HPAM 3600 Quiz 2 || 100% Valid Solutions.
Entitlement correct answers Everyone eligible and enrolled in the program is legally entitled to
receive benefits from the program. Beneficiaries may not be refused service for lack of funds or
other reasons.
block grants correct answers Defined sum of money (often from federal to state governments) is
allocated for a particular program over a certain period of time. Beneficiaries may be refused
service for lack of funds or other reasons. There is no legal entitlement to the benefits.
Medicaid correct answers a federal-state public health insurance program for the indigent
Center for Medicare and Medicaid Services (CMS) correct answers outlines mandatory and
optional populations and benefits covered under Medicaid.
State Medicaid agencies correct answers run programs, select optional populations and benefits
to cover in the state programs.
T/F: All states participate in Medicaid. correct answers True
T/F: Medicaid generally does not cover low-income citizens. correct answers False
5 eligibility requirements of Medicaid: correct answers 1. categorical
2. income level
3. resources
4. residency
5. immigration status
T/F: Medicaid covers extensive acute care and long-term care benefits. correct answers True
, Mandatory Medicaid services for children: correct answers periodic screening, diagnostic and
testing services
Deficit Reduction Act of 2006 correct answers created new benefit option that allows states to
use on of three benchmark or benchmark-equivalent options to set their benefit package.
Medicaid is jointly financed by the... correct answers federal and state governments
Federal Matching Assistance Percentage correct answers determines Medicaid matching rate
T/F: DRA provides expanded cost-sharing options. correct answers True
Medicaid reimbursement levels vary by correct answers state and type of provider.
Fee-for-service providers are paid on a... correct answers state-determined fee schedule
T/F: Medicaid reimbursement is typically much higher than private insurance or Medicare
reimbursement. correct answers False
Section 1115 Waiver correct answers allows for a research and demonstration project that "assists
in promoting the objectives" of Medicaid
Who is used as the "policy laboratories" to test health reform ideas? correct answers The states
ACA Changes to Medicaid: Significant Eligibility Expansion correct answers -All non-Medicare
eligible adults under 65 with incomes up to 133% of poverty will be eligible in every state.
-All children 6-19 at 133% of poverty
-Immigrants have 5-year bar; states have option to cover legal immigrant pregnant women and
children who have been in the country less than 5 years
Entitlement correct answers Everyone eligible and enrolled in the program is legally entitled to
receive benefits from the program. Beneficiaries may not be refused service for lack of funds or
other reasons.
block grants correct answers Defined sum of money (often from federal to state governments) is
allocated for a particular program over a certain period of time. Beneficiaries may be refused
service for lack of funds or other reasons. There is no legal entitlement to the benefits.
Medicaid correct answers a federal-state public health insurance program for the indigent
Center for Medicare and Medicaid Services (CMS) correct answers outlines mandatory and
optional populations and benefits covered under Medicaid.
State Medicaid agencies correct answers run programs, select optional populations and benefits
to cover in the state programs.
T/F: All states participate in Medicaid. correct answers True
T/F: Medicaid generally does not cover low-income citizens. correct answers False
5 eligibility requirements of Medicaid: correct answers 1. categorical
2. income level
3. resources
4. residency
5. immigration status
T/F: Medicaid covers extensive acute care and long-term care benefits. correct answers True
, Mandatory Medicaid services for children: correct answers periodic screening, diagnostic and
testing services
Deficit Reduction Act of 2006 correct answers created new benefit option that allows states to
use on of three benchmark or benchmark-equivalent options to set their benefit package.
Medicaid is jointly financed by the... correct answers federal and state governments
Federal Matching Assistance Percentage correct answers determines Medicaid matching rate
T/F: DRA provides expanded cost-sharing options. correct answers True
Medicaid reimbursement levels vary by correct answers state and type of provider.
Fee-for-service providers are paid on a... correct answers state-determined fee schedule
T/F: Medicaid reimbursement is typically much higher than private insurance or Medicare
reimbursement. correct answers False
Section 1115 Waiver correct answers allows for a research and demonstration project that "assists
in promoting the objectives" of Medicaid
Who is used as the "policy laboratories" to test health reform ideas? correct answers The states
ACA Changes to Medicaid: Significant Eligibility Expansion correct answers -All non-Medicare
eligible adults under 65 with incomes up to 133% of poverty will be eligible in every state.
-All children 6-19 at 133% of poverty
-Immigrants have 5-year bar; states have option to cover legal immigrant pregnant women and
children who have been in the country less than 5 years
