Serving Diverse Populations Flashcards
7 cards from real CEC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Serving Diverse Populations flashcards as text
A client discloses an undocumented immigration status. What coverage options should the enrollment counselor explain?
Answer: Undocumented individuals are not eligible for marketplace or Medicaid coverage but may qualify for emergency Medicaid and some state-funded programs
Federal law bars undocumented immigrants from marketplace enrollment and most Medicaid, but emergency Medicaid is available and some states fund additional coverage with state-only dollars.
Which of the following best describes the 'navigator' role regarding serving underserved populations?
Answer: Navigators provide free, unbiased enrollment assistance and are required to conduct outreach to underserved and hard-to-reach communities
Navigator grants require recipients to conduct public education and outreach with a focus on underserved, vulnerable, and hard-to-reach populations at no cost to clients.
A client expresses fear that enrollment information will be shared with immigration authorities. What should the counselor say?
Answer: Information provided on a marketplace application is protected and is not shared with immigration enforcement agencies
CMS has confirmed that marketplace application information is protected by law and is not used for immigration enforcement purposes.
A client who is 62 years old and has a disability asks whether they can enroll in Medicare. What should the counselor clarify?
Answer: Medicare eligibility based on disability requires 24 months of Social Security Disability Insurance (SSDI) benefits before enrollment
Individuals under 65 can qualify for Medicare after receiving SSDI benefits for 24 months (with exceptions for ALS and ESRD).
A rural client lives 90 miles from the nearest enrollment assistance site and has limited internet access. Which barrier category does this primarily represent?
Answer: Geographic and digital access barriers
Distance from services and lack of broadband are geographic and digital access barriers that disproportionately affect rural populations.
An enrollment counselor is assisting a client who identifies as having a serious mental illness. The client's symptoms are affecting their ability to focus. What is the best approach?
Answer: Offer to break the appointment into multiple shorter sessions and involve a case manager or support person with the client's consent
Flexible scheduling, shorter sessions, and involving trusted support persons with the client's consent are best practices for serving individuals with serious mental illness.
Which income threshold generally determines whether a low-income individual qualifies for Medicaid expansion versus a premium tax credit on the marketplace in expansion states?
Answer: Below 138% FPL qualifies for Medicaid; 100–400% FPL (and above with ARPA) qualifies for marketplace premium tax credits
In Medicaid expansion states, adults with incomes up to 138% FPL qualify for Medicaid; those above 100% FPL (up to the applicable cap) may qualify for marketplace premium tax credits.