Question 1

Medicaid recipients who earn enough money to pay for basic living expenses, but cannot afford high medical bills are known as

Accepted Answer

A)   categorically needy
B)   medically needy
C)   fiscal agents
D)   None of theseE) A) and C)
F) B) and C)

Question 2

Which regulation initiated the first Medicaid programs?

Accepted Answer

A)   Affordable Care Act
B)   Social Security Act of 1965
C)   Temporary Assistance to Needy Families
D)   Medical Alliance for program safeguardsE) A) and B)
F) A) and C)

Question 3

What does the Affordable Care Act requires for coverage?

Accepted Answer

A)   the non-elderly
B)   incomes below 133 percent of the poverty level
C)   both non-elderly and below 133 percent of the poverty level
D)   either non-elderly or below 133 percent of the poverty levelE) A) and D)
F) C) and D)

Question 4

Where are claims sent for Medicaid?

Accepted Answer

A)   state fiscal agent
B)   managed care plan
C)   state Medicaid department
D)   federal governmentE) A) and B)
F) A) and C)

Question 5

Which of the following services is Medicaid more likely to pay for?

Accepted Answer

A)   transportation to medical care
B)   non-formulary medications
C)   daycare so that a parent can work
D)   research for a drugE) None of the above
F) A) and B)

Question 6

From where does Medicaid receive its funding?

Accepted Answer

A)   the federal government
B)   state governments
C)   Medicare
D)   both the federal government and state governmentsE) A) and D)
F) A) and C)

Question 7

In order to fund Medicaid, how does the federal government determine the amount to contribute to the states?

Accepted Answer

A)   FMAP
B)   CMS
C)   previous year's medical expenses
D)   calculates a correlation to Social Security benefitsE) A) and C)
F) B) and C)

Question 8

If a patient was approved for a preauthorization for additional services, who funds the services?

Accepted Answer

A)   patient
B)   federal
C)   state
D)   state and federalE) A) and C)
F) A) and D)

Question 9

Which is not an example of Medicaid fraud?

Accepted Answer

A)   billing with false credentials
B)   billing for tests that are not medically necessary
C)   billing for phantom patients
D)   billing for dental benefitsE) None of the above
F) B) and C)

Question 10

What is a new verification of eligibility method many states are incorporating?

Accepted Answer

A)   EMEVS
B)   FMAP
C)   CMS
D)   EPSDTE) None of the above
F) A) and B)

Question 11

State Medicaid programs do not have to cover which of these services?

Accepted Answer

A)   physician services
B)   children's physical exams
C)   experimental procedures
D)   both physician services and children's physical examsE) A) and B)
F) B) and D)

Question 12

According to federal guidelines, Medicaid pays for what types of health care?

Accepted Answer

A)   family planning services
B)   home health care
C)   emergency care
D)   All of theseE) B) and C)
F) A) and C)

Question 13

The federal government makes payments to states under the FMAP, which stands for

Accepted Answer

A)   Federal Medicaid Assistance Percentage
B)   Financial Medicaid Assistance Performance
C)   Federal Medicare Assistance Percentage
D)   Financial Medicare Assistance PerformanceE) All of the above
F) A) and C)

Question 14

Under the Medicaid program, if there is any difference between fees charged for services and the amount reimbursed, who pays the difference?

Accepted Answer

A)   physician must write off the difference
B)   secondary insurance
C)   patient pays out of pocket
D)   the stateE) All of the above
F) C) and D)

Question 15

What is the timeline for filing a Medicaid claim?

Accepted Answer

A)   1 month
B)   1 year
C)   there is no timeline
D)   it varies by locationE) A) and B)
F) A) and C)

Question 16

The Children's Health Insurance Program (CHIP)  covers children until what age?

Accepted Answer

A)   16
B)   19
C)   21
D)   26E) A) and D)
F) C) and D)

Question 17

What is the proper way to send a claim when a patient has both Medicare and Medicaid coverage?

Accepted Answer

A)   on a paper form with documentation attached
B)   with an EOB
C)   with a remittance advice
D)   it is automatically crossed overE) A) and B)
F) All of the above

Question 18

State Medicaid programs have to provide benefits for what services?

Accepted Answer

A)   physician services
B)   children's physical exams
C)   dental services
D)   both physician services and children's physical examsE) All of the above
F) B) and C)

Exam 10: Medicaid

Under the Medicaid program, if there is any difference between fees charged for services and the amount reimbursed, who pays the difference?

Correct Answer
verified

State Medicaid programs have to provide benefits for what services?

Correct Answer
verified

Which of the following services is Medicaid more likely to pay for?

Correct Answer
verified

If a patient was approved for a preauthorization for additional services, who funds the services?

Correct Answer
verified

State Medicaid programs do not have to cover which of these services?

Correct Answer
verified

What does the Affordable Care Act requires for coverage?

Correct Answer
verified

Where are claims sent for Medicaid?

Correct Answer
verified

Which is not an example of Medicaid fraud?

Correct Answer
verified

From where does Medicaid receive its funding?

Correct Answer
verified

Medicaid recipients who earn enough money to pay for basic living expenses, but cannot afford high medical bills are known as

Correct Answer
verified

According to federal guidelines, Medicaid pays for what types of health care?

Correct Answer
verified

The Children's Health Insurance Program (CHIP) covers children until what age?

Correct Answer
verified

What is a new verification of eligibility method many states are incorporating?

Correct Answer
verified

What is the proper way to send a claim when a patient has both Medicare and Medicaid coverage?

Correct Answer
verified

What is the timeline for filing a Medicaid claim?

Correct Answer
verified

In order to fund Medicaid, how does the federal government determine the amount to contribute to the states?

Correct Answer
verified

The federal government makes payments to states under the FMAP, which stands for

Correct Answer
verified

Which regulation initiated the first Medicaid programs?

Correct Answer
verified

Exam 10: Medicaid

Under the Medicaid program, if there is any difference between fees charged for services and the amount reimbursed, who pays the difference?

Correct AnswerverifiedShow Answer

State Medicaid programs have to provide benefits for what services?

Correct AnswerverifiedShow Answer

Which of the following services is Medicaid more likely to pay for?

Correct AnswerverifiedShow Answer

If a patient was approved for a preauthorization for additional services, who funds the services?

Correct AnswerverifiedShow Answer

State Medicaid programs do not have to cover which of these services?

Correct AnswerverifiedShow Answer

What does the Affordable Care Act requires for coverage?

Correct AnswerverifiedShow Answer

Where are claims sent for Medicaid?

Correct AnswerverifiedShow Answer

Which is not an example of Medicaid fraud?

Correct AnswerverifiedShow Answer

From where does Medicaid receive its funding?

Correct AnswerverifiedShow Answer

Medicaid recipients who earn enough money to pay for basic living expenses, but cannot afford high medical bills are known as

Correct AnswerverifiedShow Answer

According to federal guidelines, Medicaid pays for what types of health care?

Correct AnswerverifiedShow Answer

The Children's Health Insurance Program (CHIP) covers children until what age?

Correct AnswerverifiedShow Answer

What is a new verification of eligibility method many states are incorporating?

Correct AnswerverifiedShow Answer

What is the proper way to send a claim when a patient has both Medicare and Medicaid coverage?

Correct AnswerverifiedShow Answer

What is the timeline for filing a Medicaid claim?

Correct AnswerverifiedShow Answer

In order to fund Medicaid, how does the federal government determine the amount to contribute to the states?

Correct AnswerverifiedShow Answer

The federal government makes payments to states under the FMAP, which stands for

Correct AnswerverifiedShow Answer

Which regulation initiated the first Medicaid programs?

Correct AnswerverifiedShow Answer

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