Exam 13: Medicaid and Other State Programs

The Medicaid service for prevention, early detection, and treatment for welfare children is known as

Medicaid is administered by the

If a service is totally disallowed by Medicaid, a physician is within legal rights to bill the patient.

All state Medicaid programs operate with a fee-for-service reimbursement system.

The two Medicaid eligibility classifications are the ____________________ needy group and the ____________________ needy class.

The medically needy aged

In the Medicaid program, Congress authorized vendor payments for medical care, which are payments from the

TEFRA stands for Tax Equity and Financial Reimbursement Act.

The ____________________ form accompanies all Medicaid payment checks.

It is possible for a Medicaid patient to be on Medicaid one month and off Medicaid the following month.

The gatekeeper in a Medicaid managed care program is the specialist to whom the patient is referred.

A physician may accept or refuse Medicaid patients on the basis of the individual patient and his or her circumstances.

Medicaid managed care patient claims should be sent to the

State Children's Health Insurance Programs (SCHIPs)

Medicaid is an established program of medical assistance in 46 states.