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CNA-NIC F25 CH 1.3
Explain Medicare and Medicaid
| Question | Answer |
|---|---|
| what are the centers for Medicare and Medicaid services (cms.gov) | federal agency within the United States Department of Health and Human Services |
| what is the abbreviation for "Centers for Medicare and Medicaid Services" | CMS |
| what does the CMS run | two national healthcare programs : Medicare and Medicaid |
| what do Medicare and Medicaid do | they both help pay for health care and health insurance for millions of Americans |
| what are CMS other responsibilities | overseeing the Children's Health Insurance Program and the federal health insurance marketplace |
| what is the abbreviation for Children's Health Insurance Program | CHIP |
| MEDICARE (medicare.gov) | is a federal health insurance program for people who are 65 years of age or older |
| Medicare also covers people of any age with special considerations, what are they? | people of any age with permanent kidney failure or certain disabilities |
| Medicare has how many parts | four parts |
| Medicare Part A does what | helps pay for care in a hospital or skilled nursing facility or for care from a home health agency or hospice |
| Medicare Part B does what | helps pay for doctor services and other medical services and equipment |
| Medicare Part C does what | allows private health insurance companies to provide Medicare benefits |
| Medicare Part D does what | helps pay for medications prescribed for treatment |
| what sort of care does Medicare pay for | will only pay for care it determines to be medically necessary |
| MEDICAID (medicaid.gov) | a medical assistance program for people who have low income as well as for people with disabilities |
| how is Medicaid funded | by both the federal government and each state |
| how is eligibility determined for medicaid | eligibility is determined by income and special circumstances (people must qualify for this program) |
| how does Medicare and Medicaid pay long term care facilities | they pay a fixed amount for services |
| how is Medicare and Medicaid fixed amount for long term care facilities determined | amount is based on the residents needs upon admission and throughout their stay at the facility |
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