michigan medicaid/chip coverage renewal process training...questions in the online application and...
TRANSCRIPT
Michigan Medicaid/CHIP Coverage
Renewal Process Training
April 29, 2015 | 8:30 am – 9:30 am
In order to hear the presentation please call
+1 (415) 655-0051, access code 671-450-794
All Participant Phone Lines are Muted at This Time
Technical Support
For technical assistance during the webinar,
use the Chat/Questions Features on the
GoToWebinar Control Panel or
email Lydia Starrs at [email protected]
Renewal Timeline
A Redetermination Notice (DHHS Form 1010) is
generated between the 10th & 17th day of the
11th month of coverage
Completed Redetermination paperwork is due by the first day of the 12th month
of coverage
If Completed Redetermination
paperwork is received by the
due date, a Health Care Coverage
Determination Notice (DHHS Form 1606) will
be sent
If Redetermination
paperwork is incomplete, or if DHS needs more
information, a Verification
Checklist (DHHS Form 3503) will
be sent
All requests for verification must be returned to DHHS by the end of the 12th
month of coverage
If DHHS cannot make a
determination using data
matching and current proofs, coverage will be terminated on the last day of the 12th month
of coverage
Redetermination Notice
A Redetermination Notice
(DHHS Form 1010) is
generated between the
10th & 17th day of the 11th
month of coverage
Beneficiaries will receive
the notice in the mail and
in their MI Bridges
accounts
Redetermination Notice, Continued
The redetermination month is based on
the date the beneficiary was enrolled in
coverage
Example:
A consumer applied for coverage on April 13, 2014 and was approved on
May 5, 2014. Their coverage start date was April 1, 2014. DHHS will send
the redetermination notice in February 2015. The redetermination
paperwork will be due on March 1, 2015.
If a client receives an additional
benefit(s) (i.e. food, cash etc.), the
health care coverage may be
renewed at the time of the other
benefit(s) redetermination.
Completing Renewal
Clients can complete renewal online in their MI Bridges account or by completing and returning the renewal paperwork (DHHS 1010) to their DHHS Specialist.
The due date is listed on the first page of the renewal letter and forms. If more time is needed, the client can contact the DHHS Specialist and request an extension.
◦ A Specialist can grant up to two 10 day extensions; however the client may not be notified that the request was granted.
Guidance for Completing Renewal
Encourage clients to complete their renewal online in their MI Bridges accounts ◦ Clients do not need to upload verification for
questions that do not pertain to their benefit renewal
Example:
If a client is uncomfortable answering questions in the online application and does not want to renew online, encourage them to complete the DHHS 1010 paper form
Clients do not need to submit asset verifications if they are renewing a
MAGI based program, but they will be required to answer the question in
the online renewal
The DHHS 1010 Paper Form
Clients may choose to fill out the DHHS 1010 paper
form and mail the completed form with copies of
proofs
If you are assisting with this process, there are a few
things to keep in mind:
• Make sure clients are aware of the due date and the time required to gather proofs and return the form
• Suggest hand delivering, faxing or emailing the completed form to the local office if the deadline is quickly approaching
• Assist the client with requesting an extension to complete and return the form if they are not able to meet the deadline
Complete the Paper Form
John Doe 01/01/1990 Self 123456789
Household member details will be pre-populated in section one
The client should confirm the information is correct and add any missing members
Section 1:
DHHS 1010: Sections 2-5
Clients reapplying for health care coverage
only will complete sections 2-5 of the
redetermination form and skip sections 6 & 7
◦ Section 2 = Pregnancy
◦ Section 3 = American Indian or Alaska Native
Family Member
◦ Section 4 = Federal Tax Filing Information
Section 4 will have prepopulated information
◦ Section 5 = Deductions
DHHS 1010: Sections 8 & 9
Section 8: Medical Insurance Coverage
Section 9: Assets
DHHS 1010 Final Questions Clients renewing health care coverage only, do not need
to answer the “Home Heating Credit” or “Information
DHHS Needs to Know” questions.
Be prepared to explain the “Renewal of Coverage in
Future Years” question ◦ DHHS is moving towards a passive/administrative re-enrollment
process
◦ Clients can choose to be automatically renewed for up to 5
years
◦ Inform clients the may receive communication from the
Marketplace in the future if they move out of Medicaid eligibility
Looking Ahead: Administrative Renewal Education
Medicaid Beneficiaries will receive a Pre-populated Renewal Form
If determined to still be eligible for Medicaid, the consumer is re-enrolled
If no longer eligible for Medicaid, the consumer is assessed for other coverage and account
information is transferred
If form does not list correct information, the consumer must contact DHHS to correct and
verify their household information
Verifications
Clients can upload verification documentation into their MI Bridges account, mail, email or hand deliver copies.
If the client does not return all the verifications needed to complete renewal, they will receive a Verification Checklist (DHHS Form 3503)
No Longer HMP Eligible?
If the client is denied HMP
coverage at renewal, DHHS will
send a Health Coverage
Supplemental Questionnaire
(DHHS Form 1004) to screen
the client for other Medicaid
programs
If the client is not eligible for any
Medicaid program, DHHS will
transfer the client’s case information
to the Marketplace
The Marketplace will send a letter
to the client when they receive the
account transfer
Resources for Renewal Education
MPCA enrollment
worksheets
The MPCA
Medicaid Renewal
Guide
Medicaid Renewal
Infographic
MIcoverage.org
www.mpca.net/oetoolkit
Questions?
Julie Tatko
Enabling Services Director
517.827.0882
Lydia Starrs
Enabling Services Specialist
517.827.0886