Ch 13: Medicaid

The fed govt financially supports the minimum assistance level of the medicaly needy aged, and the states must wholly support any part of the program that goes beyond the federal minimum. True or False?
True

The fed govt designs the Medicaid program for each state of the basis of the needs of the state. True or False?
False

Medicaid is administered by federal funding only. True or False?
False

The fed govt determines the payment for medical services in the Medicaid program. True or False?
False

Emergency care and pregnancy services are exempt by law from copayment requirements. True or False?
True

It is possible for a Medicaid patient to be on Medicaid 1 month and off Medicaid the following month. True or False?
True

A physician may accept or refuse Medicaid pts on the basis of the individual pt and his or her circumstances. True or False?
False

In some cases the welfare office may grant retroactive eligibility to a pt. True or False?
True

If a service is totally disallowed by Medicaid, a physician is within legal rights to bill the pt. True or False?
True

Medicaid pts in managed care plans must go to hospitals participating in their assigned plan. True or False?
True

Prior approval or authorization is never required in the Medicaid program. True or False?
False

When Medicaid and a third-party payer cover the pt, Medicaid is always the payer of last resort. True or False?
True

It is not possible for a person to be eligible for Medicaid benefits and also have additional group health insurance coverage. True or False?
False

In the Medicaid program, Congress authorized vendor payments for medical care, which are payments from the …
welfare agency directly to the physician.

The federal aspects of Medicaid are the responsibility of the …
CMS

Medicaid is availble to needy and low-income people such as …
blind, disabled, aged 65+ ***(All of the above)

Basic Maternal and Child Health Program (MCHP) provisions offered in all states include …
children w/ handicap needs who require orthopedic treatment or plastic surgery.

If a physician accepts Medicaid pts, the physician must accept …
the Medicaid-allowed amount.

Medicaid eligibility must always be checked for the …
month of service and type of service

To control escalating health care costs by curbing unnecessary emergency dept visits and emphasizing preventive care, Medicaid reform has involved…
managed care programs.

Medicaid managed care pt claims should be sent to the …
managed care organization and not the medicaid fiscal agent.

The abbreviation for the Deficit Reduction Act of 1984 is
DEFRA

Medicaid was legally established by Title _____ of the Social Security Act.
xix

The group of Medicaid recipients referred to as __________/__________ includes all cash recipients of the Temporary Assistance to Needy Families, certain other AFDC-related groups, most cash recipients of the SSI program, and other SSI-related groups.
categorically needy

The 2 Medicaid eligibility classificaitons are the __________needy group and the _________ needy class.
categorically; medically

Some Medicaid recipients in the medically needy category must pay a coinsurance payment and/or deductible, also known as a/an _____/_____/_____ within the eligibility month before state benefits may be received.
share of cost

Medicaid identification cards are usually issued every _____.
month

Most state have __________ for Medicaid payments if a pt required medical care while out of state.
reciprocity

The __________/__________ form, formerly known as an explanation of benefits form, accompanies all Medicaid payment checks.
remittance advice

The Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act is federal legislation passed in _____.
2010

The __________/__________/__________ Law prevents the community spouse from being impoverished by his or her spouse’s institutionalization in a nursing facility.
Spousal Impoverishment Protection

The social security act of 1935 set up the public assistance programs The Federal Emergency Relief Administration made funds available to pay for Medical expenses of the needy unemployed WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY …

The social security Act of 1935 set up the public assistance program The federal emergency relief administration made funds Medical expenses of the needy unemployed WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR ONLY …

True The federal government financially supports the minimum assistance level of the medically needy aged, and the states must wholly support any part of the program that goes beyond the federal minimum. False The federal government designs the Medicaid program …

the federal government financially supports the minimum assistance level of the medically needy aged, and the states must wholly support any part of the program that goes beyond the federal minimum true TEFRA stands for tax equity and financial reimbursement …

AMNIOTIC SAC THE TRANSPARENT SAC THAT ENCLOSES THE FETUS IN UTERO IS CALLED THE; DOWN SYNDROME MENTAL RETARDATION IS CALLED WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR ONLY $13.90/PAGE Write my sample AMNIOCENTESIS …

Medicaid programs are administered by the federal government in conjunction with the state government where in most cases the federal government provides the necessary funds while the state government offers the required care. In US every state is governed by …

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