CACs CAC Roles and Responsibilities 3

Question 1

A CAC's certification has lapsed. What happens to their authority to provide consumer assistance?

Accepted Answer

Their authority to assist consumers is suspended until recertification is complete

Answer

CACs must maintain current certification to provide assistance; a lapsed certification suspends their authority to assist consumers.

Question 2

Which entity is ultimately responsible for monitoring CAC compliance with federal rules?

Accepted Answer

The CAC's sponsoring organization and CMS

Answer

Both the CAC's sponsoring organization and CMS share oversight responsibility for ensuring CAC compliance with federal requirements.

Question 3

A consumer visits a CAC seeking help enrolling in Medicaid. The CAC determines the consumer appears eligible. What should the CAC do?

Accepted Answer

Assist the consumer in applying for Medicaid through the appropriate state or Marketplace pathway

Answer

CACs are authorized to assist consumers with Medicaid applications and must help facilitate access to all available coverage options.

Question 4

A CAC notices that a client's application may qualify them for CHIP for their children but a QHP for the adults. What should the CAC do?

Accepted Answer

Explain the options and help the family apply for both programs as appropriate

Answer

CACs must inform consumers of all coverage options for which they appear eligible and assist them in applying accordingly.

Question 5

What is the significance of a CAC keeping their training certificates and documentation organized?

Accepted Answer

It demonstrates compliance and supports oversight by CMS and the sponsoring organization

Answer

Maintaining organized training records demonstrates compliance and is necessary for audits and oversight by CMS and sponsoring organizations.

(CACs) Certified Application Counselor Practice Test