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Health Insurance
Medicaid
| Question | Answer |
|---|---|
| Medicaid is jointly funded by federal and state governments, and each state | administers its own Medicaid program |
| State legislatures may change Medicaid eligibility requirements | during the year, sometimes more than once |
| Which program is the basis for determining Medicaid income eligibility for most children, pregnant people, parents, and adults? | Modified Adjusted Gross Income |
| States that opt to include a medically needy eligibility group in their Medicaid program allow currently ineligible individuals to become eligible by | spending down the amount of income that is above a state's income eligibility standard. |
| How often should providers verify a patient's Medicaid eligibility? | At each encounter Hide Feedback |
| Which is a mandatory Medicaid benefit, which states must offer to comply with federal law? | Home health services |
| Individuals who are eligible for both Medicare and Medicaid coverage are called | dual eligibles. |
| When a patient has Medicaid coverage in addition to other third-party payer coverage, Medicaid is always considered the | payer of last resort. |
| A voided claim | should not have been paid and results in a deduction from the lump-sum payment made to the provider. |
| Medicaid-covered services are paid only when the service is determined by the provider to be medically necessary, which means the services are | consistent with the patient's symptoms, diagnosis, condition, or injury. |
Created by:
tbharris
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