Mental Health and LTC

Question 1

What are the mental health issues most common at an early age?

Answer 1

Mood disorders (e.g., Depression)
ODD
Eating disorders
ADHD
Substance use

Question 2

What are the mental health issues most common at a late age?

Answer 2

Depression
Substance use

Question 3

Where are mental health services primarily provided?

A. Outpatient
B. Inpatient
C. Community-based
D. Home health

Answer 3

A. outpatient

Question 3

What is Medicaid Section 1115 Behavioral Health Waivers?

Answer 3

Section 1115 of the Social Security Act gives the Secretary of Health and Human Services authority to approve experimental, pilot, or demonstration projects that are found by the Secretary to be likely to assist in promoting the objectives of the Medicaid program.

Question 3

What is the Mental Health Parity Act?

Answer 3

Apply mental health services to group health plans
Disallowed limits on mental health benefits as compared to medical/surgical benefits

Question 4

What is the most common service/s provided to individuals in an outpatient basis in mental health?

Answer 4

Psychotherapy
Pharmacological intervention

Question 5

What is the biggest payer for mental health services in the US health care system?

Answer 5

Medicaid (28% of total expenditure)

Question 6

What is the Mental Health Parity Addiction Equity Act?

Answer 6

Included substance use disorder to mental health services provided

Question 7

True or false: Medicaid does not cover group therapy

Answer 7

False

Question 8

True or false: Medicaid does not offer case management services.

Answer 8

False

Question 9

True or false: Medicaid covers methadone maintenance.

Answer 9

True

Question 10

True or false: Alternative benefit plans are not mandatory for newly eligible beneficiaries under Medicaid Expansion.

Answer 10

False

Question 11

This type of LTSS has 24 hours of custodial care for ADL assistance.

A. Nursing home
B. Skilled nursing facility
C. Home-based care
D. Community-based care

Answer 11

A. Nursing home

Question 12

A non-residential facility that supports the health, nutritional, social support and daily living needs of adults in a professionally staffed, group setting is called…

Answer 12

Adult day service(s)

Question 13

A facility combining housing, personalized supportive services, and health care designed to meet the needs of those who need help with ADLS is called…

Answer 13

Assisted living

Question 14

This type of LTSS provides care for individuals with terminal illness and their support systems during and after the dying process.

Answer 14

Hospice

Question 15

Temporary surrogate care given to a patient when the patient’s primary caregiver must be absent is called…

Answer 15

Respite care

Question 16

True or false: Medicare covers home health services (skilled care) and custodial care.

Answer 16

False

Covers home health care but NOT custodial care.

Question 17

What is the eligibility criteria for Medicaid coverage for LTC?

Answer 17

Low income
limited assets
Functional need
Must be receiving SSI

Question 18

What is the difference between Medicaid and Medicare coverage for LTC?

Answer 18

Medicare doesn’t cover personal/custodial care services

Question 19

What is the most common reason for nursing home placement?

Answer 19

Absence of informal caregiver

Question 20

What is the states’ obligation under the US Supreme Court Olmstead decision?

Answer 20

Provide services to persons with disabilities in community settings versus institutions

Question 21

Which ACA LTC program provides additional federal payment for beneficiaries transitioning from institutional care to the community?

Answer 21

Money Follows the Person Demonstration

Question 22

Who provides the most informal care in the home?

Answer 22

Family and friends

Question 23

What is the largest payer of LTC services?

Answer 23

Medicaid

Question 24

Which LTC is the most costly for the healthcare system? Why?

Answer 24

Nursing home/SNF - 24 hours of care