Course MBM-120 People Groups

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Western Governors University *

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101

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Medicine

Date

Apr 3, 2024

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pdf

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5

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1. Medicaid is available to the categorically needy, the medically needy, and special groups. A ) True B ) False 2. Which is the best definition for Newly Eligible individuals? A ) Foster children older than 18 B ) Young, pregnant mothers C ) Very-low income men or women not otherwise eligible for Medicaid D ) Students under the age of 21 3. All aliens - both qualified and non-qualified (including undocumented immigrants) - may be eligible for treatment of an emergency medical condition, provided they otherwise meet the eligibility criteria (such as income level) for the state's Medicaid program. A ) True B ) False 4. The federal government administers Medicaid. A ) True B ) False 5. If a hospital is unable to stabilize a patient using its capabilities, what should its next course of action be? Exam Course MBM-120 - People Groups Detailed Test Results Student: Ahnna Jackson Username: ahnna.jackson@dch.ga.gov Course: People Groups Test Date: 12/06/2023 Total Questions: 30 Total Correct: 29 Total Answered: 30 Score: 96%, P Key to answers: Incorrect Question Correct Question Correct Answer Input Buttons & Boxes: Student Answer n/n Points Awarded / Points Possible
A ) Apologize and offer to call the patient's primary care physician B ) Send the patient home C ) Transfer the patient to an appropriate facility, if the patient consents 6. How is CMS maintaining its commitment to maximize Medicaid access for American Indians and Alaskan natives? A ) By offering culturally competent outreach and education B ) By offering discounts on medical treatment C ) By building schools 7. Each state government administers federally established guidelines for the Medicaid program. A ) True B ) False 8. Under the Special Groups heading, eligibility can be extended to working disabled people between ages 16 and 65 who have income and resources greater than that allowed under the SSI program. A ) True B ) False 9. Medicaid will pay Medicare Part A premiums for certain disabled individuals who lose Medicare coverage because of work income. A ) True B ) False 10. Those who are enrolled in Managed Care are not eligible for expanded eligibility under Medicaid waivers. A ) True B ) False 11. Individuals whose income is at or below 100% of the federal poverty level and whose resources are at or below twice the standard allowed under SSI are considered Qualified Medicare Beneficiaries. A ) True B ) False 12. The family income level for a Newly Eligible individual must be below _______ of the federal poverty level. Exam Course MBM-120 - People Groups Detailed Test Results Student: Ahnna Jackson Username: ahnna.jackson@dch.ga.gov Course: People Groups Test Date: 12/06/2023 Total Questions: 30 Total Correct: 29 Total Answered: 30 Score: 96%, P Key to answers: Incorrect Question Correct Question Correct Answer Input Buttons & Boxes: Student Answer n/n Points Awarded / Points Possible
A ) 100% B ) 133% C ) 135% D ) 200% 13. Refugees, those granted asylum, and victims of a severe form of trafficking (among several other categories) are considered qualified aliens. A ) True B ) False 14. Qualified aliens include aliens lawfully admitted for permanent residence under the Immigration and Nationality Act. A ) True B ) False 15. Which type of individual would typically not be considered Medically Needy? A ) Working adults classified as head of household for income tax purposes B ) Caretakers who live with and take care of children C ) Disabled persons D ) Blind persons E ) Aged persons (65 and older) 16. Individuals in the Newly Eligible group must _______________. A ) Have a family income below 133% of FPL B ) Not be under the age of 19 C ) Not already be enrolled in Medicaid D ) All choices apply 17. What types of individuals below must be included if states choose to have a Medically Needy Medicaid program? A ) Certain newborns for a year B ) Pregnant women through a 60-day postpartum period C ) Children under the age of 18 D ) Pregnant women through a 60-day postpartum period AND children under the age of 18 E ) All choices apply 18. The federal government establishes general guidelines for the administration of Medicaid benefits. A ) True Exam Course MBM-120 - People Groups Detailed Test Results Student: Ahnna Jackson Username: ahnna.jackson@dch.ga.gov Course: People Groups Test Date: 12/06/2023 Total Questions: 30 Total Correct: 29 Total Answered: 30 Score: 96%, P Key to answers: Incorrect Question Correct Question Correct Answer Input Buttons & Boxes: Student Answer n/n Points Awarded / Points Possible
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B ) False 19. A person receiving Supplemental Security Income (SSI) may qualify as Categorically Needy. A ) True B ) False 20. Medicare beneficiaries with income greater than 100% but less than 135% of the federal poverty level are considered part of the Special Groups that may be covered by Medicaid. A ) True B ) False 21. No special rules apply for those who live in nursing homes and for disabled children living at home. A ) True B ) False 22. Which type of individual would typically not be considered Categorically Needy? A ) Recipients of adoption assistance and foster care B ) Infants born to Medicaid-eligible pregnant women C ) Single adult male living below the federal poverty level D ) Certain people with Medicare 23. The SSI program's rules currently used in Medicaid for determining income eligibility are the only rules that may be used by the states. A ) True B ) False 24. An eligibility requirement common to all states is an individual's income and resources (like bank accounts, property, or other items that can be sold for cash). A ) True B ) False 25. States may include which of the following as eligibility groups related to specific medical conditions? A ) Women with breast or cervical cancer B ) Elderly with hair loss Exam Course MBM-120 - People Groups Detailed Test Results Student: Ahnna Jackson Username: ahnna.jackson@dch.ga.gov Course: People Groups Test Date: 12/06/2023 Total Questions: 30 Total Correct: 29 Total Answered: 30 Score: 96%, P Key to answers: Incorrect Question Correct Question Correct Answer Input Buttons & Boxes: Student Answer n/n Points Awarded / Points Possible
C ) Individuals with tuberculosis who are uninsured D ) Women with breast or cervical cancer AND individuals with tuberculosis who are uninsured E ) Women with breast or cervical cancer AND elderly with hair loss 26. States must cover all full-time students under the age of 21 as part of the Medically Needy program. A ) True B ) False 27. A child's status is a factor in determining eligibility. A ) True B ) False 28. The requirements for an individual's income and resources vary from state to state. A ) True B ) False 29. Which of the illnesses below might states cover as a Special Group under their Medicaid program? A ) Diabetes B ) Heart disease C ) Tuberculosis 30. States determine specific eligibility requirements to receive Medicaid benefits, as well as the type and scope of services provided. A ) True B ) False Exam Course MBM-120 - People Groups Detailed Test Results Student: Ahnna Jackson Username: ahnna.jackson@dch.ga.gov Course: People Groups Test Date: 12/06/2023 Total Questions: 30 Total Correct: 29 Total Answered: 30 Score: 96%, P Key to answers: Incorrect Question Correct Question Correct Answer Input Buttons & Boxes: Student Answer n/n Points Awarded / Points Possible