CAASP Funding & Financing 2

Question 1

Medicaid's EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) benefit is significant for CAASP because it:

Accepted Answer

Requires states to cover any medically necessary service for enrolled children, even if not in the state plan

Answer

Limits the mental health services billable to Medicaid for children under age 18

Answer

Provides block grant funding directly to counties for youth behavioral health services

Answer

Establishes income eligibility thresholds for children's behavioral health services

Question 2

Which Medicaid waiver type gives states the most flexibility to test innovative children's mental health delivery models by waiving standard Medicaid requirements?

Accepted Answer

1115 Demonstration Waivers

Answer

State Plan Amendments (SPAs)

Answer

1915(c) Home and Community-Based Services Waivers

Answer

CHIP Matching Grants

Question 3

Wraparound Milwaukee's financing model is frequently cited as a CAASP best practice because it:

Accepted Answer

Pools Medicaid, child welfare, and juvenile justice funds into a single capitated per-child budget

Answer

Relies exclusively on SAMHSA block grant dollars with no local contribution

Answer

Funds all services through a local property tax levy with federal matching

Answer

Uses only fee-for-service billing with no inter-agency cost sharing

Question 4

In a CAASP context, formal 'cost-sharing' agreements between child-serving agencies typically refer to:

Accepted Answer

Two or more agencies agreeing to share financial responsibility for serving mutually eligible youth

Answer

Clients splitting service costs with their insurance company through co-pays

Answer

States requiring counties to match federal mental health block grant dollars

Answer

Medicaid managed care plans sharing actuarial risk with contracted providers

Question 5

The Children's Health Insurance Program (CHIP) extends behavioral health coverage to children who:

Accepted Answer

Exceed Medicaid income limits but whose families cannot afford private insurance

Answer

Are already enrolled in Medicaid and need supplemental mental health coverage

Answer

Are in foster care placements regardless of family income

Answer

Have a documented disability qualifying them for Supplemental Security Income (SSI)

Question 6

Under a Medicaid managed care arrangement, a behavioral health 'carve-out' means that:

Accepted Answer

Behavioral health benefits are separated from physical health and managed by a specialized behavioral health organization

Answer

Mental health services are excluded from Medicaid coverage entirely for managed care enrollees

Answer

Only crisis services are covered within the managed care contract

Answer

Behavioral health providers receive fee-for-service reimbursement outside the managed care plan

Question 7

Federal financial participation (FFP) in Medicaid is provided to states through:

Accepted Answer

A matching formula (FMAP) where the federal government pays a percentage of each eligible state expenditure

Answer

A per-child, per-year flat rate regardless of actual expenditures

Answer

A block grant awarded annually regardless of state enrollment levels

Answer

A competitive grant process where states submit annual funding proposals