Maricopa Community Colleges  HSA101   19962-20062 
Official Course Description: MCCCD Approval: 10/24/95
HSA101 19962-20062 LEC 1 Credit(s) 1 Period(s)
Medical Assistance Customer Service
An examination of Federal, State and county government agencies and the Arizona Health Care Cost Containment System (AHCCCS). Basic application and verifications processes introduced. Prerequisites: None.
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MCCCD Official Course Competencies:
 
HSA101   19962-20062 Medical Assistance Customer Service
1. Identify the philosophy and goals of a medical assistance program. (I)
2. Identify specific reference aids and their uses. (II)
3. Explain the role of the Federal, State and County government agencies and the involvement of the Arizona Health Care Cost Containment System (AHCCCS) program and their services. (III)
4. Examine the components of AHCCCS and its services. (IV)
5. Identify information regarding applicants that is considered confidential and must be safeguarded. (IV)
6. Explain the basic application process. (V)
7. Identify persons eligible to complete applications. (V)
8. Compare and contrast routine and priority applications. (V)
9. Explain the 3-step verification process. (VI)
10. Identify the criteria for valid documentation. (VI)
11. Identify the criteria required to complete a collateral call. (VI)
12. Describe the basic use and information required for the Member's Declaration. (VI)
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MCCCD Official Course Outline:
 
HSA101   19962-20062 Medical Assistance Customer Service
    I. Philosophy
        A. Mission
        B. Vision
        C. Values
        D. Charter
      II. References
          A. State Manuals
          B. Desk Aids
          C. ELM Book
        III. Participating Organizations
            A. Federal Government
            B. State Government
            C. County Government
          IV. Arizona Health Care Cost Containment System (AHCCCS)
              A. Residency
              B. Property and Resources
              C. Income
              D. Households
              E. Verification Process
              F. Application and Determination
              G. Change Control
              H. Priority Application and Emergency Services
              I. Fraud and Abuse
              J. Citizenship and Alien Status
              K. Redetermination
              L. Eligibility
                1. Determination
                2. Appeals
                3. Overview
              M. Auto Assignment
              N. Confidentiality
                1. Disclosure of Information
                2. Confidential Information
                3. Release of Information
                4. Law Enforcement Changes
              O. Interim Changes
              P. Immediate Discountenances
              Q. Participating Organizations
              R. Types of Assistance
            V. Application Process
                A. Forms
                B. Screening
                C. Interview
                D. Priority Applications
                  1. Hospitals
                  2. Health Care Providers
                  3. Emergency Service Applicant
                E. Application Date
                F. Notice of Termination
                G. Eligibility to Complete Applications
                  1. Head of Household
                  2. Spouse
                  3. Categorical - Categorical Specified Relative
                  4. Emancipated Minor
                  5. Unwed Pregnant Minor Living With those Not Responsible for Her Support
                  6. Specified Relatives
                  7. Designated Representatives
                  8. On Behalf of Incapacitated or Deceased Applicants
                H. Power of Attorney
                I. Sixth Omnibus Budget Reconciliation Act (SOBRA) Referrals
                J. Correcting Information
                K. Determinations
              VI. 3-Step Verification Process
                  A. Documented Verification
                    1. Date
                    2. Third Party Source Identification
                    3. Household Member Identification
                    4. Information Verifying Factor
                    5. Third Party Knowledge
                  B. Collateral Calls
                    1. Purpose
                    2. Criteria
                    3. Successful Calls
                  C. Member's Declaration
                    1. Purposes
                    2. Required Information
                    3. Exceptions
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