Medicare openenrollmentperiod occursfrom ________through________Applicant/beneficiaryhas _______ fromdate they arenotified of need toapply for Medicare toprovide proof ofMedicare approval ordenialWhat does an EWdo after theapplication hasbeen approvedpending the UAIrequirement?___infants arerequired toprovide a SSNafter they turn 1year of age.___infants arerequired toprovide a SSNafter they turn 1year of age.Name 2individuals thatwill not bereferred to EDDto apply for UIBName 2individuals thatwill not bereferred to EDDto apply for UIB1. Medi-Calapplicants andbeneficiaries arerequired to take allactions necessaryto obtain__________Medicare openenrollmentperiod whichoccurs________Anapplicant/beneficiarythat is requesting oralready has ___benefits is required toprovide a SSN.An individual'sinitial enrollmentperiod forMedicare is a totalof _ monthsAnapplicant/beneficiarythat is requesting oralready has ___benefits is required toprovide a SSN.EWs are not requiredto obtain what kind ofinformation whenreporting OHC couldendanger anapplicant orbeneficiary or createa barrier to care:• Applicants/beneficiariesthat are required to providea SSN, other than deemedinfants, have ___ days toprovide proof of their SSNor application for SSN.  Applicants/beneficiariesthat are required toprovide a SSN, otherthan deemed infants,have ___ days to provideproof of their SSN orapplication for 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/F If the applicant isotherwise eligible forMedi-Cal but has notmet the UAIRequirement can theEW approve it? 2. T/F If the applicantis otherwise eligiblefor Medi-Cal but hasnot met the UAIRequirement can theEW approve it? What is theMilitaryVerificationand Referralform MC 05 What is aVSO(Veteran'sserviceoffice) Some OHCinformation isreceived directlyby DHCS and isstored in theMEDS record inthis system:The applicant orbeneficiary did notprovide enoughinformation to addthe OHC to whatrecord:Applicants/beneficiariesclaiming ___ category 16immigration status arenot required to provide aSSN if they don’t haveone. If 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)Medicare is afederal healthinsuranceprogram forwhich groups?T/F When anindividual isgettingtemporary SDI,do we count itas (UAI)Medicare openenrollmentperiod occursfrom ________through________Redeterminations toverify monetaryamounts of veterans'benefits and VA healthenrollment for newapplicants and currentMedi-Cal beneficiarieshappen ever _____months (12) The applicant orbeneficiary did notprovide enoughinformation to addthe OHC to whatrecord:Medi-Cal applicantsand beneficiaries arerequired to take allaction necessaryto obtain__________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 witMedicare is afederal healthinsuranceprogram forwhich groups?T or F: U.S. militaryveterans, or thespouses/dependents ofU.S. military veterans,are required to applyfor veteran benefitsavailable through theVAIf 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:What is aVSO(Veteran'sserviceoffice) Applicant/beneficiaryhas _______ fromdate they arenotified of need toapply for Medicare toprovide proof ofMedicare approval ordenialT 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) An individual'sinitial enrollmentperiod forMedicare is a totalof ___ months.• Applicants/beneficiariesclaiming ___ category 16immigration status arenot required to provide aSSN if they don’t haveone. What does an EWdo after theapplication hasbeen approvedpending the UAIrequirement?EWs are not requiredto obtain what kind ofinformation whenreporting OHC couldendanger anapplicant orbeneficiary or createa barrier to care:What is theMilitaryVerification andReferral formMC 05  T or F: U.S. militaryveterans, or thespouses/dependents ofU.S. military veterans,are required to applyfor veteran benefitsavailable through theVAMedicare openenrollmentperiod whichoccurs________Medicare openenrollmentperiod occursfrom ________through________Applicant/beneficiaryhas _______ fromdate they arenotified of need toapply for Medicare toprovide proof ofMedicare approval ordenialWhat does an EWdo after theapplication hasbeen approvedpending the UAIrequirement?___infants arerequired toprovide a SSNafter they turn 1year of age.___infants arerequired toprovide a SSNafter they turn 1year of age.Name 2individuals thatwill not bereferred to EDDto apply for UIBName 2individuals thatwill not bereferred to EDDto apply for UIB1. Medi-Calapplicants andbeneficiaries arerequired to take allactions necessaryto obtain__________Medicare openenrollmentperiod whichoccurs________Anapplicant/beneficiarythat is requesting oralready has ___benefits is required toprovide a SSN.An individual'sinitial enrollmentperiod forMedicare is a totalof _ monthsAnapplicant/beneficiarythat is requesting oralready has ___benefits is required toprovide a SSN.EWs are not requiredto obtain what kind ofinformation whenreporting OHC couldendanger anapplicant orbeneficiary or createa barrier to care:• Applicants/beneficiariesthat are required to providea SSN, other than deemedinfants, have ___ days toprovide proof of their SSNor application for SSN.  Applicants/beneficiariesthat are required toprovide a SSN, otherthan deemed infants,have ___ days to provideproof of their SSN orapplication for 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/F If the applicant isotherwise eligible forMedi-Cal but has notmet the UAIRequirement can theEW approve it? 2. T/F If the applicantis otherwise eligiblefor Medi-Cal but hasnot met the UAIRequirement can theEW approve it? What is theMilitaryVerificationand Referralform MC 05 What is aVSO(Veteran'sserviceoffice) Some OHCinformation isreceived directlyby DHCS and isstored in theMEDS record inthis system:The applicant orbeneficiary did notprovide enoughinformation to addthe OHC to whatrecord:Applicants/beneficiariesclaiming ___ category 16immigration status arenot required to provide aSSN if they don’t haveone. If 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)Medicare is afederal healthinsuranceprogram forwhich groups?T/F When anindividual isgettingtemporary SDI,do we count itas (UAI)Medicare openenrollmentperiod occursfrom ________through________Redeterminations toverify monetaryamounts of veterans'benefits and VA healthenrollment for newapplicants and currentMedi-Cal beneficiarieshappen ever _____months (12) The applicant orbeneficiary did notprovide enoughinformation to addthe OHC to whatrecord:Medi-Cal applicantsand beneficiaries arerequired to take allaction necessaryto obtain__________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 witMedicare is afederal healthinsuranceprogram forwhich groups?T or F: U.S. militaryveterans, or thespouses/dependents ofU.S. military veterans,are required to applyfor veteran benefitsavailable through theVAIf 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:What is aVSO(Veteran'sserviceoffice) Applicant/beneficiaryhas _______ fromdate they arenotified of need toapply for Medicare toprovide proof ofMedicare approval ordenialT 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) An individual'sinitial enrollmentperiod forMedicare is a totalof ___ months.• Applicants/beneficiariesclaiming ___ category 16immigration status arenot required to provide aSSN if they don’t haveone. What does an EWdo after theapplication hasbeen approvedpending the UAIrequirement?EWs are not requiredto obtain what kind ofinformation whenreporting OHC couldendanger anapplicant orbeneficiary or createa barrier to care:What is theMilitaryVerification andReferral formMC 05  T or F: U.S. militaryveterans, or thespouses/dependents ofU.S. military veterans,are required to applyfor veteran benefitsavailable through theVAMedicare openenrollmentperiod whichoccurs________

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