Support Planner (SP) Eligibility Codes Quiz

Which eligibility code is assigned to participants in Home & Community-Based Waivers (HCBS) and PACE programs?

• S02

• H01

• A02

• C01

A participant losing SSI but continuing in an HCBS Waiver program would have which eligibility code?

• S02

• H98

• A02

• C99

The Community First Choice (CFC) program serves individuals under which eligibility code?

• C01

• S02

• H01

• W00

Which eligibility code applies to Community Personal Assistance Services (CPAS) participants?

• W01

• C02

• A02

• H02

A participant in the Community Options (CO) Waiver program will typically have which eligibility code?

• W01

• C01

• H01

• T99

Which of the following statements about CPAS eligibility is correct?

• CPAS is only available to individuals under age 21

• CPAS participants must meet financial and functional eligibility criteria

• CPAS provides temporary Medicaid coverage for hospital stays

• CPAS requires participants to be dually eligible for Medicaid and Medicare

Participants in the HCBS Waiver (CO Waiver) program must meet both financial and medical eligibility criteria.

• True

• False

Community First Choice (CFC) eligibility is dependent on a participant’s need for assistance with Activities of Daily Living (ADLs).

• True

• False

An individual can be enrolled in both CPAS and the CO Waiver at the same time.

• True

• False

If a participant’s Medicaid eligibility changes, the Support Planner must verify their new eligibility code and update the Plan of Service if needed.

• True

• False