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Screening & Screening & EligibilityEligibility

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Title V/PHCTitle V/PHC PotpourriPotpourriTitle X/XXTitle X/XX Title V/PHCTitle V/PHCBCCCBCCC

ELIGIBILITY JEOPARDYELIGIBILITY JEOPARDY

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PotpourPotpourriri

Title V/PHCTitle V/PHC

ELIGIBILITY JEOPARDYELIGIBILITY JEOPARDYTitle V/PHCTitle V/PHC Title X/XXTitle X/XX BCCCBCCC

Title V/PHC for $100Title V/PHC for $100

What type of residency is required for What type of residency is required for Title V or PHC eligibility?Title V or PHC eligibility?

What is…..?

Texas residency.Texas residency.

What is…..?What is…..?

Title V/PHC for Title V/PHC for $100$100

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Title V/PHC PotpourriTitle X/XX Title V/PHC

Daily DoubleDaily Double

When is a CHIP client also eligible When is a CHIP client also eligible for Title V services?for Title V services?

When a…..?When a…..?

Client is seeking Client is seeking family planningfamily planning

or or maternity servicesmaternity services

Title V/PHC PotpourriTitle X/XX Title V/PHCBCCC

What forms need to be completed What forms need to be completed when an when an enrolled Title V Family enrolled Title V Family

PlanningPlanning client becomes pregnant? client becomes pregnant?

What is…..?

An An updatedupdated current eligibility current eligibility form to reflect new family form to reflect new family

size.size.

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What is the Federal Poverty Level What is the Federal Poverty Level (FPL) for Title V or PHC services?(FPL) for Title V or PHC services?

What is…..?

185% FPL for Title V185% FPL for Title V150% FPL for PHC150% FPL for PHC

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Title X/XX for $100Title X/XX for $100

What is the FPL for Title X/XX What is the FPL for Title X/XX eligibility? eligibility?

What is…..?

250% FPL250% FPL

Title X/XX for Title X/XX for $100$100

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What is the definition of a Family for What is the definition of a Family for Title X/XX eligibility?Title X/XX eligibility?

What is…..?

A social unit composed of one A social unit composed of one person or two or more persons person or two or more persons living together as a household.living together as a household.

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What two components are used to determine whether a person is eligible or not?

What is…..?

Income and Family SizeIncome and Family Size

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What is the FPL for Breast & Cervical Cancer Control eligibility?

What is ...?What is ...?

200% of FPL200% of FPL

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BCCC for $200BCCC for $200

What is the age group eligible to What is the age group eligible to receive cervical cancer screening?receive cervical cancer screening?

What is…..?

Women ages 18-64.Women ages 18-64.

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What is the reason that women who receive Medicaid are not

eligible for BCCC?

What is…..?

Another source of payment.Another source of payment.

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What forms are required for annual What forms are required for annual recertification?recertification?

What are...?

Screening DocumentScreening DocumentEligibility Determination Eligibility Determination Form; and Rights and Form; and Rights and Responsiblities FormResponsiblities Form

What are…..?What are…..?

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In addition to the FPL, what other differences are there between Title

V and PHC?

What is…..?

Waiving Proof of Family Waiving Proof of Family Composition, Residency, Composition, Residency,

and Income. Title V and Income. Title V agencies may “opt out” of agencies may “opt out” of these requirements and these requirements and PHC agencies may not.PHC agencies may not.

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What methods may an eligible client use to report changes to income, residence, family composition, employment, etc.?

What is ...?

The mail, telephone, in The mail, telephone, in person, or through some one person, or through some one

acting on the individual’s acting on the individual’s behalf.behalf.

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Potpourri for $100Potpourri for $100

What is the FPL for Epilepsy What is the FPL for Epilepsy

eligibility?eligibility?

What is...?

200% FPL200% FPL

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When would a client use When would a client use

presumptive eligibility?presumptive eligibility?

When ...?

There is an immediate There is an immediate medical need prior to medical need prior to eligibility completion.eligibility completion.

When ...?When ...?

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What is the maximum co-payment a

client can be charged for PHC??

What is…..?

No more than 25% of the No more than 25% of the total cost of services. total cost of services.

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What type of residency is required What type of residency is required

for Epilepsy program eligibility?for Epilepsy program eligibility?

What is...?

Texas ResidencyTexas Residency

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Final JeopardyFinal Jeopardy

What DSHS services allow agencies to What DSHS services allow agencies to charge a charge a

co-pay when the client’s income is at or co-pay when the client’s income is at or below 100% FPL?below 100% FPL?

Epilepsy, PHC and

Title XX only

Thank youThank you for playingfor playing

Eligibility Eligibility JeopardyJeopardy

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