CCM Care Coordination & Resource Management 5

Question 1

Which federal program provides comprehensive care coordination specifically designed for low-income elderly individuals who qualify for both Medicare and Medicaid?

Accepted Answer

PACE (Program of All-inclusive Care for the Elderly)

Answer

PACE provides integrated Medicare and Medicaid services to dual-eligible elderly clients, with interdisciplinary teams coordinating all aspects of care.

Question 2

A care manager conducting a care needs assessment discovers a client is a caregiver for an ill spouse while managing their own chronic illness. The BEST response is to:

Accepted Answer

Assess caregiver burden and include caregiver support resources in the care plan

Answer

Caregiver burden directly impacts the client's own health outcomes, so addressing both roles with appropriate supports is essential.

Question 3

In care coordination, 'care compacts' between primary care providers and specialists are designed to:

Accepted Answer

Define mutual responsibilities and communication expectations between providers

Answer

Care compacts clarify roles, responsibilities, and communication protocols between PCPs and specialists to reduce care fragmentation.

Question 4

A care manager identifies that a high-risk client has not filled a critical prescription for two months. The PRIORITY intervention is to:

Accepted Answer

Conduct an immediate outreach call to identify and address the barrier

Answer

Immediate outreach to identify the barrier—cost, access, understanding, or side effects—allows the care manager to intervene before a health crisis.

Question 5

Which type of community resource assessment tool helps identify local service availability, eligibility criteria, and contact information for referrals?

Accepted Answer

Community resource directory (e.g., 211 database)

Answer

Community resource directories like the 211 database catalog local services including eligibility and contact details to facilitate referrals.

(CCM) Certified Care Manager Practice Test

(CCM) Certified Care Manager Practice Test

CCM Care Coordination & Resource Management 5