Benefits Flashcards
7 cards from real PCA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Benefits flashcards as text
Which federal program is the primary payer for Medicaid-funded Personal Care Assistant services in most US states?
Answer: Medicaid HCBS Waiver
Medicaid Home and Community-Based Services (HCBS) waivers fund PCA services for eligible individuals who would otherwise require institutional care.
Medicare covers home health aide services only when a patient also requires which of the following?
Answer: Skilled nursing or therapy services
Medicare home health benefits require a skilled care need (nursing or therapy); aide services are covered as supplemental to skilled care, not standalone.
A PCA client receiving Supplemental Security Income (SSI) must keep countable assets below what federal limit for an individual?
Answer: $2,000
SSI recipients may hold no more than $2,000 in countable assets ($3,000 for couples) to maintain eligibility.
Under the Veterans Affairs program, eligible veterans can receive PCA services through which benefit?
Answer: Program of Comprehensive Assistance for Family Caregivers (PCAFC)
The PCAFC provides stipends, healthcare, and caregiver support for veterans who need PCA-level assistance due to service-connected conditions.
Self-directed PCA programs differ from agency-based PCA services primarily because they allow the client to:
Answer: Hire, train, and manage their own PCA
Self-directed programs give clients employer authority, letting them recruit, hire, and direct their own PCA within program guidelines.
Which Medicaid benefit structure uses an annual budget allocation that clients can manage themselves to purchase approved services including PCA care?
Answer: Individual Directed Goods and Services budget
Individualized budgets within self-directed Medicaid programs let participants allocate a set dollar amount across approved personal care and support services.
When a PCA client transitions from a nursing facility back to home, which Medicaid benefit is specifically designed to support that move?
Answer: Money Follows the Person (MFP) demonstration
Money Follows the Person is a federal-state initiative that helps individuals move from institutions to home and community settings with enhanced Medicaid support.