Dual eligible - Study guides, Class notes & Summaries

AHIP 2025 Final Exam Questions and Answers (2024 / 2025) (Verified Answers).1. PPO, HMO, MSA, Cost Plan, PFFS ANS Types of Medicare Advantage Plans 2. Serve both Medicare and Medicaid individuals. Include Part D coverage. Individuals sometimes referred to as dual eligibles ANS Medicare-Medicaid plans 3. Type of Medicare health plan. Have Part B to enroll. Can join anytime plan is accepting new members. A non network provider will can charge higher coin- surances and deuctibles. Different enr...

Dual special needs plans are defined as? Medicare advantage plans uniquely designed for consumers enrolled in both Medicare and Medicaid. Meredith a d- snp member loses Medicaid eligibility. What impact does this have on her D-SNP enrollment? She will enter a grace period during which she is responsible for plan, cost sharing and she will be disenrolled at the end of the grace. If she does not re-establish Medicaid eligibility. Brainpower Read More Previous Play Next Rewin...

WGU D096 Fundamentals of Diverse Learners LatestWhat is Title III of ESSA (Every student succeeds act)? Ensure English learners attain English proficiency and develop high levels of academic achievement including migrant children and youth Requirements: -Consistent methods to determine whether students are eligible of EL services -Grater emphasis on parent/family communication -Options to assess Els in native language What laws are in place to support ELL's 1. No Child Left Behind 2. Every Stu...

Florida Real Estate Exam TEST Questions WITH 100% Correct Answers LATEST UPDATE 2023/2024 Binder deposit shows up as what on closing statement? - ANSWER Credit to buyer Which of the following is true about leverage? - ANSWER Leverage is the use of borrowed funds to purchase assets. Which of the following liens would take priority? - ANSWER A property tax lien In which of the following theories of mortgage lending does the borrower not retain ownership of the property during the loan ...

United Health Care Insurance Exam| Questions and Verified Answers| Grade A (2023/2024 New Update) QUESTION Do consumers have to be an AARP member to enroll in an AARP-branded plan with UnitedHealthcare? Answer: Yes, if the consumer is enrolling in a Medicare Supplement Plan QUESTION How many status levels are in the Authorized to Offer Program? Answer: 2 QUESTION According to AARP, there are how many individual AARP members? Answer: Nearly 37 milli...

Econ 104, Goffe, PSU 2024 Exam Graded A+ | Verified & Updated GDP -Answer-the market value of all FINAL goods and services produced in a country during a period of time. GDP equation -Answer-GDP(Y)=C (consumption) + I (investments) +G (gov purchases) +NX (net exports) Consumption -Answer-expenditures made by households (excluding the purchase of a new house) Investment -Answer-Final goods and services purchased by business firms (equipment for production and new buildings), changes in i...

CalMHSA Medi-Cal Peer Support Certification Examadult - correct answer an individual who is 18 years of age or older beneficiary/recipient - correct answer an individual who receives peer services from a Medi-Cal Peer Support Specialist California Mental Health Services Authority (CalMHSA) - correct answer the certifying entity approved by the California Department of Health Care Services (DHCS) to certify peer support specialists, peer support specialist training entities, and peer suppor...

adult - ANSWER an individual who is 18 years of age or older beneficiary/recipient - ANSWER an individual who receives peer services from a Medi-Cal Peer Support Specialist California Mental Health Services Authority (CalMHSA) - ANSWER the certifying entity approved by the California Department of Health Care Services (DHCS) to certify peer support specialists, peer support specialist training entities, and peer support specialist continuing education providers certificant - ANSWER an i...

NURS 6202 Final Exam Questions with 100% Verified Correct Answers 2024/2025 Since its inception, Medicaid (also called Title 19 of the Social Security Act) was originally designed to finance health care services for the indigent, and therefore it has been almost entirely a tax-payer funded program. From the very beginning, Medicaid has been what we call a means-tested program. What does that mean? - Correct Answer -Eligibility depends on financial resources -Each state administers their own Me...

Steps used to control costs of managed care include: - ANSWER-Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - ANSWER-Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - ANSWER-HMO Conventional PPO and POS HDHP/SO plans - high-deductible health plans with a savings...