SMMC Refresher Quiz #8

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1. A recipient states, "My sister has been helping me live for years. She bathes me, helps me in and out of my chair, and cooks my meals for me. She does so much for me, but I can't afford to pay her. Can Medicaid pay her?"When reviewing the case, you see the recipient is eligible for LTC, and is currently enrolled in an LTC plan. What can you advise the recipient?

Refer the recipient to DOEA to speak to the case manager and enroll in Participant Direct Option.

Refer the recipient to the LTC plan to speak to the case manager and enroll in Participant Direct Option.

About This Quiz

Prescribed Pediatric Extended Care (PPEC)
Participant Direct Option (PDO)
Program of All-inclusive Care for the Elderly (PACE)

You may optionally provide this to label your report, leaderboard, or certificate.

Inform the recipient they will receive medical services through Straight Medicaid and the PACE plan will cover their LTC services.

Inform the recipient they will receive medical services through Medicare and the PACE plan will cover their LTC services.

The recipient will be Mandatory for MMA and Mandatory for LTC.

The recipient will be Excluded for MMA and Voluntary for LTC.

The recipient will be Excluded for MMA and Mandatory for LTC.

The recipient will be Mandatory for MMA and Excluded for LTC.

Process an MC Exemption Request to remove the PACE indicator so the recipient can change the plan on the website.

Refer the recipient to the PACE plan to process the plan change.

Inform the recipient that they are PACE enrolled, and cannot change. Refer to the AHCA Medicaid Helpline to complain.

Inform the recipient they must pay their Direct Service Provider out of pocket.

Inform the recipient they must contact the AHCA Medicaid Helpline to make sure their Direct Service Provider gets paid.

Inform the recipient they must contact the LTC plan to make sure their Direct Service Provider gets paid.

Inform the recipient that their neighbor will not get paid for helping them with shopping and chores.

The recipient will be Mandatory.

The recipient will be Voluntary.

The recipient will be Excluded.

The recipient is not Eligible.

Inform the recipient they cannot change the LTC plan because they have a Nursing Home Indicator.

The recipient is Mandatory and may change the LTC plan anytime during the 120-day change period or OE.

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