EWs are not requiredto obtain what kind ofinformation whenreporting OHC couldendanger anapplicant orbeneficiary or createa barrier to care:Anapplicant/beneficiarythat is requesting oralready has ___benefits is required toprovide a SSN.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: 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 witRedeterminations toverify monetaryamounts of veterans'benefits and VA healthenrollment for newapplicants and currentMedi-Cal beneficiarieshappen ever _____months (12) Medicare is afederal healthinsuranceprogram forwhich groups?Applicants/beneficiariesclaiming ___ category 16immigration status arenot required to provide aSSN if they don’t haveone. Medicare openenrollmentperiod occursfrom ________through________Applicant/beneficiaryhas _______ fromdate they arenotified of need toapply for Medicare toprovide proof ofMedicare approval ordenialWhat is theMilitaryVerificationand Referralform MC 05 The applicant orbeneficiary did notprovide enoughinformation to addthe OHC to whatrecord:Name 2individuals thatwill not bereferred to EDDto apply for UIBWhat is aVSO(Veteran'sserviceoffice) Medicare openenrollmentperiod occursfrom ________through________An individual'sinitial enrollmentperiod forMedicare is a totalof _ monthsMedi-Cal applicantsand beneficiaries arerequired to take allaction necessaryto obtain__________Name 2individuals thatwill not bereferred to EDDto apply for UIBSome OHCinformation isreceived directlyby DHCS and isstored in theMEDS record inthis system:The applicant orbeneficiary did notprovide enoughinformation to addthe OHC to whatrecord:Medicare openenrollmentperiod whichoccurs________Medicare is afederal healthinsuranceprogram forwhich groups?Redeterminations toverify monetaryamounts of veterans'benefits and VA healthenrollment for newapplicants and currentMedi-Cal beneficiarieshappen ever _____months (12) What does an EWdo after theapplication hasbeen approvedpending the UAIrequirement?Anapplicant/beneficiarythat is requesting oralready has ___benefits is required toprovide a SSN.What is aVSO(Veteran'sserviceoffice) 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:Applicants/beneficiariesthat are required toprovide a SSN, otherthan deemed infants,have ___ days to provideproof of their SSN orapplication for SSN. ___infants arerequired toprovide a SSNafter they turn 1year of age.T or F: U.S. militaryveterans, or thespouses/dependents ofU.S. military veterans,are required to applyfor veteran benefitsavailable through theVAAn individual'sinitial enrollmentperiod forMedicare is a totalof ___ months.What does an EWdo after theapplication hasbeen approvedpending the UAIrequirement?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 witIf an applicant hasnot declared that theyhave satisfactory_____status, thenthey are not requiredto provide a SSN.T/F When anindividual isgettingtemporary SDI,do we count itas (UAI)Applicant/beneficiaryhas _______ fromdate they arenotified of need toapply for Medicare toprovide proof ofMedicare approval ordenialMedicare openenrollmentperiod whichoccurs________• Applicants/beneficiariesthat are required to providea SSN, other than deemedinfants, have ___ days toprovide proof of their SSNor application for SSN.  T/F When anindividual isgettingtemporary SDI,do we count itas (UAI)2. T/F If the applicantis otherwise eligiblefor Medi-Cal but hasnot met the UAIRequirement can theEW approve it? • Applicants/beneficiariesclaiming ___ category 16immigration status arenot required to provide aSSN if they don’t haveone. T/F If the applicant isotherwise eligible forMedi-Cal but has notmet the UAIRequirement can theEW approve it? T or F: U.S. militaryveterans, or thespouses/dependents ofU.S. military veterans,are required to applyfor veteran benefitsavailable through theVA___infants arerequired toprovide a SSNafter they turn 1year of age.What is theMilitaryVerification andReferral formMC 05  1. Medi-Calapplicants andbeneficiaries arerequired to take allactions necessaryto obtain__________EWs are not requiredto obtain what kind ofinformation whenreporting OHC couldendanger anapplicant orbeneficiary or createa barrier to care:EWs are not requiredto obtain what kind ofinformation whenreporting OHC couldendanger anapplicant orbeneficiary or createa barrier to care:Anapplicant/beneficiarythat is requesting oralready has ___benefits is required toprovide a SSN.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: 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 witRedeterminations toverify monetaryamounts of veterans'benefits and VA healthenrollment for newapplicants and currentMedi-Cal beneficiarieshappen ever _____months (12) Medicare is afederal healthinsuranceprogram forwhich groups?Applicants/beneficiariesclaiming ___ category 16immigration status arenot required to provide aSSN if they don’t haveone. Medicare openenrollmentperiod occursfrom ________through________Applicant/beneficiaryhas _______ fromdate they arenotified of need toapply for Medicare toprovide proof ofMedicare approval ordenialWhat is theMilitaryVerificationand Referralform MC 05 The applicant orbeneficiary did notprovide enoughinformation to addthe OHC to whatrecord:Name 2individuals thatwill not bereferred to EDDto apply for UIBWhat is aVSO(Veteran'sserviceoffice) Medicare openenrollmentperiod occursfrom ________through________An individual'sinitial enrollmentperiod forMedicare is a totalof _ monthsMedi-Cal applicantsand beneficiaries arerequired to take allaction necessaryto obtain__________Name 2individuals thatwill not bereferred to EDDto apply for UIBSome OHCinformation isreceived directlyby DHCS and isstored in theMEDS record inthis system:The applicant orbeneficiary did notprovide enoughinformation to addthe OHC to whatrecord:Medicare openenrollmentperiod whichoccurs________Medicare is afederal healthinsuranceprogram forwhich groups?Redeterminations toverify monetaryamounts of veterans'benefits and VA healthenrollment for newapplicants and currentMedi-Cal beneficiarieshappen ever _____months (12) What does an EWdo after theapplication hasbeen approvedpending the UAIrequirement?Anapplicant/beneficiarythat is requesting oralready has ___benefits is required toprovide a SSN.What is aVSO(Veteran'sserviceoffice) 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:Applicants/beneficiariesthat are required toprovide a SSN, otherthan deemed infants,have ___ days to provideproof of their SSN orapplication for SSN. ___infants arerequired toprovide a SSNafter they turn 1year of age.T or F: U.S. militaryveterans, or thespouses/dependents ofU.S. military veterans,are required to applyfor veteran benefitsavailable through theVAAn individual'sinitial enrollmentperiod forMedicare is a totalof ___ months.What does an EWdo after theapplication hasbeen approvedpending the UAIrequirement?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 witIf an applicant hasnot declared that theyhave satisfactory_____status, thenthey are not requiredto provide a SSN.T/F When anindividual isgettingtemporary SDI,do we count itas (UAI)Applicant/beneficiaryhas _______ fromdate they arenotified of need toapply for Medicare toprovide proof ofMedicare approval ordenialMedicare openenrollmentperiod whichoccurs________• Applicants/beneficiariesthat are required to providea SSN, other than deemedinfants, have ___ days toprovide proof of their SSNor application for SSN.  T/F When anindividual isgettingtemporary SDI,do we count itas (UAI)2. T/F If the applicantis otherwise eligiblefor Medi-Cal but hasnot met the UAIRequirement can theEW approve it? • Applicants/beneficiariesclaiming ___ category 16immigration status arenot required to provide aSSN if they don’t haveone. T/F If the applicant isotherwise eligible forMedi-Cal but has notmet the UAIRequirement can theEW approve it? T or F: U.S. militaryveterans, or thespouses/dependents ofU.S. military veterans,are required to applyfor veteran benefitsavailable through theVA___infants arerequired toprovide a SSNafter they turn 1year of age.What 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
B
2
o
3
o
4
G
5
G
6
o
7
N
8
I
9
N
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B
11
o
12
I
13
N
14
G
15
G
16
B
17
N
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B
19
G
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I
21
N N
22
G
23
I
24
N
25
B
26
G
27
I I
28
G
29
G
30
o
31
I
32
B
33
N
34
B
35
o
36
B
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o
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o
39
G
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o
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o
42
B B
43
I
44
N
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I
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B
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I
48
I
  1. B- 1. Medi-Cal applicants and beneficiaries are required to take all actions necessary to obtain __________
  2. 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:
  3. 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:
  4. G-An applicant/beneficiary that is requesting or already has ___ benefits is required to provide a SSN.
  5. 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:
  6. 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
  7. 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)
  8. I-Medicare is a federal health insurance program for which groups?
  9. N-Applicants/beneficiaries claiming ___ category 16 immigration status are not required to provide a SSN if they don’t have one.
  10. B-Medicare open enrollment period occurs from ________ through ________
  11. o-Applicant/beneficiary has _______ from date they are notified of need to apply for Medicare to provide proof of Medicare approval or denial
  12. I-What is the Military Verification and Referral form MC 05
  13. N-The applicant or beneficiary did not provide enough information to add the OHC to what record:
  14. G-Name 2 individuals that will not be referred to EDD to apply for UIB
  15. G-What is a VSO (Veteran's service office)
  16. B-Medicare open enrollment period occurs from ________ through ________
  17. N- An individual's initial enrollment period for Medicare is a total of _ months
  18. B-Medi-Cal applicants and beneficiaries are required to take all action necessary to obtain __________
  19. G-Name 2 individuals that will not be referred to EDD to apply for UIB
  20. I-Some OHC information is received directly by DHCS and is stored in the MEDS record in this system:
  21. N-
    N-The applicant or beneficiary did not provide enough information to add the OHC to what record:
  22. G- Medicare open enrollment period which occurs ________
  23. I-Medicare is a federal health insurance program for which groups?
  24. 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)
  25. B-What does an EW do after the application has been approved pending the UAI requirement?
  26. G-An applicant/beneficiary that is requesting or already has ___ benefits is required to provide a SSN.
  27. I-
    I-
  28. G-What is a VSO (Veteran's service office)
  29. 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:
  30. 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.
  31. I-___infants are required to provide a SSN after they turn 1 year of age.
  32. 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
  33. N- An individual's initial enrollment period for Medicare is a total of ___ months.
  34. B-What does an EW do after the application has been approved pending the UAI requirement?
  35. 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
  36. B-If an applicant has not declared that they have satisfactory _____status, then they are not required to provide a SSN.
  37. o-T/F When an individual is getting temporary SDI, do we count it as (UAI)
  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. G- Medicare open enrollment period which occurs ________
  40. 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.
  41. o-T/F When an individual is getting temporary SDI, do we count it as (UAI)
  42. B-
    B-
  43. 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?
  44. N- • Applicants/beneficiaries claiming ___ category 16 immigration status are not required to provide a SSN if they don’t have one.
  45. I- T/F If the applicant is otherwise eligible for Medi-Cal but has not met the UAI Requirement can the EW approve it?
  46. 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
  47. I-___infants are required to provide a SSN after they turn 1 year of age.
  48. I-What is the Military Verification and Referral form MC 05