Exam Bank for Medicaid and Medicare - Questions with Verified Answers (Graded A+)
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Module
Medicaid and Medicare
Institution
Medicaid And Medicare
Exam Bank for Medicaid and Medicare - Questions with Verified Answers (Graded A+)
What was the Centers for Medicare and Medicaid Services (CMS) formerly called? - Answers Health Care Financing Administration (HCFA)
How many Americans does the Centers for Medicare and Medicaid (CMS) serve? - Answe...
Exam Bank for Medicaid and Medicare - Questions with Verified Answers (Graded A+)
What was the Centers for Medicare and Medicaid Services (CMS) formerly called? - Answers Health Care
Financing Administration (HCFA)
How many Americans does the Centers for Medicare and Medicaid (CMS) serve? - Answers about 120
million
What are the three administers of government provided health care? - Answers Medicaid, Medicare,
and Children's Health Insurance Program (CHIP)
What is the FY 2015 budget to finance Medicare, Medicaid, and CHIP programs? What percentage goes
to each? - Answers Approximately 900 billion:
-Medicare: 58%
-Medicaid: 38%
-CHIP: 1.2%
About how many employees does CMS have? How are they spread out? Where is headquarters? -
Answers 4,000 employees in 10 regional offices; Washington, D.C.
Describe what CMS employees are engaged in - Answers -policy development and analysis
-program operations and budget preparation
-health care research and demonstrations
-data collection and processing
-enforcement of health care quality standards
-public information activities
Who is the administrator of CMS and how did she get there? - Answers Marilyn Tavenner, BSN, MH
-started as a nurse and worked her way up
-worked for 25 years for Hospital Corporation of America
-former Secretary of Health and Human Resources in VA
What is Medicaid? - Answers -a health insurance plan mainly for our nation's poor who fall into specified
categories (typically children, parents, pregnant women, disabled, and elderly)
, -state-run program funded by both state and federal governments
About how many Americans are enrolled in Medicaid? - Answers 60 million
How is medicaid financed? - Answers -based on the state's average per capita income
-"poorer" states receive more federal $ than the "wealthier" ones
What is the portion of Medicaid costs paid by the federal government called? - Answers "Federal
Medical Assistance Percentage" (FMAP)
What is the law regulating FMAP? - Answers the FMAP cannot be greater than 83% or less than 50% for
any given state
Who is eligible for Medicaid? - Answers -all children 19 and under must be covered
-must be mandated categorically needy, optionally categorically needy, or medically needy
How is eligibility determined for Medicaid? - Answers -individual states establish their own criteria
within federal guidelines
-eligibility for each of the previous mentioned groups can vary considerably from state to state
-the federal government does not require each state to have a Medicaid program, but ALL states have
one
What category is the highest percentage of those receiving Medicaid benefits? - Answers children
What category is the highest percentage of those receiving Medicaid funding? - Answers disabled
What is the general history of Medicare? - Answers -originates with the passage of the Social Security
Act in 1935
-first real concept was during the Truman administration
-signed into law under the Johnson administration
-George W. Bush signed the Medicare Prescription Drug, Improvement, and Modernization Act
("Medicare Modernization Act or MMA)
What is Medicare? - Answers -a health insurance plan mainly for those 65 years of age or older
-nationally run program with uniform, federal criteria for eligibility
About how many Americans are enrolled in Medicare? - Answers 55 million
Who is eligible for Medicare? - Answers -must be 65 or older
-or disabled
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