MARYLAND HEALTH CONNECTION TEST ACTUAL 2025/26 QUESTIONS WITH
COMPLETE SOLUTIONS.
How long does the system have to submit proof of income for QHP? - (ANSWER)90 Days
An explanation of the right to appeal and instructions on how to do so - (ANSWER)Eligibility
Determination Notice
Consumers submit verification documents using which methods? - (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 - (ANSWER)take in person, by
mail, and upload to account
Who does the consumer need to contact to receive assistance with appealing - (ANSWER)Health
Education and Advocacy Unit (HEAU)
How many days to appeal from Medicaid - (ANSWER)10 Days
How many days to appeal from QHP - (ANSWER)90 Days
Five life events that will affect coverage and should be reported immediately - (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 ? - (ANSWER)True
After enrollment, How do they make their initial premium payments/initial payments ? - (ANSWER)All
payments are made directly to the insurance carrier
Cost sharing reductions apply to which metal level? - (ANSWER)Silver
, MARYLAND HEALTH CONNECTION TEST ACTUAL 2025/26 QUESTIONS WITH
COMPLETE SOLUTIONS.
SADP? - (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? - (ANSWER)True
Can you go without dental coverage ? - (ANSWER)Yes
DPPO - (ANSWER)when you can go to any doctor even out of state.
DHMO - (ANSWER)When you can only go to the doctors within your company
DHMO value? - (ANSWER)70%
DPPO value? - (ANSWER)85%
Name of the Medicaid dental program for children and pregnant women? - (ANSWER)Maryland Healthy
Smiles
Failure to pay your SADP monthly premium will result in ? - (ANSWER)Termination of policy
HIPPA rules protect ? and Secure? what information - (ANSWER)Privacy and Personal
Unauthorized disclosure of PHI is ground rules for? - (ANSWER)Termination
You protect Protected Health Information By? - (ANSWER)Locking your computer, Don't discuss PHI in
public, and store PHI in desk drawers when away.
COMPLETE SOLUTIONS.
How long does the system have to submit proof of income for QHP? - (ANSWER)90 Days
An explanation of the right to appeal and instructions on how to do so - (ANSWER)Eligibility
Determination Notice
Consumers submit verification documents using which methods? - (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 - (ANSWER)take in person, by
mail, and upload to account
Who does the consumer need to contact to receive assistance with appealing - (ANSWER)Health
Education and Advocacy Unit (HEAU)
How many days to appeal from Medicaid - (ANSWER)10 Days
How many days to appeal from QHP - (ANSWER)90 Days
Five life events that will affect coverage and should be reported immediately - (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 ? - (ANSWER)True
After enrollment, How do they make their initial premium payments/initial payments ? - (ANSWER)All
payments are made directly to the insurance carrier
Cost sharing reductions apply to which metal level? - (ANSWER)Silver
, MARYLAND HEALTH CONNECTION TEST ACTUAL 2025/26 QUESTIONS WITH
COMPLETE SOLUTIONS.
SADP? - (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? - (ANSWER)True
Can you go without dental coverage ? - (ANSWER)Yes
DPPO - (ANSWER)when you can go to any doctor even out of state.
DHMO - (ANSWER)When you can only go to the doctors within your company
DHMO value? - (ANSWER)70%
DPPO value? - (ANSWER)85%
Name of the Medicaid dental program for children and pregnant women? - (ANSWER)Maryland Healthy
Smiles
Failure to pay your SADP monthly premium will result in ? - (ANSWER)Termination of policy
HIPPA rules protect ? and Secure? what information - (ANSWER)Privacy and Personal
Unauthorized disclosure of PHI is ground rules for? - (ANSWER)Termination
You protect Protected Health Information By? - (ANSWER)Locking your computer, Don't discuss PHI in
public, and store PHI in desk drawers when away.
