Question 1

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

Accepted Answer

The Affordable Care Act made tobacco cessation for pregnant women a mandatory Medicaid benefit to improve maternal and child health outcomes.

Question 2

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

Accepted Answer

The Alternative Benefit Plan structure for Medicaid expansion populations is based on the Deficit Reduction Act of 2006, which allowed states to offer different benefit packages to certain Medicaid populations.

Question 3

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

Accepted Answer

Idaho has chosen to take the Deficit Reduction Act (DRA) option to reduce benefits and increase cost sharing.

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:

Accepted Answer

CHIP was established under Title XXI of the Social Security Act to provide health coverage to uninsured children in families with incomes too high to qualify for Medicaid but too low to afford private coverage.

Question 5

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

Accepted Answer

Block grant programs have a fixed amount of funding, so if the demand exceeds the available funds, individuals may be denied services or receive reduced services.

Question 6

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

Accepted Answer

Medicaid often provides more comprehensive coverage for children, including preventive services and developmental screenings, compared to many private insurance plans.

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.

Accepted Answer

The State Children's Health Insurance Program (SCHIP) is designed for children in families with incomes too high to qualify for Medicaid but too low to afford private coverage.

Question 8

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

Accepted Answer

The answer of Approximately 11 million people are called dual...

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.

Accepted Answer

The answer of The EPSDT __________ standard means a state...

Question 10

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

Accepted Answer

The answer of Medicare Part __________, which is also known...

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?

Accepted Answer

A block grant is a defined sum of money given by the federal government to state or local governments for a specific purpose, with flexibility on how it is spent over a certain period.

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.

Accepted Answer

The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 established a five-year waiting period for most immigrants before they can access Medicaid or CHIP benefits.

Question 13

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

Accepted Answer

Laboratory and X-ray services are mandatory benefits that must be provided by Medicaid, while the other options are considered optional services.

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?

Accepted Answer

The answer of Which federal Medicaid requirement is best described...

Question 15

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

Accepted Answer

Entitlement programs are designed to provide benefits to individuals who meet certain eligibility criteria, and once enrolled, they are legally entitled to receive those benefits.

Question 16

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

Accepted Answer

Benchmarks serve as reference points or standards that states can use to design Medicaid benefits packages, ensuring they meet certain criteria or levels of coverage.

Question 17

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

Accepted Answer

Medicaid programs often prioritize coverage for children and pregnant women, offering more comprehensive benefits and higher income eligibility thresholds compared to nonpregnant adults.

Question 18

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

Accepted Answer

The Affordable Care Act (ACA) assumed that all states would expand Medicaid, not Medicare, to cover more low-income individuals. However, the Supreme Court ruled that Medicaid expansion was optional for states.

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.

Accepted Answer

The Affordable Care Act included a temporary increase, not decrease, in primary care payment rates for certain services provided in Medicaid 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.

Accepted Answer

CHIP (Children's Health Insurance Program) provides federal funds to states on a matching basis, similar to Medicaid, but with a higher federal matching rate to encourage states to expand coverage for children.

Quiz 11: Health Reform and the Affordable Care Act