Smmc Refresher Quiz #4

7 Questions | Total Attempts: 177

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Smmc Refresher Quiz #4

MMA vs. LTC


Questions and Answers
  • 1. 
    Where should you refer this recipient to assist with LTC Eligibility?
    • A. 

      Refer to Medicare to submit an LTC Medicaid Application.

    • B. 

      Refer to DCF to submit an LTC Medicaid Application.

    • C. 

      Refer to SSA to submit an LTC Medicaid Application.

    • D. 

      Refer to the AHCA Medicaid Helpline to submit an LTC Medicaid Application.

  • 2. 
    A recipient states, “I recently had a stroke and need help around my house with chores and even cooking. Where can I call to see if I qualify for assistance?” Where should you refer the recipient?
    • A. 

      Refer to DOEA.

    • B. 

      Refer to SSA.

    • C. 

      Refer to the AHCA Medicaid Helpline.

    • D. 

      Refer to Medicare.

  • 3. 
    A recipient asks, “What is the difference between MMA and LTC?” Which option is correct?
    • A. 

      MMA plans only cover extra benefits, while LTC covers everything else.

    • B. 

      MMA plans cover basic Medicaid services like doctors and hospitals, while LTC covers basic Medicaid in-home services like home delivered meals or nursing home services.

    • C. 

      MMA plans only cover recipients under the age of 18, while LTC plans only cover recipients over the age of 65.

    • D. 

      MMA plans and LTC plans are the same.

  • 4. 
    Where should you refer this recipient to assist with LTC Eligibility?
    • A. 

      Refer to DCF to submit a LTC Medicaid Application.

    • B. 

      Refer to the AHCA Medicaid Helpline for further assistance.

    • C. 

      Refer to DOEA for a CARES Assessment.

    • D. 

      Refer to SSA to submit a LTC Medicaid Application.

  • 5. 
    A Mandatory MMA member has an MS ACWM.  Where should you refer for questions on Medicaid eligibility?
    • A. 

      AHCA

    • B. 

      DOEA

    • C. 

      DCF

    • D. 

      SSA

  • 6. 
    An LTC member states they have been receiving therapy and rehab for the past year.  They feel their condition has improved and no longer need LTC services.  How should you proceed?
    • A. 

      LTC members cannot disenroll, they are Mandatory.

    • B. 

      Place on the discrepancy log to have the LOC removed.

    • C. 

      Complete the disenrollment in HT, tell the caller it has to be approved by DOEA first.

    • D. 

      Refer to DOEA for a disenrollment.

  • 7. 
    This member would be _______________ for LTC. 
    • A. 

      Mandatory

    • B. 

      Voluntary

    • C. 

      Excluded

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