CACs Serving Diverse Populations 3

Question 1

A client with a cognitive disability needs extra time and simplified explanations to understand plan options. The CAC should:

Accepted Answer

Provide assistance at whatever pace the client requires, using plain language and visual aids as needed

Answer

Refer the client to a different organization better equipped to help

Answer

Complete the application on behalf of the client without explaining the options

Answer

Limit the session to 30 minutes like any other appointment

Question 2

Which document is generally NOT acceptable as proof of lawful presence for Marketplace enrollment?

Accepted Answer

Temporary visitor visa with no work authorization

Answer

Permanent Resident Card (green card)

Answer

Valid unexpired passport with an I-94 arrival record

Answer

Employment Authorization Document (EAD)

Question 3

A Native American client tells you their tribe offers its own health program. How should a CAC factor this into the enrollment discussion?

Accepted Answer

Explain that American Indians and Alaska Natives have special Marketplace provisions, including cost-sharing exemptions and year-round enrollment

Answer

Advise the client to drop tribal coverage and enroll only in a Marketplace plan

Answer

Tell the client they are not eligible for the Marketplace because they have tribal coverage

Answer

Ignore the tribal coverage since it does not affect Marketplace eligibility

Question 4

When assisting an elderly client who struggles with online technology, a CAC should:

Accepted Answer

Offer paper application assistance or help navigate the online portal on the client's behalf with their consent

Answer

Insist the client apply online since it is fastest

Answer

Tell the client to ask a younger family member to apply for them

Answer

Limit assistance to answering questions without actually helping with the application

Question 5

A client discloses they are an undocumented immigrant. The CAC should:

Accepted Answer

Explain that undocumented individuals are not eligible for Marketplace coverage but may be eligible for emergency Medicaid and check if their children qualify

Answer

Report the client's immigration status to federal authorities

Answer

Enroll the client anyway since immigration status is not verified

Answer

Refuse all assistance and ask the client to leave

Question 6

A client's primary language is Somali and no interpreter is immediately available. What is the best immediate action?

Accepted Answer

Reschedule the appointment and arrange a qualified Somali interpreter for the next session

Answer

Proceed with the enrollment using gestures and pictures

Answer

Ask a random bilingual staff member from another department to interpret

Answer

Send the client written materials in English and ask them to return when they understand them

Question 7

A client mentions they follow dietary laws that affect whether they will use certain covered services. How should a CAC respond?

Accepted Answer

Acknowledge the client's values, focus on coverage eligibility, and let the client make their own healthcare decisions

Answer

Tell the client their religious beliefs are irrelevant to health coverage enrollment

Answer

Advise the client to choose a plan that excludes services conflicting with their beliefs

Answer

Require the client to sign a waiver acknowledging their coverage limitations