Question 1

Time limits for Medicaid claim submission can vary from ____________________ months to 1 year from the date of service depending on the state in which service was provided.

Accepted Answer

The answer of Time limits for Medicaid claim submission can...

Question 2

The Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act are federal legislation passed in _________________.

Accepted Answer

The answer of The Patient Protection and Affordable Care Act...

Question 3

Medicaid is not so much an insurance program as an assistance program.

Accepted Answer

Medicaid is more accurately described as a needs-based government assistance program rather than strictly an insurance program. It helps provide healthcare coverage to low-income individuals and families who may otherwise not be able to afford it.

Question 4

The federal government determines the payment for medical services in the Medicaid program.

Accepted Answer

State governments, with federal guidelines, determine the payment rates for medical services in the Medicaid program, although the federal government provides a portion of the funding.

Question 5

The ____________________ form accompanies all Medicaid payment checks.

Accepted Answer

The answer of The ____________________ form accompanies all Medicaid payment...

Question 6

Most states have ____________________ for Medicaid payments if a patient requires medical care while out of state.

Accepted Answer

The answer of Most states have ____________________ for Medicaid payments...

Question 7

Emergency care and pregnancy services are exempt by law from copayment requirements.

Accepted Answer

Emergency care and pregnancy services are considered essential health benefits in most health insurance plans, and as such, they are exempt from copayment requirements under the Affordable Care Act (ACA). This means that insurers cannot charge copayments or any other cost-sharing for these services. However, it is important to note that out-of-pocket costs may still apply for other types of services, depending on the specific plan and the terms of the contract.

Question 8

Medicaid identification cards are usually issued every ____________________.

Accepted Answer

The answer of Medicaid identification cards are usually issued every...

Question 9

TEFRA stands for Tax Equity and Financial Reimbursement Act.

Accepted Answer

TEFRA stands for Tax Equity and Fiscal Responsibility Act.

Question 10

The Medicaid patient may be responsible for a copayment.

Accepted Answer

Medicaid patients may be responsible for copayments for certain services, depending on their income and the state in which they reside.

Question 11

It is possible for a Medicaid patient to be on Medicaid one month and off Medicaid the following month.

Accepted Answer

Medicaid eligibility can change based on a variety of factors such as income, changes in household composition, and changes in medical needs. It's possible for a person to qualify for Medicaid one month but then have a change in circumstances that make them ineligible the following month.

Question 12

Medicaid is an established program of medical assistance in 46 states.

Accepted Answer

Medicaid is an established program of medical assistance in all 50 states, providing health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities.

Question 13

The group of Medicaid recipients referred to as ____________________ includes all cash recipients of the Aid to Families with Dependent Children, certain other AFDC-related groups, most cash recipients of the Supplemental Security Income program, and other SSI-related groups.

Accepted Answer

The answer of The group of Medicaid recipients referred to...

Question 14

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.

Accepted Answer

This is true according to the Medicaid program rules. The federal government sets a minimum standard for Medicaid eligibility and coverage, and states can choose to provide more extensive benefits if they wish. In the case of the medically needy aged, the federal government provides some financial support, but the states must cover any additional costs of providing assistance to this population.

Question 15

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.

Accepted Answer

The answer of Some Medicaid recipients in the medically needy...

Question 16

The Medicaid medical assistance program in California is called ____________________.

Accepted Answer

The answer of The Medicaid medical assistance program in California...

Question 17

The federal government designs the Medicaid program for each state on the basis of the needs of the state.

Accepted Answer

Medicaid is a joint federal and state program, but each state designs its own program within federal guidelines, not the federal government designing each state's program.

Question 18

The two Medicaid eligibility classifications are the ____________________ needy group and the ____________________ needy class.

Accepted Answer

The answer of The two Medicaid eligibility classifications are the...

Question 19

The _______________________________________ Law prevents the community spouse from being impoverished by his or her spouse's institutionalization in a nursing facility.

Accepted Answer

The answer of The _______________________________________ Law prevents the community spouse...

Question 20

Medicaid is administered by federal funding only.

Accepted Answer

While Medicaid does receive some federal funding, it is also administered and funded by individual states.

Quiz 13: Medicaid and Other State Programs