The medicaid program is funded by
federally mandated and state administered
The temporary assistanc to needy families(TANF) program provides
cash assistance on a limited time basis for children deprived of support
What is included in a couples combined recources accourding to the Spousal Impoverishment Protection legislation
summer home
when a patient has become retroactively eligible for Medicaid benifits, any payment made by the patient during the retroactive period must be
refunded to the patient by the practice
To recieve matching funds through Medicaid, states must offer what coverage
inpatient hospital services
Early and Periodic Screening, Diagnosic, and Treatment(EPSDT) services are offered for which Medicaid enrolled population
individuals under age 21
Programs of All-Inclusive Care for the elderly(PACE) work to limit out of pocket costs to benificiaries by
not applying deductibles, copayments, or other cost-sharing
what is subject to medicaid preauthorization guidelines
outpatient admission 48 hours prior to the day of surgery
which services are exempt from medicaid copayments
family planning services
a primary care provider in a medicaid care case management(PCCM) plan differs from an HMO primary care provider in that th Medicaid primary care provider is
not at risk for the cost of the care provided
An individual whose income is at or below 100 percent of the federal poverty level(FPL) and has recources at or below twice the standard allowed amount under the SSI program may recieve assistance from medicaid to pay for medicare premiums, deductibles, and coinsurance amounts as a
qualified medicare benificiary(QMB)
A medicaid voided claim
should not have been paid originally
one way federal government verifies reciept of Medicaid services by a patient is by use of
a monthly survey sent to a sample of medicaid recipients requesting verification
Medicaid reimbursement is expidited when the provider
enters an X in the Yes box in Block 27 to accept assignment
A Medicaid card issued for the "unborn child of..." is good for
services that promote the life and health of the unborn child
What is required in Block 32 if an X is entered in the Yes box of Block 20
name and address of the outside laboratory
How are diagnosis reference numbers reported in Block 24E of a Medicaid claim
Seperate each diagnosis pointer number with a comma
which is considered a valid entry in Block 24H of a Medicaid claim
The letter B, If the service was for both EPSDT and family planning
When a Medicaid patient has a third party payer coverage and a claim has been rejected, the rejection code is reported in which block of the Medicaid CMS-1500 claim
Block 11
When payment has been recieved by a primary payer, the payment amount is entered in which block of the medicaid CMS-1500 claim
Block 29