Question 1

To receive federal matching funds, states must cover certain services, including

Accepted Answer

A)   vaccines for children.
B)   all of these things must be covered.
C)   emergency services.
D)   prenatal care.

Question 2

The Deficit Reduction Act of __________ created the Medicare Integrity Program (MIP) .

Accepted Answer

A)   1998
B)   2005
C)   2008
D)   1996

Question 3

Medicaid beneficiaries must meet

Accepted Answer

A)   either the federal or state requirements.
B)   state requirements.
C)   both minimum federal requirements as well as any additional state requirements.
D)   minimum federal requirements.

Question 4

In a(n)  __________, individuals are required to spend a portion of their income or resources on health care until they reach or drop below the income level specified by the state.

Accepted Answer

A)   restricted status program
B)   eligibility program
C)   down-spend program
D)   spend-down program

Question 5

Medicaid is known as the __________, since it is always billed after another plan has been billed, if other coverage exists.

Accepted Answer

A)   last payer
B)   ultimate payer
C)   payer of last resort
D)   final beneficiary

Question 6

In __________, the patient is required to see a specific physician and/or use a specific pharmacy.

Accepted Answer

A)   limited status
B)   specific status
C)   restricted status
D)   contained status

Question 7

What does the abbreviation SSI stand for?

Accepted Answer

A)   Supplemental Security Insurance
B)   Supplemental Security Income
C)   Social Security Insurance
D)   Social Security Income

Question 8

Physicians who wish to provide services for Medicaid beneficiaries enter into a contract with whom?

Accepted Answer

A)   CMS
B)   OIG
C)   HHS
D)   AMA

Question 9

Under the Medicaid program, which of the following is true?

Accepted Answer

A)   Categorically needy and medically needy do not have the same meaning.
B)   Medically needy means people have low income.
C)   Categorically needy refers to people with high medical expenses.
D)   Categorically needy and medically needy have the same meaning.

Question 10

About what percentage of Medicaid recipients nationally are in managed care plans?

Accepted Answer

A)   33%
B)   84%
C)   50%
D)   67%

Question 11

Assets include all of the following except

Accepted Answer

A)   certificates of deposit.
B)   bonds.
C)   bank accounts.
D)   burial plot.

Question 12

Most states have shifted Medicaid beneficiaries into which type of plan?

Accepted Answer

A)   health savings accounts
B)   fee for service
C)   managed care plans
D)   none of these are correct

Question 13

Medicaid's spenddown program is in effect

Accepted Answer

A)   not in effect in the United States.
B)   on a state-by-state basis.
C)   in a select few states.
D)   nationally.

Question 14

EPSDT is the abbreviation for

Accepted Answer

A)   Early and Periodic Screening, Diagnosis, and Testing.
B)   Early and Periodic Screening, Diagnosis, and Treatment.
C)   Early and Preventative Screening, Diagnosis, and Treatment.
D)   Early and Preventative Screening, Diagnosis, and Testing.

Question 15

Categorically needy people in the Medicaid program usually have

Accepted Answer

A)   high debt.
B)   low incomes.
C)   low debt.
D)   high incomes.

Question 16

Which of the following is not offered under the Medicaid program?

Accepted Answer

A)   benefits for people who are age 65 and over who receive Supplemental Security Income
B)   comprehensive health insurance coverage offered to pregnant women whose family income is below 133 percent of the poverty level
C)   benefits for people who receive foster care under Title IV-E of the Social Security Act
D)   benefits for infants born to Medicaid-eligible pregnant women

Question 17

Individuals receiving financial assistance under TANF due to low incomes and few resources must be covered

Accepted Answer

A)   by a spouse's insurance program.
B)   by state Medicaid programs.
C)   by the Medicare program.
D)   by an employee insurance program.

Question 18

Physicians who contract with Medicaid to provide services may not

Accepted Answer

A)   all of these are correct.
B)   bill for services that are not medically necessary.
C)   submit claims for individual procedures that are part of a global procedure.
D)   bill for services not provided.

Question 19

Individuals who are eligible for both Medicaid and Medicare benefits are called

Accepted Answer

A)   both dual-eligibles and Medi-Medi beneficiaries.
B)   Medi-eligibles.
C)   Medi-Medi beneficiaries.
D)   dual-eligibles.

Question 20

Restricted status refers to a category of

Accepted Answer

A)   states whose Medicaid program is in violation.
B)   Medicare beneficiary.
C)   states without Medicaid programs.
D)   Medicaid beneficiary.

Exam 10: Medicaid

The Deficit Reduction Act of __________ created the Medicare Integrity Program (MIP) .

Correct AnswerverifiedShow Answer

To receive federal matching funds, states must cover certain services, including

Correct AnswerverifiedShow Answer

Restricted status refers to a category of

Correct AnswerverifiedShow Answer

Medicaid beneficiaries must meet

Correct AnswerverifiedShow Answer

Assets include all of the following except

Correct AnswerverifiedShow Answer

In a(n) __________, individuals are required to spend a portion of their income or resources on health care until they reach or drop below the income level specified by the state.

Correct AnswerverifiedShow Answer

What does the abbreviation SSI stand for?

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EPSDT is the abbreviation for

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Under the Medicaid program, which of the following is true?

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Individuals receiving financial assistance under TANF due to low incomes and few resources must be covered

Correct AnswerverifiedShow Answer

Physicians who wish to provide services for Medicaid beneficiaries enter into a contract with whom?

Correct AnswerverifiedShow Answer

Physicians who contract with Medicaid to provide services may not

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Individuals who are eligible for both Medicaid and Medicare benefits are called

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In __________, the patient is required to see a specific physician and/or use a specific pharmacy.

Correct AnswerverifiedShow Answer

Most states have shifted Medicaid beneficiaries into which type of plan?

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Which of the following is not offered under the Medicaid program?

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Medicaid's spenddown program is in effect

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Categorically needy people in the Medicaid program usually have

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About what percentage of Medicaid recipients nationally are in managed care plans?

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Medicaid is known as the __________, since it is always billed after another plan has been billed, if other coverage exists.

Correct AnswerverifiedShow Answer

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