AHM-530 Exam Dumps : Network Management

The BBA requires Medicare+Choice organizations to be licensed as non-risk-bearing entities under federal law.

The Centers for Medicaid and Medicare Services (CMS) is responsible for implementing the BBA.

Both A and B

A only

B only

Neither A nor B

medical advisory committee

credentialing committee

utilization management committee

quality management committee

To keep Medicaid enrollment costs as low as possible, states typically prohibit the use of third-party entities known as enrollment brokers to handle the recruitment and enrollment of Medicaid recipients in health plan plans

Primary care case managers (PCCMs) are individuals who contract with a state's Medicaid agency to provide primary care services mainly to urban areas.

Typically, Medicaid beneficiaries must be given a choice between at least two health plan entities.

Medicaid health plan entities are responsible for providing primary coverage for all dually-eligible beneficiaries.