How Much Do You Know About Individual Budget Authorizations in Medicaid/MCO Prog...
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Questions and Answers

What is the purpose of Individual Budget Authorizations in Medicaid/MCO programs?

  • To limit the amount of funds available to members for hiring attendants and purchasing goods & services.
  • To provide members with access to Traditional Model (Agency) home health services.
  • To promote independence and reduce human reliance by providing members with control over their Medicaid/MCO funds for hiring attendants and purchasing goods & services. (correct)
  • To ensure equitable distribution of Medicaid/MCO funds across all members.

What types of services are typically included in Individual Budget Authorizations?

  • Only self-directed services.
  • Only medical services.
  • Services that are self-directed and advanced medical assistance.
  • Services that are self-directed and basic non-medical assistance with bathing, dressing, and grooming. (correct)

What is Self-Direction in Medicaid/MCO programs?

  • A program that limits members' control over their Medicaid/MCO funds.
  • A program that allows individuals to select whom they wish to provide basic, non-medical assistance. (correct)
  • A program that provides members with access to Traditional Model (Agency) home health services.
  • A program that provides advanced medical assistance to members.

What is the difference between Traditional Model (Agency) home health and Self-Direction in Medicaid/MCO programs?

<p>Traditional Model (Agency) home health is provided by personal care agencies while Self-Direction allows individuals to select whom they wish to provide basic, non-medical assistance. (C)</p> Signup and view all the answers

How are Financial Management Services Providers selected in Self-Direction programs?

<p>Through a bidding process. (C)</p> Signup and view all the answers

How are Financial Management Services funded in Self-Direction programs?

<p>Financial Management Services are funded by the state as an administrative cost. (B)</p> Signup and view all the answers

What are the risks associated with Self-Direction in Medicaid/MCO programs?

<p>Inability to stay within the allotted budget, misuse of funds, and not following program rules. (D)</p> Signup and view all the answers

What is the role of the Financial Management Services provider in Self-Direction programs?

<p>To manage members' Medicaid/MCO funds and assist with payroll and tax filings for care givers. (B)</p> Signup and view all the answers

How do Managed Care Organizations (MCOs) implement Self-Direction programs?

<p>MCOs contract with Financial Management Services providers to manage members' Medicaid/MCO funds. (A)</p> Signup and view all the answers

What is the training requirement for care givers in Self-Direction programs?

<p>40 hours of intensive required training are required. (B)</p> Signup and view all the answers

What types of technological advancements have been made in Financial Management Services for Self-Direction programs?

<p>Both B and C. (D)</p> Signup and view all the answers

What percentage of elderly members have designated an Authorized Representative in Medicaid/MCO programs?

<p>40% (C)</p> Signup and view all the answers

What is the purpose of Individual Budget Authorizations in Medicaid/MCO programs?

<p>To provide consistent and equitable control of Medicaid/MCO funds for members to hire attendants and purchase goods &amp; services (C)</p> Signup and view all the answers

What is self-direction in Medicaid/MCO programs?

<p>The ability for individuals to select whom they wish to provide basic, non-medical assistance with bathing, dressing and grooming (B)</p> Signup and view all the answers

What is the Traditional Model (Agency) home health in Medicaid/MCO programs?

<p>A model where personal care agencies provide home health services (A)</p> Signup and view all the answers

What is a risk of Self-Direction in Medicaid/MCO programs?

<p>Not completely understanding program rules and responsibilities resulting in misuse of funds or not following program rules (C)</p> Signup and view all the answers

What is the role of Financial Management Services Providers in Medicaid/MCO programs?

<p>To manage the finances of participants in the self-direction program (D)</p> Signup and view all the answers

What is a risk of Self-Direction in Medicaid/MCO programs related to the Provider?

<p>The Provider not performing the work required, completing inadequate work or Providers not showing up (B)</p> Signup and view all the answers

What is the responsibility of the FMS in Medicaid/MCO programs?

<p>To manage the finances of participants in the self-direction program (C)</p> Signup and view all the answers

What is the purpose of the competitive bidding process for Financial Management Services Providers in Medicaid/MCO programs?

<p>To select the best FMS provider for the self-direction program at the lowest possible cost (A)</p> Signup and view all the answers

What is a risk of Self-Direction in Medicaid/MCO programs related to the Participant or Member?

<p>Neglect/self-neglect (C)</p> Signup and view all the answers

What is the role of managed care organizations (MCOs) in implementing self-direction programs in Medicaid/MCO programs?

<p>To contract directly with the FMS provider (C)</p> Signup and view all the answers

What is the percentage of elderly who have designated an Authorized Representative in Medicaid/MCO programs?

<p>40% (A)</p> Signup and view all the answers

What is the trend in the Medicaid and Managed Care markets related to self-direction?

<p>Self-direction is growing in popularity (A)</p> Signup and view all the answers

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