Which allows providers to electronically access the state's eligibility file to verify Medicaid eligibility?
a. CMS
b. DEEDS
c. DMV
d. MEVS
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Q. 2) Any provider who accepts a Medicaid patient must accept the Medicaid-determined
payment as __________.
a. partial payment
b. payment in full
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Q. 3) When the patient is covered by other medical or liability policies, Medicaid reimburses providers __________.
a. first
b. last
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Q. 4) The portion of the Medicaid program paid by the federal government is called the Federal Medical Assistance Percentage (FMAP) and is determined annually for each state using a formula that compares __________ average per capita income level with the national average.
a. patient
b. payer
c. provider
d. state
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Q. 5) Which consists of routine pediatric checkups provided to all children enrolled in Medicaid, including dental, hearing, vision, and other screening services to detect potential problems?
a. early and periodic screening, diagnostic, and treatment
b. health care immunization and vaccination program
c. preventive and maintenance care and screening
d. well baby and well child encounters at provider offices
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Q. 6) Any time patients state that they receive Medicaid, they must present a valid Medicaid identification card because eligibility, in many cases, will depend on the patient's __________ income.
a. daily
b. monthly
c. weekly
d. yearly
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Q. 7) The Medicare Catastrophic Coverage Act of 1988 implemented Spousal Impoverishment Protection Legislation in 1989 to prevent married couples from being required to spend down income and other liquid assets (cash and property) before one of the partners could be declared eligible for Medicaid coverage for nursing facility care. The spouse residing at home is called the __________ spouse.
a. community
b. eligible
c. partner
d. surviving
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Q. 8) Programs of All-inclusive Care for the Elderly (PACE) use a capitated payment system to provide a comprehensive package of community-based services as an alternative to institutional care for persons age 55 or older who require a(n) __________ level of care.
a. acute inpatient
b. nursing facility
c. outpatient basis
d. subacute hospital
(
Q. 9) The State Children's Health Insurance Program (SCHIP) was implemented in accordance with the Balanced Budget Act (BBA) to allow states to create or expand existing insurance programs, providing more federal funds to states for the purpose of expanding __________ eligibility to include a greater number of currently uninsured children.
a. commercial insurance
b. group health insurance
c. Medicaid
d. Medicare
(
Q. 10) Which is the special group that requires states to pay Medicare Part B premiums for individuals with incomes between 100 and 120 percent of the federal poverty level?
a. qualified Medicare beneficiaries
b. qualifying individuals
c. qualified working disabled individuals
d. specified low-income Medicare beneficiaries
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