CCMC CCMC - Commission for Case Manager Community Resources and Support Systems Questions and Answers 1 — Questions and Answers
Question 1: Which federal program provides community-based long-term services and supports to help individuals with disabilities remain in their homes instead of institutional settings?
- Medicare Part A
- Medicaid HCBS Waiver (Correct answer)
- TRICARE
- CHIP
Correct answer: Medicaid HCBS Waiver
Medicaid Home and Community-Based Services (HCBS) waivers fund a wide range of supports—such as personal care, respite, and adult day services—that allow individuals with disabilities to live in the community.
Question 2: A case manager is helping an uninsured patient access prescription medications at low or no cost. Which resource is MOST appropriate to recommend?
- State pharmacy board
- Pharmaceutical manufacturer patient assistance programs (Correct answer)
- Medicare Part D Extra Help only
- Medicaid spend-down
Correct answer: Pharmaceutical manufacturer patient assistance programs
Pharmaceutical manufacturer patient assistance programs (PAPs) provide free or discounted medications directly to uninsured or underinsured patients who meet income criteria.
Question 3: Which organization coordinates federally funded Area Agencies on Aging (AAA) that provide community support services for older adults in the US?
- Centers for Medicare & Medicaid Services (CMS)
- Administration for Community Living (ACL) (Correct answer)
- Social Security Administration
- Department of Veterans Affairs
Correct answer: Administration for Community Living (ACL)
The Administration for Community Living (ACL) oversees the national network of Area Agencies on Aging, which connect older adults to local services like meal delivery, transportation, and caregiver support.
Question 4: When conducting a community resource assessment for a patient being discharged, which factor is MOST critical for a case manager to evaluate first?
- Distance to the nearest hospital
- The patient's functional needs and support gaps (Correct answer)
- Insurance payer authorization timelines
- State licensure of the facility
Correct answer: The patient's functional needs and support gaps
Identifying the patient's functional needs and support gaps ensures that community resources selected will actually address the barriers preventing safe, independent living.
Question 5: A case manager identifies that a client qualifies for the Supplemental Nutrition Assistance Program (SNAP). Which federal department administers SNAP?
- Department of Health and Human Services
- Department of Agriculture (USDA) (Correct answer)
- Department of Labor
- Department of Housing and Urban Development
Correct answer: Department of Agriculture (USDA)
SNAP is administered by the USDA's Food and Nutrition Service, providing eligible low-income individuals and families with benefits to purchase food.
Question 6: Which community support model pairs a professional case manager with a peer support specialist who has lived experience with the same condition as the client?
- Assertive Community Treatment (ACT) (Correct answer)
- Managed care coordination
- Disease management program
- Utilization review
Correct answer: Assertive Community Treatment (ACT)
Assertive Community Treatment (ACT) teams are multidisciplinary and often include peer support specialists to provide intensive, community-based services to individuals with severe mental illness.
CCMC CCMC - Commission for Case Manager Community Resources and Support Systems Questions and Answers 1
Which federal program provides community-based long-term services and supports to help individuals with disabilities remain in their homes instead of institutional settings?