MARYLAND HEALTH CONNECTION TEST QUESTIONS AND
ANSWERS
How long does the system have to submit proof of income for QHP? - CORRECT ANSWER✅✅✅90
Days
An explanation of the right to appeal and instructions on how to do so - CORRECT
ANSWER✅✅✅Eligibility Determination Notice
Consumers submit verification documents using which methods? - CORRECT ANSWER✅✅✅Take in
person to consumer assistance worker, fax , and mail a copy of document.
Consumers must scan through the MHC system and submit documents by - CORRECT
ANSWER✅✅✅take in person, by mail, and upload to account
Who does the consumer need to contact to receive assistance with appealing - CORRECT
ANSWER✅✅✅Health Education and Advocacy Unit (HEAU)
How many days to appeal from Medicaid - CORRECT ANSWER✅✅✅10 Days
How many days to appeal from QHP - CORRECT ANSWER✅✅✅90 Days
Five life events that will affect coverage and should be reported immediately - CORRECT
ANSWER✅✅✅Birth/Adoption, Released from incarceration, Change in income, change in
immigration status, and marriage/divorce
Do All taxable household members need to be included in the application whether they are enrolled in
coverage or not ? - CORRECT ANSWER✅✅✅True
After enrollment, How do they make their initial premium payments/initial payments ? - CORRECT
ANSWER✅✅✅All payments are made directly to the insurance carrier
, Cost sharing reductions apply to which metal level? - CORRECT ANSWER✅✅✅Silver
SADP? - CORRECT ANSWER✅✅✅Stand Alone Dental Plan
Can a parent purchase a SADP for a child even though the child will automatically be offered dental
coverage through the QHP? - CORRECT ANSWER✅✅✅True
Can you go without dental coverage ? - CORRECT ANSWER✅✅✅Yes
DPPO - CORRECT ANSWER✅✅✅when you can go to any doctor even out of state.
DHMO - CORRECT ANSWER✅✅✅When you can only go to the doctors within your company
DHMO value? - CORRECT ANSWER✅✅✅70%
DPPO value? - CORRECT ANSWER✅✅✅85%
Name of the Medicaid dental program for children and pregnant women? - CORRECT
ANSWER✅✅✅Maryland Healthy Smiles
Failure to pay your SADP monthly premium will result in ? - CORRECT ANSWER✅✅✅Termination of
policy
HIPPA rules protect ? and Secure? what information - CORRECT ANSWER✅✅✅Privacy and Personal
Unauthorized disclosure of PHI is ground rules for? - CORRECT ANSWER✅✅✅Termination
You protect Protected Health Information By? - CORRECT ANSWER✅✅✅Locking your computer,
Don't discuss PHI in public, and store PHI in desk drawers when away.
ANSWERS
How long does the system have to submit proof of income for QHP? - CORRECT ANSWER✅✅✅90
Days
An explanation of the right to appeal and instructions on how to do so - CORRECT
ANSWER✅✅✅Eligibility Determination Notice
Consumers submit verification documents using which methods? - CORRECT ANSWER✅✅✅Take in
person to consumer assistance worker, fax , and mail a copy of document.
Consumers must scan through the MHC system and submit documents by - CORRECT
ANSWER✅✅✅take in person, by mail, and upload to account
Who does the consumer need to contact to receive assistance with appealing - CORRECT
ANSWER✅✅✅Health Education and Advocacy Unit (HEAU)
How many days to appeal from Medicaid - CORRECT ANSWER✅✅✅10 Days
How many days to appeal from QHP - CORRECT ANSWER✅✅✅90 Days
Five life events that will affect coverage and should be reported immediately - CORRECT
ANSWER✅✅✅Birth/Adoption, Released from incarceration, Change in income, change in
immigration status, and marriage/divorce
Do All taxable household members need to be included in the application whether they are enrolled in
coverage or not ? - CORRECT ANSWER✅✅✅True
After enrollment, How do they make their initial premium payments/initial payments ? - CORRECT
ANSWER✅✅✅All payments are made directly to the insurance carrier
, Cost sharing reductions apply to which metal level? - CORRECT ANSWER✅✅✅Silver
SADP? - CORRECT ANSWER✅✅✅Stand Alone Dental Plan
Can a parent purchase a SADP for a child even though the child will automatically be offered dental
coverage through the QHP? - CORRECT ANSWER✅✅✅True
Can you go without dental coverage ? - CORRECT ANSWER✅✅✅Yes
DPPO - CORRECT ANSWER✅✅✅when you can go to any doctor even out of state.
DHMO - CORRECT ANSWER✅✅✅When you can only go to the doctors within your company
DHMO value? - CORRECT ANSWER✅✅✅70%
DPPO value? - CORRECT ANSWER✅✅✅85%
Name of the Medicaid dental program for children and pregnant women? - CORRECT
ANSWER✅✅✅Maryland Healthy Smiles
Failure to pay your SADP monthly premium will result in ? - CORRECT ANSWER✅✅✅Termination of
policy
HIPPA rules protect ? and Secure? what information - CORRECT ANSWER✅✅✅Privacy and Personal
Unauthorized disclosure of PHI is ground rules for? - CORRECT ANSWER✅✅✅Termination
You protect Protected Health Information By? - CORRECT ANSWER✅✅✅Locking your computer,
Don't discuss PHI in public, and store PHI in desk drawers when away.
