Deck 11: Health Reform and the Affordable Care Act

Question 1

Which of the following is a new mandatory Medicaid benefit under the Affordable Care Act?

A) New state options for community-based care
B) New state options for home health care
C) Outpatient hospital services
D) Tobacco cessation for pregnant women

Answer 1

D

Question 2

Expansion Medicaid populations receive their benefits through the Alternative Benefit Plan structure, which is based on the __________ passed in 2006.

A) Patient Protection and Affordable Care Act
B) Health Insurance Portability and Accountability Act
C) Deficit Reduction Act
D) Personal Responsibility and Work Opportunity Reconciliation Act

Answer 2

C

Question 3

Which of the following states has chosen to take the DRA option to reduce benefits and increase cost sharing?

A) Idaho
B) Montana
C) Utah
D) Colorado

Answer 3

A

Question 4

Congress created the State Children's Health Insurance Program (CHIP) in 1997 as a $40 billion, 10-year block grant program codified as Title XXI of the:

A) Civil Rights Act.
B) Social Security Act.
C) Deficit Reduction Act.
D) Personal Responsibility and Work Opportunity Reconciliation Act.

Question 5

Individuals who qualify for block grant programs may be denied services or receive reduced services due to lack of funds.

Question 6

Medicaid generally has been more generous than the typical private insurance plan, particularly in the case of children.

Question 7

The State Children's Health Insurance Program is designed to provide health insurance to low-income children whose family income meets the eligibility requirements for Medicaid in their state.

Question 8

Approximately 11 million people are called dual enrollee or dual eligible, which means that they qualify for both Medicaid and __________.

Question 9

The EPSDT __________ standard means a state must provide coverage for preventive and developmental treatment, as well as for services needed to treat a specific diagnosis.

Question 10

Medicare Part __________, which is also known as Supplemental Medical Insurance (SMI), covers physician, outpatient, and preventive services.

Question 11

Which of the following is comprised of a defined sum of money that is set aside for a particular program over a certain amount of time?

A) Entitlement program
B) Block grant
C) Welfare program
D) Subsidized grant

Question 12

According to the Personal Responsibility and Work Opportunity Reconciliation Act, most immigrants who come into the United States are not eligible for Medicaid or CHIP for __________ after arrival.

A) 3 years
B) 5 years
C) 7 years
D) 10 years

Question 13

Which of the following is a mandatory service offered through Medicaid?

A) Laboratory and X-ray services
B) Prescription drugs
C) Dental services
D) Prosthetic devices

Question 14

Which federal Medicaid requirement is best described by a state being required to provide all services to categorically needy beneficiaries in sufficient amount, duration, and scope to achieve its purpose?

A) Reasonableness
B) Comparability
C) State wideness
D) Nondiscrimination

Question 15

In an entitlement program, each person who is eligible and enrolled in the program can legally receive benefits from the program.

Question 16

Benchmarks provide a state with a standard to follow when designing Medicaid benefits packages.

Question 17

Medicaid covers both qualified children and adults, but coverage for children and pregnant women has been more generous than for nonpregnant adults.

Question 18

Lawmakers built the Affordable Care Act coverage options assuming that all U.S. states would be required to expand Medicare.

Question 19

The Affordable Care Act included a temporary decrease in primary care payment rates for services provided in both fee-for-service and managed care settings.

Question 20

Like Medicaid, federal CHIP funds are disbursed on a matching basis, although the amount of federal funds matched is higher for CHIP.