Medicaid & other state programs
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| show | Aid to Families with dependent children
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| show | medically indigent
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| show | treatment authorization request
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| program of medical assistance for certain low-income individuals and families is known as what? | show 🗑
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| show | Medi-Cal
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| show | Arizone
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| Medicaid is administered by who? | show 🗑
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| show | 1. federal government sets minimum standards
2. states are free to enact more benefits
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| CMS | show 🗑
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| show | CMA of the Bureau of Program Operations of the U.S. Dept. of Health & Human Services
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| show | an assistance program
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| SCHIP | show 🗑
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| show | Maternal and Child Health Program
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| Name 3 aid programs for Medicare patients who have low incomes and difficulty paying Medicare premiums, copays & deductibles. | show 🗑
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| Name 6 categories of Medicaid eligibility | show 🗑
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| show | 1. categorically needy-getting cash assistance
2. medically needy
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| show | Early and Periodic Screening, diagnosis & treatment
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| On a telephone call for prior approval for a service what information should be obtained? | show 🗑
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| show | from 2 months to 12 or 18 months
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| show | 6 months
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| Medicaid claims are filed on what form? | show 🗑
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| show | Medicaid
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| show | The liability company; after liability carrier pays then Medicaid is billed with copy of 3rd party EOB attached
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| If a Medicaid patient has Medicare, TRICARE or CHAMPVA always send the claim first to which? | show 🗑
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| show | Usually 30 to 60 days from the date listed on the RA.
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| show | 1. regional fiscal agent or Medicaid bureau
2. Dept. of Social Welfare or Human Services
3. Appellate court
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| show | state government
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| show | federal government
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| medicaid is what type of program? | show 🗑
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| in all other states, the program is known as Medicaid, but in CA the program is called what? | show 🗑
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| because the federal government sets minimum requirements,states are free to enhance the Medicaid program. Name two ways in which Medicaid programs vary from state to state. | show 🗑
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| SCHIP means | show 🗑
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| MCHP means what and covers who? | show 🗑
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| Name 3 aid programs for low-income Meicare patients | show 🗑
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| show | 1. categorically needy
2. medically needy
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| name the program for the prevention, early detection and treatment of conditions of children receiving welfare is know as what? | show 🗑
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| show | CMS-1500
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| show | electronically send TRICARE claim first then bill Medicare with a copy of the TRICARE EOB
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| Name five categories of adjudicated claims that may appear on a medicaid remittance advice document: | show 🗑
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| show | month of service
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| when a medicaid patient is injured in an auto accident and the car has liability insurance, this involves a 3rd party payer so the insurance claim is sent to who? | show 🗑
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| show | 1.touch-tone phone
2. modem
3. special Medicaid terminal equipment
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| when a medicaid patient requires a piece of durable medical equipment, the physician must do what? | show 🗑
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| medicare benficiaries who are disabled but have annual incomes below the federal poverty level may be eligible for | show 🗑
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| true or false: cerebral palsy is a condition that qualifies a child for benefits under the Maternal and Child Health Program | show 🗑
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| show | false
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| true or false: when filing a claim for a Medicaid managed care patient, transmit the claim to the managed care organization and not the Medicaid fiscal agent | show 🗑
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| show | true
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| true or false: a stage agency that investigates complaints of mistreatment in a LTCF is the Medicaid Fraud Control Unit | show 🗑
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| show | true
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Created by:
mpeoples