Tricare, Medicaid, Workers comp Flashcards
MAGI
Modified adjusted gross income
The federal government provides matching
funds to state Medicaid programs when
certain health care services are?
provided to eligible individuals (e.g., children, disabled, seniors)
ACA extended Medicaid eligibility to adults under 65
with incomes at or below?
138% of federal poverty level
What aspects go into the MAGI?
Adjusted gross rate, non-taxable social security benefits, tax-exempt interest, excluded foreign income
What does the term US national mean?
American Samoa or Commonwealth of the Northern Mariana Islands
Qualified alien
Qualified immigrants entering after Aug. 22, 1996, are generally barred from federal assistance for five years. Different restrictions and limits
apply to qualified immigrants’ eligibility, depending on the immigration category
Whats the name for medicaid in Georgia?
Georgia Gateway
Mandatory Medicaid benefits
MANDATORY benefits include services like inpatient and outpatient hospital services,
physician services, laboratory and x-ray services, and home health services, among others
Optional Medicaid benefits
OPTIONAL benefits
include services like prescription drugs, case management, physical therapy, and
occupational therapy.
Workers comp in Georgia serves,
over a quarter of a million employers in Georgia and over 3.8 million workers
An employee that is injured on the job and is covered by the law,
may be eligible for replacement of a portion of lost wages, medical payments, vocational
rehabilitation services and other
benefits
if you wait more than,
a month to report the injury, you may lose the opportunity to receive benefits
If you’re away from work for more than,
7 days because of your injury, you’re eligible to receive two-thirds of your weekly earnings, up to a maximum of $575 as
a weekly income benefit. Depending on the nature of your injury, you may qualify
to accept this benefit for up to 400 weeks.
Employee can appeal the denial and undergo a process called
adjudication
Adjudication
a dispute resolution process in
which the final determination is made by an impartial person who may not have judicial
powers
