Certified Revenue Cycle Representative (CRCR) Practice Exam

Which option is a federally-aided, state-operated program to provide health and long-term care coverage?

1. Medicare

2. Medicaid

3. Self-Insured Plans

4. Liability Coverage

The correct answer is: Medicaid

Medicaid is a federally-aided, state-operated program designed to provide health and long-term care coverage for eligible individuals, particularly those with low income. The program is funded jointly by both the federal and state governments, and its administration is handled at the state level, meaning that each state has the authority to design its own program within federal guidelines. This allows for variations in the scope of services covered, eligibility requirements, and payment structures. Medicaid's primary focus is on individuals who meet specific criteria, including low-income families, children, pregnant women, elderly individuals, and those with disabilities. It offers a wide range of services that may include hospital stays, doctor visits, preventive care, long-term care in nursing homes, and other necessary health services, which contribute significantly to the overall health management of these populations. In contrast, Medicare is a separate program primarily for individuals aged 65 and older or those with certain disabilities, while self-insured plans refer to employer-funded health insurance schemes where the employer assumes the costs of benefits. Liability coverage pertains to protection against claims resulting from injuries or damages to other people or property, which does not directly provide health or long-term care coverage like Medicaid does.