Practice Test Geeks(CCM) Certified Care Management Professional Practice Test
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CCM Financial & Benefits Navigation Flashcards

6 cards from real CCM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 CCM Financial & Benefits Navigation flashcards as text

  1. The Social Security Disability Insurance (SSDI) program provides benefits to individuals who:

    Answer: Have a qualifying disability and a sufficient work history of Social Security contributions

    SSDI is an earned benefit for workers who become disabled and have paid sufficient Social Security taxes, with the benefit amount tied to work history.

  2. Supplemental Security Income (SSI) differs from SSDI in that SSI is:

    Answer: A needs-based program for disabled or elderly individuals with limited income and resources regardless of work history

    SSI is a means-tested, needs-based program administered by the SSA that does not require a work history, unlike SSDI.

  3. A case manager helping a client understand their 'out-of-pocket maximum' should explain that once this limit is reached:

    Answer: The insurance plan pays 100% of covered services for the remainder of the benefit year

    After reaching the out-of-pocket maximum, the insurer covers 100% of covered services for the rest of the plan year, eliminating additional cost-sharing for the enrollee.

  4. Which resource connects patients to federally funded community health centers that provide care on a sliding-fee scale?

    Answer: Federally Qualified Health Centers (FQHCs)

    FQHCs receive federal funding and are required to offer services on a sliding-fee scale based on income, making them a key resource for uninsured and underinsured clients.

  5. When a client is at risk of losing insurance coverage due to a lapse in premium payment, the case manager should first:

    Answer: Check if the plan has a grace period and connect the client to financial assistance or premium subsidy programs

    Most insurance plans have grace periods during which coverage is not yet terminated; identifying this window and connecting clients to subsidy or assistance programs can prevent a lapse.

  6. A client discharged from the hospital without insurance asks about immediate options for affordable prescription access. The BEST case manager response is to:

    Answer: Refer to manufacturer patient assistance programs, GoodRx, or FQHC pharmacy services

    Manufacturer PAPs, discount programs like GoodRx, and FQHC pharmacies provide immediate low-cost or free prescription access for uninsured patients.