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Medicaid and other State Programs

Medicaid is administered by ___ with partial ___ funding

state goverenment;federal

in all other states, the program is known as Medicaid, but in California the program is called

Medi-cal

name two broad classification of people eligible for Medicaid assistance

categorically and medically needy

the insurance claim form for submitting Medicaid claims in all states is

CMS-1500 health insurance claim form

when professional services are rendered, the Medicaid identification care or electronic vertification must show eligibility for

month of service

when a medicaid patient is injured in an automobile accident and the care has liability insurance, this involves a third-party payer so the insurance claim is sent tothe

automobile insurance carriee

the only state without a Medicaid program that is similar to those existing in other states that has an alternative prepaid medical assistance program is

arizona

a patient's Medicaid eligiblity may be verified by

touch-tone telephone;modem;special Medicaid terminal equipment

when a medicaid patient requires a piece of durable medical equipment, the

obtain prior authorization, preferably written

medicare beneficiaries who are disabled but have annual incomes below the federal poverty level may be eligible for

medicaid qualified medicare beneficiary program; qualifying individuals program; specified low-income medicare beneficiary program

TRUE

cerebral palsy is a condition that qualifies a child for benefits under the Maternal and Child Health Program

TRUE

when filing a claim for a Medicaid managed care patient, transmit the claim to the manages care organization and not the Medicaid fiscal agent

TRUE

Providers must enroll for participation in the Medicaid program with the fiscal agent for their region

TRUE

a state agency that investigates complaints of mistreatment in long-term care facilities is the Medicaid Fraud control Unit (MFCU).

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