Medikids Program Information Quiz

30 Questions | Total Attempts: 88

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Medikids Program Information Quiz

Questions and Answers
  • 1. 
    Choosing a health plan for an applicant is a  
    • A. 

      Preferred Activity.

    • B. 

      Prohibited Activity.

    • C. 

      Premiere Activity.

  • 2. 
    MediKids is for children age  
    • A. 

      1-4.

    • B. 

      1-5.

    • C. 

      5-18.

  • 3. 
    The Department of Children and Families screens Kidcare applications for  
    • A. 

      Medicare.

    • B. 

      Medicare and Medicaid.

    • C. 

      Medicaid.

  • 4. 
     MediKids is administered by the
    • A. 

      Florida Legislature.

    • B. 

      Agency for Healthcare Administration.

    • C. 

      Florida Governor.

  • 5. 
     Healthy Kids is for children age
    • A. 

      1-4.

    • B. 

      0-5.

    • C. 

      5-18.

  • 6. 
    A reinstatement is created when an enrollee  
    • A. 

      Wants to change to a different plan.

    • B. 

      Loses MediKids eligibility.

    • C. 

      Wants to stay on Medicaid.

  • 7. 
    If a caller requests Children's Medical Services, you will  
    • A. 

      Refer them to KidCare Customer Service.

    • B. 

      Complete the enrollment.

    • C. 

      Refer them to AHCA.

  • 8. 
     To receive services, MediKids will have a ____________ co pay.
    • A. 

      $0

    • B. 

      $1-$3

    • C. 

      $15-$20

  • 9. 
    For payment and eligibility questions, the enrollee should call 
    • A. 

      AHCA.

    • B. 

      Enhanced Benefits.

    • C. 

      Florida KidCare Customer Service.

    • D. 

      MediKids Helpline.

  • 10. 
     HMO stands for
    • A. 

      Health Management Organization.

    • B. 

      Health Maintenance Organization.

    • C. 

      Health Management Office.

  • 11. 
    PSN stands for 
    • A. 

      Provider Service Network

    • B. 

      Practitioner Services Network

    • C. 

      Primary Service Network

  • 12. 
     To be approved for MediKids, the applicant must
    • A. 

      Have completed a payment.

    • B. 

      Have a provider choice.

    • C. 

      Have been to see the PCP.

    • D. 

      Both A and B

  • 13. 
    A disenrollment will occur if
    • A. 

      The enrollee doesn't make the payment.

    • B. 

      The family income exceeds the program limits.

    • C. 

      The child gets private insurance.

    • D. 

      All of the above.

  • 14. 
    The Primary Care Provider will
    • A. 

      Refer the enrollee to a specialist if needed.

    • B. 

      Refer the enrollee to job openings.

    • C. 

      Provide transportation.

  • 15. 
    Coverage starts when the applicant makes a provider choice. 
    • A. 

      True

    • B. 

      False

  • 16. 
    For out of state emergencies, the enrollee should use the  
    • A. 

      Medicaid ID card.

    • B. 

      State ID card.

    • C. 

      Health plan card.

    • D. 

      MediKids ID card.

  • 17. 
    Enrollees can have MediKids and Medicaid at the same time. 
    • A. 

      True

    • B. 

      False

  • 18. 
     Enrollees will call _____________ to request another MediKids ID Card.
    • A. 

      AHCA.

    • B. 

      Florida KidCare Customer Service.

    • C. 

      MediKids Helpline.

  • 19. 
     If an enrollee wants to change the PCP, they should call
    • A. 

      The health plan.

    • B. 

      The Department of Children Families.

    • C. 

      Enhanced Benefits.

  • 20. 
    The full pay premium is available to applicants who
    • A. 

      Want a better level of insurance.

    • B. 

      Exceed the income requirements.

    • C. 

      Will pay for the deductible.

  • 21. 
    You can complete a temporary address update for MediKids.
    • A. 

      True

    • B. 

      False

  • 22. 
    A provider choice can be made even if the member has active Medicaid.
    • A. 

      True

    • B. 

      False

  • 23. 
    MediKids members have to wait until open enrollment to change the health plan.
    • A. 

      True

    • B. 

      False

  • 24. 
    Are MediKids enrollees eligible to select MMA specialty plans available in the region?
    • A. 

      No, specialty plans are only available to Medicaid recipients with the special condition on file.

    • B. 

      Yes, if the recipient has a special condition on file and lives in a region the specialty plan is available.

    • C. 

      No, because MediKids enrollees are not special.

  • 25. 
     If a child is eligible for MediKids but the health plan has not started yet, then the child is covered by
    • A. 

      Fee for Service Medicaid.

    • B. 

      Back up insurance.

    • C. 

      Managed care.

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