1.
A combination federal/state medical assistance program that provides comprehensive and quality medical care for certain categories of low income and qualifying elderly people is
A. 
B. 
C. 
D. 
Blue cross and blue shield
2.
The acronym for the medicaid program that was formerly referred to as AFDC is
A. 
B. 
C. 
D. 
3.
To qualify for supplemental security income (SSI) individuals must meet certain financial guidelines set by
A. 
B. 
C. 
The federal poverty level (FPL)
D. 
The centers for medicare and medicaid services (CMS)
4.
The amount of the SSI payment is the difference between the federal benefit rate (FBR) and the persons
A. 
B. 
C. 
D. 
5.
The medicaid program is administered by the
A. 
B. 
C. 
D. 
6.
In order to receive federal matching funds in its medicaid program title XIX of the social security act requires that states offer certain basic services called
A. 
B. 
C. 
D. 
7.
Medically need individuals can reduce their assets to the medicaid eligibility level by deducting medical expenses this is called a/an
A. 
B. 
C. 
D. 
8.
A commercial insurer contracted by the department of health and human services (HHS) for the purpose of processing and administering medicaid claims is a
A. 
B. 
C. 
D. 
9.
Individuals who receive medical assistance because their income falls within the poverty or FPL guidelines or as a result of SSI eligibility are considered
A. 
B. 
C. 
D. 
10.
The acronym for the program that provides comprehensive alternative care for non institutionalized elderly who otherwise would be in a nursing home is
A. 
B. 
C. 
D. 
11.
As a general rule medicaid pays only for services that are
A. 
B. 
C. 
D. 
12.
Before providing services to patients claiming to be on medicaid the health insurance professional should
A. 
B. 
C. 
D. 
13.
An individual who is eligible for both medicare and medicaid programs is said to be a/an
A. 
B. 
C. 
D. 
14.
When an individual is covered under both medicaid and medicare and/or a private healthcare policy the payer of last resort is always
A. 
B. 
C. 
D. 
15.
When one state allows medicaid beneficiaries to be treated in an adjacent state it is referred to as
A. 
B. 
C. 
D. 
16.
When a medicaid beneficiary has no other healthcare coverage the type of claim to be submitted is called a
A. 
B. 
C. 
D. 
17.
Congress established the medicaid program under title XIX of the social security act in 1965
18.
Every state has the medicaid benefits
19.
There is a medicaid program in all 50 states the district of columbia and u.s. territories
20.
CMS determines eligibility criteria for SSI
21.
The federal government establishes broad national guidelines for medicaid eligibility and each state establishes its own eligibility standards within federal guidelines
22.
States must cover categorically needy individuals but are free to define this category
23.
States must participate in the state childrens health insurance program (SCHIP)
24.
Individuals meeting family medical criteria fall into the medically needy category
25.
Hospitals that receive additional payments to ensure that communities have access to certain high cost services are called disproportional share hospitals