Medical Insurance- Chapter 10
FMAP is the abbreviation for: - ANSFederal Medicaid Assistance Percentage
Medicaid Beneficiaries must meet - ANSboth minimum federal requirements as well as any
additional state requirements
The federal government requires states to offer Medicaid benefits to children whose family
income is under ________ percent of the poverty level. - ANS133
CHIP is the Abbreviation for - ANSChildren's Health Insurance Program
The Temporary Assistance for Needy Families provides which of the following? - ANSFinancial
assistance to beneficiaries
The Affordable Care Act is expected to add how many million people into the Medicaid
program? - ANS16 million
Children under _______ years old who meet TANF requirements must be offered state Medicaid
benefits. - ANS6
The State Children's Health Insurance Program includes all of the following dental, hearing,
health education except - ANSsports physicals.
The Welfare Reform Act of ______ tightened Medicaid eligibility requirements. - ANS1996
Restricted status refers to a category of: - ANSMedicaid beneficiary
The Deficit Reduction Act of _____ created the Medicare Integrity Program (MIP). - ANS2005
States must cover all of the following to receive federal funding, except: - ANSprescription drugs
State Medicaid programs must provide benefits for all of the following except: - ANSnew and
experimental procedures
Physicians who wish to provide services for Medicaid beneficiaries enter into a contract with
whom? - ANSHHS
Providers in capitated managed care plans who are paid flat monthly fees: - ANSstill must file
claims with the Medicaid payer
, A Medi-Medi Beneficiary's claim information is usually: - ANSsent by Medicare to Medicaid as
the secondary payer
_____ is referred to as the payer of last resort. - ANSMedicaid
Dual eligibility refers to: - ANSMedicaid and Medicare
Under which program does Medicaid provide preventive services to children under age 21? -
ANSEPSDT
Federal Guidelines mandate coverage for individuals referred as: - ANScategorically needy
If people receive employment income, what is the effect on eligibility for Medicaid? - ANSThey
may qualify, depending on the income amount
In a(n) _________________, individuals are required to spend a portion of their income or
resources on health care until they reach or drop below the income level specified by the state. -
ANSspend-down program
Most states are moving to electronic verification of Medicaid eligibility under the: - ANSEMEVS
Which of the following services may not be covered under a state's Medicaid program? -
ANSCosmetic procedures
Individuals who are eligible for both Medicaid and Medicare benefits are called - ANSboth
dual-eligibles and Medi-Medi beneficiaries
Individuals with high medical expenses and low financial resources - ANSMedically needy
Temporary Assistance for Needy Families (TANF) The government financial program that
provides financial assistance for people with low incomes and few resources - ANSTemporary
Assistance for Needy Families (TANF)
A description that applies to Medicaid because it is always billed after another plan has been
billed if other coverage exists - ANSPayer of last resort
Another name for the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 -
ANSWelfare Reform Act
A program that requires a patient to see a specific physician and/or use a specific pharmacy -
ANSRestricted Status
Applicants who qualify based on low income and resources - ANSCategorically needed
FMAP is the abbreviation for: - ANSFederal Medicaid Assistance Percentage
Medicaid Beneficiaries must meet - ANSboth minimum federal requirements as well as any
additional state requirements
The federal government requires states to offer Medicaid benefits to children whose family
income is under ________ percent of the poverty level. - ANS133
CHIP is the Abbreviation for - ANSChildren's Health Insurance Program
The Temporary Assistance for Needy Families provides which of the following? - ANSFinancial
assistance to beneficiaries
The Affordable Care Act is expected to add how many million people into the Medicaid
program? - ANS16 million
Children under _______ years old who meet TANF requirements must be offered state Medicaid
benefits. - ANS6
The State Children's Health Insurance Program includes all of the following dental, hearing,
health education except - ANSsports physicals.
The Welfare Reform Act of ______ tightened Medicaid eligibility requirements. - ANS1996
Restricted status refers to a category of: - ANSMedicaid beneficiary
The Deficit Reduction Act of _____ created the Medicare Integrity Program (MIP). - ANS2005
States must cover all of the following to receive federal funding, except: - ANSprescription drugs
State Medicaid programs must provide benefits for all of the following except: - ANSnew and
experimental procedures
Physicians who wish to provide services for Medicaid beneficiaries enter into a contract with
whom? - ANSHHS
Providers in capitated managed care plans who are paid flat monthly fees: - ANSstill must file
claims with the Medicaid payer
, A Medi-Medi Beneficiary's claim information is usually: - ANSsent by Medicare to Medicaid as
the secondary payer
_____ is referred to as the payer of last resort. - ANSMedicaid
Dual eligibility refers to: - ANSMedicaid and Medicare
Under which program does Medicaid provide preventive services to children under age 21? -
ANSEPSDT
Federal Guidelines mandate coverage for individuals referred as: - ANScategorically needy
If people receive employment income, what is the effect on eligibility for Medicaid? - ANSThey
may qualify, depending on the income amount
In a(n) _________________, individuals are required to spend a portion of their income or
resources on health care until they reach or drop below the income level specified by the state. -
ANSspend-down program
Most states are moving to electronic verification of Medicaid eligibility under the: - ANSEMEVS
Which of the following services may not be covered under a state's Medicaid program? -
ANSCosmetic procedures
Individuals who are eligible for both Medicaid and Medicare benefits are called - ANSboth
dual-eligibles and Medi-Medi beneficiaries
Individuals with high medical expenses and low financial resources - ANSMedically needy
Temporary Assistance for Needy Families (TANF) The government financial program that
provides financial assistance for people with low incomes and few resources - ANSTemporary
Assistance for Needy Families (TANF)
A description that applies to Medicaid because it is always billed after another plan has been
billed if other coverage exists - ANSPayer of last resort
Another name for the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 -
ANSWelfare Reform Act
A program that requires a patient to see a specific physician and/or use a specific pharmacy -
ANSRestricted Status
Applicants who qualify based on low income and resources - ANSCategorically needed
