Discuss AHIP AHM-530 Exam Topic 2 Question 54

The following statements are about Medicaid health plan entities. Select the answer choice containing the correct statement:

ATo keep Medicaid enrollment costs as low as possible, states typically prohibit the use of third-party entities known as enrollment brokers to handle the recruitment and enrollment of Medicaid recipients in health plan plans

BPrimary care case managers (PCCMs) are individuals who contract with a state's Medicaid agency to provide primary care services mainly to urban areas.

CTypically, Medicaid beneficiaries must be given a choice between at least two health plan entities.

DMedicaid health plan entities are responsible for providing primary coverage for all dually-eligible beneficiaries.

Suggested Answer: C

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12 comments · newest first

Meaghan 12 months ago

Totally agree, having options is crucial for Medicaid recipients!

Cordell 1 year ago

Wait, are dually-eligible beneficiaries really covered by just one plan?

Carmelina 1 year ago

Beneficiaries definitely need choices in health plans!

Elroy 1 year ago

I thought PCCMs were for rural areas, not just urban.

Rashida 1 year ago

Medicaid usually allows enrollment brokers to help with recruitment.

Katie 1 year ago

I feel like beneficiaries having a choice between health plans is a common requirement, but I’m not 100% sure if it’s always two options.

Ines 1 year ago

I think I saw a question about PCCMs in practice tests, but I can't recall if they only serve urban areas or not.

Annabelle 1 year ago

I remember something about enrollment brokers, but I thought they were allowed in some states to help with Medicaid.

Veronika 1 year ago

The statement about dually-eligible beneficiaries seems off; I thought Medicaid was secondary to Medicare for those individuals.

Carin 1 year ago

I'm a bit confused by this question. The wording is a bit technical, and I'm not sure I fully understand the concept they're asking about. I'll have to review my notes on the CCM tool before attempting to answer this.

Shawana 1 year ago

This looks like a straightforward share-based payment question. I'll need to calculate the total expense to be recognized in the year based on the fair value of the options and the expected number of employees who will vest.

Jina 1 year ago

Hmm, this one has me a bit stumped. I'll need to review my notes on power units and conversions to figure this out.

AHIP AHM-530 Exam - Topic 2 Question 54 Discussion