True/False
1. Title 19 of the SSA, was passed in 1964, creating Medicaid.
T F
2. The state government established the eligibility requirements
T F
3. Preauthorized protocols are rarely needed with Medicaid populations
T F
4. Dual eligibles is a term for those covered by both Medicaid and Medicare
T F
5. Under dual eligibility, Medicaid is always the primary payer
T F
6. Medicaid is always the payer of last resort if a person is covered by other insurance
T F
7. Providers may bill Medicaid patients for the balance of the fee due after payment has been received from Medicaid
T F
8. Providers may obtain the insured information in three ways
T F
9. The Medicaid remittance advise shows payments, status, etc., on every claim submitted
T F
10. The Medicaid surveillance system for audit for utilization is called “SRUS”
T F
11. Medicaid does not rely on “medical necessity” to cover its clients
T F
12. No special rules apply on the CMS-1500 forms
T F
13. Medicaid recipients are enrolled for three months at a time
T F
14. If a provider sees a patient in an “ineligible” month, Medicaid will consider paying the claim anyway
T F
15. Eligibility should be verified on every schedule Medicaid appointment
T F
16. Some states do not call the Medicaid plan by that name
T F
17. The medically needy have some hope of retroactive relief under Medicaid
T F