Medikids Program Information Quiz
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Questions and Answers
- 1.
Choosing a health plan for an applicant is a
- A.
Preferred Activity.
- B.
Prohibited Activity.
- C.
Premiere Activity.
Correct Answer
B. Prohibited Activity. -
- 2.
MediKids is for children age
- A.
1-4.
- B.
1-5.
- C.
5-18.
Correct Answer
A. 1-4.Explanation
The correct answer is 1-4. This means that MediKids is for children aged 1 to 4 years old.Rate this question:
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- 3.
The Department of Children and Families screens Kidcare applications for
- A.
Medicare.
- B.
Medicare and Medicaid.
- C.
Medicaid.
Correct Answer
C. Medicaid.Explanation
The Department of Children and Families screens Kidcare applications for Medicaid. Medicaid is a government program that provides healthcare coverage to low-income individuals and families. Kidcare is a program within Medicaid that specifically focuses on providing healthcare coverage for children. Therefore, it makes sense that the Department of Children and Families would screen Kidcare applications for eligibility for Medicaid coverage.Rate this question:
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- 4.
MediKids is administered by the
- A.
Florida Legislature.
- B.
Agency for Healthcare Administration.
- C.
Florida Governor.
Correct Answer
B. Agency for Healthcare Administration.Explanation
MediKids, a program mentioned in the question, is administered by the Agency for Healthcare Administration. This means that the agency is responsible for overseeing and managing the MediKids program. The Florida Legislature and Florida Governor may have other roles and responsibilities in the healthcare system, but in this specific case, it is the Agency for Healthcare Administration that administers MediKids.Rate this question:
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- 5.
Healthy Kids is for children age
- A.
1-4.
- B.
0-5.
- C.
5-18.
Correct Answer
C. 5-18.Explanation
Healthy Kids is a program specifically designed for children aged 5-18. This program is not intended for children aged 1-4 or 0-5. It focuses on promoting health and wellness among older children and teenagers.Rate this question:
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- 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.
Correct Answer
B. Loses MediKids eligibility.Explanation
A reinstatement is created when an enrollee loses MediKids eligibility. This suggests that the individual was previously enrolled in the MediKids program but is no longer eligible for it. As a result, they need to be reinstated into a different plan or program that they are eligible for.Rate this question:
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- 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.
Correct Answer
A. Refer them to KidCare Customer Service.Explanation
If a caller requests Children's Medical Services, you will refer them to KidCare Customer Service. This implies that Children's Medical Services is a separate entity or department that is not directly responsible for handling the caller's request. Instead, KidCare Customer Service is the appropriate point of contact for the caller's needs.Rate this question:
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- 8.
To receive services, MediKids will have a ____________ co pay.
- A.
$0
- B.
$1-$3
- C.
$15-$20
Correct Answer
A. $0Explanation
MediKids will have a $0 co-pay in order to receive services. This means that they will not have to pay any additional fees or out-of-pocket expenses when accessing the services provided by MediKids.Rate this question:
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- 9.
For payment and eligibility questions, the enrollee should call
- A.
AHCA.
- B.
Enhanced Benefits.
- C.
Florida KidCare Customer Service.
- D.
MediKids Helpline.
Correct Answer
C. Florida KidCare Customer Service.Explanation
The correct answer is Florida KidCare Customer Service. This is because the question is asking about payment and eligibility questions, and Florida KidCare Customer Service is the most appropriate contact for these types of inquiries. AHCA may not specifically handle payment and eligibility questions, and Enhanced Benefits and MediKids Helpline may not be the appropriate contacts for Florida KidCare-related inquiries.Rate this question:
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- 10.
HMO stands for
- A.
Health Management Organization.
- B.
Health Maintenance Organization.
- C.
Health Management Office.
Correct Answer
B. Health Maintenance Organization.Explanation
HMO stands for Health Maintenance Organization. This term refers to a type of healthcare plan that provides comprehensive medical services to its members for a fixed annual fee. HMOs focus on preventive care and require members to choose a primary care physician who coordinates their healthcare. This healthcare model aims to keep costs down by emphasizing preventive measures and managing the overall health of patients.Rate this question:
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- 11.
PSN stands for
- A.
Provider Service Network
- B.
Practitioner Services Network
- C.
Primary Service Network
Correct Answer
A. Provider Service NetworkExplanation
PSN stands for Provider Service Network. This is the correct answer because PSN refers to a network of providers who offer services to patients. This network typically includes hospitals, clinics, and other healthcare facilities. By being part of a Provider Service Network, healthcare providers can collaborate and coordinate care for their patients, ensuring that they receive the necessary services and treatments.Rate this question:
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- 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
Correct Answer
D. Both A and BExplanation
To be approved for MediKids, the applicant must have completed a payment and have a provider choice. This means that in order to qualify for MediKids, the applicant must have made a payment and also have the option to choose a healthcare provider. Both of these conditions must be met for approval.Rate this question:
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- 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.
Correct Answer
D. All of the above.Explanation
If any of the mentioned conditions occur, a disenrollment will take place. If the enrollee fails to make the payment, they will be disenrolled. Similarly, if the family income exceeds the program limits, the enrollee will be disenrolled. Lastly, if the child obtains private insurance, they will also be disenrolled. Therefore, all of the given options can lead to disenrollment.Rate this question:
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- 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.
Correct Answer
A. Refer the enrollee to a specialist if needed.Explanation
The primary care provider plays a crucial role in coordinating and managing a patient's healthcare. If the enrollee requires specialized medical care that is beyond the scope of the primary care provider's expertise, they will refer the patient to a specialist. This ensures that the enrollee receives the appropriate and specialized care they need to address their specific health condition or concern.Rate this question:
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- 15.
Coverage starts when the applicant makes a provider choice.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The statement "Coverage starts when the applicant makes a provider choice" is false. Coverage typically starts once the applicant's enrollment is approved and the first premium payment is made, not when the provider is chosen. The applicant may have the option to select a provider within the approved coverage, but this does not determine when the coverage begins.Rate this question:
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- 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.
Correct Answer
D. MediKids ID card.Explanation
The correct answer is the MediKids ID card. This card is specifically for out of state emergencies and would be the appropriate card for the enrollee to use in such situations. The Medicaid ID card is not specified for out of state emergencies, and the state ID card and health plan card are not mentioned as options.Rate this question:
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- 17.
Enrollees can have MediKids and Medicaid at the same time.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Enrollees cannot have both MediKids and Medicaid at the same time. These are two separate healthcare programs, and individuals are typically eligible for one or the other based on their age and income level. MediKids is specifically for children, while Medicaid is for low-income individuals and families. Therefore, it is not possible for someone to have both at the same time.Rate this question:
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- 18.
Enrollees will call _____________ to request another MediKids ID Card.
- A.
AHCA.
- B.
Florida KidCare Customer Service.
- C.
MediKids Helpline.
Correct Answer
C. MediKids Helpline.Explanation
Enrollees will call the MediKids Helpline to request another MediKids ID Card. The MediKids Helpline is specifically designed to assist enrollees with any inquiries or requests related to their MediKids ID Card. The AHCA and Florida KidCare Customer Service may be able to provide general assistance, but the MediKids Helpline is the most appropriate option for requesting a new ID Card.Rate this question:
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- 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.
Correct Answer
A. The health plan.Explanation
If an enrollee wants to change their Primary Care Provider (PCP), they should call the health plan. The health plan is responsible for managing the enrollee's healthcare benefits and network of providers. They have the necessary information and resources to assist the enrollee in making the necessary changes to their PCP. The Department of Children Families may not have the authority or access to the enrollee's specific health plan details, and Enhanced Benefits is not a relevant entity for this purpose.Rate this question:
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- 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.
Correct Answer
B. Exceed the income requirements.Explanation
The correct answer is "exceed the income requirements." This means that the applicants who have a higher income than what is required are eligible for the full pay premium. In other words, they meet the financial criteria necessary to receive the maximum level of insurance coverage.Rate this question:
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- 21.
You can complete a temporary address update for MediKids.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
It is possible to complete a temporary address update for MediKids.Rate this question:
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- 22.
A provider choice can be made even if the member has active Medicaid.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
A provider choice can be made even if the member has active Medicaid. This means that even if a person is currently enrolled in Medicaid, they still have the ability to choose their healthcare provider. Medicaid provides healthcare coverage for low-income individuals, but it does not restrict the individual's ability to choose their preferred healthcare provider. Therefore, the statement is true.Rate this question:
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- 23.
MediKids members have to wait until open enrollment to change the health plan.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
MediKids members do not have to wait until open enrollment to change their health plan. They can make changes outside of the open enrollment period if they experience a qualifying life event, such as getting married or having a baby. Therefore, the statement is false.Rate this question:
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- 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.
Correct Answer
A. No, specialty plans are only available to Medicaid recipients with the special condition on file. -
- 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.
Correct Answer
A. Fee for Service Medicaid.Explanation
If a child is eligible for MediKids but the health plan has not started yet, then the child is covered by Fee for Service Medicaid. This means that the child will receive healthcare services on a fee-for-service basis, where healthcare providers are paid for each service provided. This coverage ensures that the child can still receive necessary medical care while waiting for their health plan to begin.Rate this question:
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- 26.
Does the member have active MediKids?
- A.
Yes,the member is covered by Prestige Health Choice.
- B.
No, the member can make a choice but doesn't have coverage yet.
Correct Answer
B. No, the member can make a choice but doesn't have coverage yet.Explanation
The correct answer is "No, the member can make a choice but doesn't have coverage yet." This means that the member does not currently have active MediKids coverage and has the option to choose coverage, but has not yet done so.Rate this question:
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- 27.
Sophie's mom, Jane Member, calls to get information about Sophie's MediKids coverage, is she authorized?
- A.
No, he's not the payee.
- B.
Yes, because she's the parent.
- C.
No, because he doesn't have a member box for legitimate relationship.
- D.
Yes, they have the same last name.
Correct Answer
B. Yes, because she's the parent.Explanation
The correct answer is "Yes, because she's the parent." This is because parents are typically authorized to access information about their child's coverage. The fact that Jane Member is Sophie's mom indicates that she has a legitimate relationship and is therefore authorized to inquire about Sophie's MediKids coverage. The other options provided do not provide a valid reason for authorization.Rate this question:
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- 28.
What is the effective date of the enrollment request?
- A.
The health plan will start immediately.
- B.
The member has FFS, so they don't need to enroll.
- C.
Once the payment is recieved, the health plan will become effective.
Correct Answer
C. Once the payment is recieved, the health plan will become effective.Explanation
The effective date of the enrollment request is determined by when the payment is received. Once the payment is received, the health plan will become effective.Rate this question:
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- 29.
What is the member covered under during the month of March?
- A.
Molina HealthCare.
- B.
Doesn't have any coverage.
- C.
Sunshine State.
- D.
FFS/Straight Medicaid.
Correct Answer
D. FFS/Straight Medicaid.Explanation
During the month of March, the member is covered under FFS/Straight Medicaid. This means that they have coverage through the Fee-for-Service (FFS) Medicaid program, which provides payment for healthcare services on a per-service basis. This is different from managed care plans like Molina HealthCare and Sunshine State, which have a network of providers and may require prior authorization for certain services. The option "Doesn't have any coverage" is incorrect as the member is indeed covered under FFS/Straight Medicaid.Rate this question:
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- 30.
If a health plan choice is not made, what coverage will the member have for 5/1/2014?
- A.
FFS/Straight Medicaid.
- B.
Molina Healthcare.
- C.
First Coast Advantage
- D.
No Coverage.
Correct Answer
C. First Coast AdvantageExplanation
If a health plan choice is not made, the member will have coverage under First Coast Advantage for 5/1/2014.Rate this question:
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.PNG "What is the effective date of the enrollment request?")
.PNG "What is the member covered under during the month of March?")
.PNG "If a health plan choice is not made, what coverage will the member have for 5/1/2014?")
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Feb 19, 2024Quiz Edited by
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Sep 02, 2011Quiz Created by
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