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*Course Date: 
September 30, 2013 October 28, 2013 December 9, 2013

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*Primary Affiliation: County Health Department Community-Based Organization DOH Headquarters Other

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Learning Objectives
• Knowledge of Rule 64D-4 and Florida Statues related to eligibility
• Components of determining eligibility including required forms
• Documentations required to determine eligibility    

Pretest

MULTIPLE CHOICE - Select the correct answer

1. Known as the “eligibility rule,” this directive provides the statutory authority for the HIV/AIDS and Hepatitis Program eligibility requirements, process, and procedures.

2. Which of the following federal HIV/AIDS patient care programs provides services not included under the eligibility rule authority?

3. ___________ is an agency of the Department of Health and Human Services that is the primary federal agency for improving access to health care services for uninsured, isolated, or medically vulnerable persons.

4. Department of Health form that authorizes use of client health information for the purposes of treatment, payment, and health care operations.

5. Core eligibility requirements include:

6. How often must the eligibility application/brochure be completed, signed by the client, and scanned into CAREWare?

7. How often must eligibility re-determination be completed?

8. Which is not considered an acceptable type of lab test for establishing proof of HIV for Patient Care program eligibility?

9. This program assists clients with insurance co-payments, deductibles, and premiums, as needed and available.

10. Which of the following is a core medical service, as defined by HRSA?