CACs Serving Diverse Populations 2 — Questions and Answers
Question 1: A client who is deaf communicates primarily through American Sign Language (ASL). What is the CAC's responsibility when assisting this individual?
- Communicate only through written notes since ASL is not required
- Arrange for a qualified ASL interpreter or use a certified video remote interpreting service (Correct answer)
- Ask a family member who knows some ASL to interpret
- Speak slowly and loudly to help the client lip-read
Correct answer: Arrange for a qualified ASL interpreter or use a certified video remote interpreting service
CACs must provide effective communication access, which includes qualified ASL interpreters or approved video remote interpreting services.
Question 2: When helping a client from a culture where family elders make all major decisions, a CAC should:
- Insist the client decide independently to protect privacy
- Refuse to allow family members in the appointment
- Respect the family decision-making process while ensuring the client's individual eligibility is assessed (Correct answer)
- Apply for coverage without consulting the client's family
Correct answer: Respect the family decision-making process while ensuring the client's individual eligibility is assessed
CACs respect cultural norms around family decision-making while still ensuring the individual's eligibility and rights are properly addressed.
Question 3: A client indicates they are experiencing homelessness and has no fixed address. How should the CAC handle the address field on the Marketplace application?
- Leave the address field blank since it is optional
- Use the CAC organization's address as a placeholder
- Enter a description of where the client sleeps or use a shelter or service provider address (Correct answer)
- Decline to assist until the client has a permanent address
Correct answer: Enter a description of where the client sleeps or use a shelter or service provider address
Individuals experiencing homelessness can use a shelter address, service provider address, or description of where they sleep to meet the address requirement.
Question 4: A client with limited English proficiency (LEP) prefers to have their teenage child interpret during the enrollment session. The CAC should:
- Accept the child as interpreter since it saves time
- Offer a qualified interpreter as the preferred option while respecting the client's right to use their child if they insist (Correct answer)
- Require a professional interpreter regardless of the client's preference
- Conduct the session in English and provide written materials later
Correct answer: Offer a qualified interpreter as the preferred option while respecting the client's right to use their child if they insist
CACs must offer qualified language assistance but must also respect a client's informed decision to use a family member after being informed of the option.
Question 5: Which of the following best describes 'cultural humility' in the context of CAC work?
- Knowing facts about every culture a client might belong to
- Assuming clients from the same country share identical values
- An ongoing process of self-reflection and openness to learning about a client's cultural background (Correct answer)
- Avoiding any discussion of cultural differences during enrollment
Correct answer: An ongoing process of self-reflection and openness to learning about a client's cultural background
Cultural humility is an ongoing, reflective practice of remaining open and respectful toward each client's unique cultural identity.
Question 6: A client who recently obtained a green card asks whether they can enroll in a Marketplace plan. What is the correct response?
- Green card holders are not eligible for Marketplace coverage
- Green card holders are lawfully present and may enroll in Marketplace plans (Correct answer)
- They must wait five years before applying for any health coverage
- Only U.S. citizens may use the Marketplace
Correct answer: Green card holders are lawfully present and may enroll in Marketplace plans
Lawfully permanent residents (green card holders) are considered lawfully present and are eligible to enroll in Marketplace plans.
Question 7: A transgender client is concerned about how their gender identity will appear on their health insurance. A CAC should:
- Tell the client their legal name and sex must match government records exactly and no accommodation is possible
- Explain that the Marketplace uses the name and gender the applicant provides and connect them with resources about coverage of gender-affirming care (Correct answer)
- Advise the client to apply under their assigned sex at birth to avoid complications
- Refuse to discuss gender identity as it is outside the CAC's scope
Correct answer: Explain that the Marketplace uses the name and gender the applicant provides and connect them with resources about coverage of gender-affirming care
Marketplace applications use the name and gender the applicant provides, and CACs should also connect transgender clients with information about relevant coverage protections.
CACs Serving Diverse Populations 2
A client who is deaf communicates primarily through American Sign Language (ASL).
What is the CAC's responsibility when assisting this individual?