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Screening & Screening & EligibilityEligibility
JeopardyJeopardy
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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
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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…..?
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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
BCCC
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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?
Daily DoubleDaily Double
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When a…..?When a…..?
Client is seeking Client is seeking family planningfamily planning
or or maternity servicesmaternity services
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Title V/PHC PotpourriTitle X/XX Title V/PHCBCCC
ELIGIBILITY JEOPARDYELIGIBILITY JEOPARDY
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Title V/PHC for $300Title V/PHC for $300
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…..?
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An An updatedupdated current eligibility current eligibility form to reflect new family form to reflect new family
size.size.
Title V/PHC for Title V/PHC for $300$300
What is…..?What is…..?
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Title V/PHC PotpourriTitle X/XX Title V/PHCBCCC
ELIGIBILITY JEOPARDYELIGIBILITY JEOPARDY
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Title V/PHC for $500Title V/PHC for $500
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…..?
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185% FPL for Title V185% FPL for Title V150% FPL for PHC150% FPL for PHC
Title V/PHC for Title V/PHC for $500$500
What is…..?What is…..?
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Title V/PHC PotpourriTitle X/XX Title V/PHCBCCC
ELIGIBILITY JEOPARDYELIGIBILITY JEOPARDY
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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…..?
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250% FPL250% FPL
Title X/XX for Title X/XX for $100$100
What is…..?What is…..?
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Title V/PHC PotpourriTitle X/XX Title V/PHCBCCC
ELIGIBILITY JEOPARDYELIGIBILITY JEOPARDY
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Title X/XX for $200Title X/XX for $200
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…..?
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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.
Title X/XX for Title X/XX for $200$200
What is…..?What is…..?
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Title V/PHC PotpourriTitle X/XX Title V/PHCBCCC
ELIGIBILITY JEOPARDYELIGIBILITY JEOPARDY
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Title X/XX for $500Title X/XX for $500
What two components are used to determine whether a person is eligible or not?
What is…..?
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Income and Family SizeIncome and Family Size
Title X/XX for Title X/XX for $500$500
What is…..?What is…..?
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Title V/PHC PotpourriTitle X/XX Title V/PHCBCCC
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Daily DoubleDaily Double
What is the FPL for Breast & Cervical Cancer Control eligibility?
Daily DoubleDaily Double
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What is ...?What is ...?
200% of FPL200% of FPL
Daily DoubleDaily Double
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Title V/PHC PotpourriTitle X/XX Title V/PHCBCCC
ELIGIBILITY JEOPARDYELIGIBILITY JEOPARDY
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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…..?
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Women ages 18-64.Women ages 18-64.
BCCC for $200BCCC for $200
What is…..?What is…..?
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Title V/PHC PotpourriTitle X/XX Title V/PHCBCCC
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BCCC for $300BCCC for $300
What is the reason that women who receive Medicaid are not
eligible for BCCC?
What is…..?
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Another source of payment.Another source of payment.
BCCC for $300BCCC for $300
What is…..?What is…..?
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Title V/PHC PotpourriTitle X/XX Title V/PHCBCCC
ELIGIBILITY JEOPARDYELIGIBILITY JEOPARDY
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Title V/PHC for $100Title V/PHC for $100
What forms are required for annual What forms are required for annual recertification?recertification?
What are...?
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Screening DocumentScreening DocumentEligibility Determination Eligibility Determination Form; and Rights and Form; and Rights and Responsiblities FormResponsiblities Form
Title V/PHC for Title V/PHC for $100$100
What are…..?What are…..?
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Title V/PHC PotpourriTitle X/XX Title V/PHCBCCC
ELIGIBILITY JEOPARDYELIGIBILITY JEOPARDY
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Title V/PHC for $300Title V/PHC for $300
In addition to the FPL, what other differences are there between Title
V and PHC?
What is…..?
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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.
Title V/PHC for Title V/PHC for $300$300
What is…..?What is…..?
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Title V/PHC PotpourriTitle X/XX Title V/PHCBCCC
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Title V/PHC for $500Title V/PHC for $500
What methods may an eligible client use to report changes to income, residence, family composition, employment, etc.?
What is ...?
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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.
Title V/PHC for Title V/PHC for $500$500
What is ...?What is ...?
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Title V/PHC PotpourriTitle X/XX Title V/PHCBCCC
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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...?
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200% FPL200% FPL
Potpourri for $100Potpourri for $100
What is ...?What is ...?
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Title V/PHC PotpourriTitle X/XX Title V/PHCBCCC
ELIGIBILITY JEOPARDYELIGIBILITY JEOPARDY
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Potpourri for $200Potpourri for $200
When would a client use When would a client use
presumptive eligibility?presumptive eligibility?
When ...?
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There is an immediate There is an immediate medical need prior to medical need prior to eligibility completion.eligibility completion.
Potpourri for $200Potpourri for $200
When ...?When ...?
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Title V/PHC PotpourriTitle X/XX Title V/PHCBCCC
ELIGIBILITY JEOPARDYELIGIBILITY JEOPARDY
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Potpourri for $300Potpourri for $300
What is the maximum co-payment a
client can be charged for PHC??
What is…..?
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No more than 25% of the No more than 25% of the total cost of services. total cost of services.
Potpourri for $300Potpourri for $300
What is…..?What is…..?
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Title V/PHC PotpourriTitle X/XX Title V/PHCBCCC
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Potpourri for $400Potpourri for $400
What type of residency is required What type of residency is required
for Epilepsy program eligibility?for Epilepsy program eligibility?
What is...?
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Texas ResidencyTexas Residency
Potpourri for $400Potpourri for $400
What is ...?What is ...?
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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?
Final JeopardyFinal Jeopardy
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What is…..?What is…..?
Final JeopardyFinal Jeopardy
Epilepsy, PHC and
Title XX only
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Thank youThank you for playingfor playing
Eligibility Eligibility JeopardyJeopardy
