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*Course Date: 
April 30, 2012
May 21, 2012
June 25, 2012
August 27, 2012
September 24 2012
October 29 2012
December 10, 2012

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*Primary Affiliation: County Health Department Community-Based Organization DOH Headquarters Other

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Learning Objectives
• Knowledge of Rule 64D-4 and Florida Statues related to eligibility
• Components of determining eligibility including required forms
• Documentations required to determine eligibility    

Pretest

MULTIPLE CHOICE - Select the correct answer

1. Known as the “eligibility rule” for HIV/AIDS patient Care Programs.

2. Which of the following HIV/AIDS Patient Care programs provides services not included under the eligibility rule authority?

3. ___________ is an agency of the Department of Health and Human Services that is the primary federal agency for improving access to health care services for uninsured, isolated, or medically vulnerable persons.

4. Department of Health form that authorizes use of client health information for the purposes of treatment, payment, and health care operations.

5. Which of the following is not an eligibility requirement under Rule 64D-4.

6. This form is required to be used by eligibility staff during the initial enrollment to collect client data.

7. How often an “application” is required to be completed by the client.

8. How often must eligibility re-determination be completed?

9. Which is not considered an acceptable type of lab test for establishing proof of HIV for Patient Care program eligibility?

10. Which of the following is allowed as proof of living in Florida?

11. Clients are required to take proof of Medicaid denial to enroll in ADAP.

12. All clients MUST apply for Medicaid in order to access Part B services?

13. Clients receiving Medicare must enroll in a Medicare Part D plan.

14. All clients receiving Medicare Part D MUST apply for the low-income subsidy.

15. This program is for Medicare Part D clients who have incomes between 135%-150% of the Federal Poverty Level (FPL) and provides clients with assistance in the payment of their out-of-pocket Medicare Part D Pharmacy and deductible expenses.

16. Which documentation is not allowed as proof of income?

17. Which of the following is not a required form to be completed at each six month
re-certification?

18. Which of the following is a core medical service, as defined by HRSA?