Base Periods for New Applications

Question 1

Angela applies for Medicaid on Aug 15th.

What is the base period?

Answer 1

July

Question 2

Marvin applies for Medicaid on 12/31.

What is the base period?

Answer 2

November

Question 3

Kelly applies for Medicaid on October 1st.
She has a retro need from July.
What income is needed for the retro evaluation?

Answer 3

July

Question 4

Oliver applies for Medicaid on 1/12.
He has a retro need from November.
What income is needed for the retro AND the ongoing evaluation?

Answer 4

November and December

Question 5

Retro budgets ________ income and ongoing budgets ________ income

Answer 5

actual/projected (converted)

Question 6

Helen applies for Medicaid on 5/15. 
She has a retro need from April. 
She provided you with her 3 check stubs from April... 4/1     $345   
4/15  $452  
4/29  $400 
What is the retro income? 
What is the ongoing income?

Answer 6

$1,197/$857.85

Question 7

True or False:

When an applicant is over income for retro, using actual income, evaluate for a deductible.

Answer 7

True

Question 8

True or False:
To determine eligibility for ongoing FCM, budget income that is current and representative.

To determine eligibility for retro FCM, budget ACTUAL income.

Answer 8

True

Question 9

Davis applies for Medicaid on 11/15.
He provides one check stub from October and one from November.
Is this income acceptable to determine his ongoing Medicaid eligibility?

Answer 9

Yes, as long as its’ current and representative.

Question 10

Marcy applies for Medicaid on 2/13. 
She has a retro need from January. 
TWN has the following: 
1/13 $1,500 and 
1/27 $1,500. 
What is the retro and ongoing budget?

Answer 10

$3,000/$3,225