Smmc Refresher Quiz #12
Program Information
- 1.
For entry into the LTC program you must:
- A.
Be at least 18 years old, have filed for financial eligibility and meet the required Level of Care.
- B.
Be 65 or older, need someone to care for you and already be approved for Medicare.
- C.
Have filed for a disability check and food and medical assistance through SSA.
- D.
Need someone to take care of you while your family goes to work.
Correct Answer
A. Be at least 18 years old, have filed for financial eligibility and meet the required Level of Care. -
- 2.
The CARES assessment is required to:
- A.
Establish Medicaid eligibility and verification of assets.
- B.
Recommend the least restrictive, safe, and most appropriate placement, identify the Level of Care, and long-term care needs.
- C.
Determine if the recipient will qualify for disability with the SSA or for workers compensation.
- D.
Identify if the recipient qualifies for services under the Agency for Persons with Disabilities.
Correct Answer
B. Recommend the least restrictive, safe, and most appropriate placement, identify the Level of Care, and long-term care needs. -
- 3.
Express Enrollments will be effective:
- A.
When Medicaid is approved. The effective date can be any day of the month.
- B.
When Medicaid is approved. The effective date is always on the first of the month.
- C.
As soon as the applicant applies for Medicaid, even if the status is "Processing".
- D.
The following month. The recipient will have FFS for the first month.
Correct Answer
A. When Medicaid is approved. The effective date can be any day of the month. -
- 4.
Susie Smith is part of a Model Waiver and wants to enroll into LTC. How should you proceed?
- A.
Enroll Susie into an LTC plan.
- B.
Refer Susie to the SSA.
- C.
Refer Susie to DOEA to get screened for LTC.
- D.
Refer Susie to her Primary Care Doctor.
Correct Answer
C. Refer Susie to DOEA to get screened for LTC. -
- 5.
Susie Smith qualifies for a managed care plan under LTC and MMA, what would you tell Susie about her plan options?
- A.
Tell Susie the it's her choice and you cannot provide any information.
- B.
Tell Susie she is eligible for a comprehensive plan, and she is eligible to enroll into the same plan for both programs if she chooses to.
- C.
Tell Susie she can go on the website to review her plan enrollment options.
- D.
Tell Susie she can go to the senior center and someone will help her choose a plan.
Correct Answer
B. Tell Susie she is eligible for a comprehensive plan, and she is eligible to enroll into the same plan for both programs if she chooses to. -
- 6.
For MMA, Recipients whose Medicaid eligibility ends for less than 6 months (180 days) are in a ________________________ period. If Medicaid eligibility is regained, they will be reinstated back into the plan they had previous (if available).
- A.
No change
- B.
Open enrollment
- C.
Lock-In
- D.
Temporary loss
Correct Answer
D. Temporary loss -
- 7.
LTC recipients that experience a temporary loss of eligibility should:
- A.
Call DOEA to request an extension on their Medicaid eligibility.
- B.
Call the LTC plan to find out about their Medicaid eligibility before the 60 days are over.
- C.
Make plans to find another facility since they are losing Medicaid eligibility.
- D.
Call DCF or SSA to find out about their Medicaid eligibility status before the 60 days are over.
Correct Answer
D. Call DCF or SSA to find out about their Medicaid eligibility status before the 60 days are over. -
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Current Version
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Mar 21, 2022Quiz Edited by
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Aug 07, 2017Quiz Created by
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