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
Respite care is a benefit primarily designed to provide which of the following?
Answer: Temporary relief for unpaid family caregivers
Respite care gives informal caregivers short-term breaks by providing temporary substitute care, reducing caregiver burnout.
Long-term care insurance benefits typically activate after a policyholder needs assistance with how many Activities of Daily Living (ADLs)?
Answer: 2 ADLs
Most long-term care insurance policies require the insured to need help with at least 2 of 6 standard ADLs before benefits are payable.
A client enrolled in a hospice benefit under Medicare must agree to which of the following conditions?
Answer: Forego curative treatment for the terminal illness
Electing hospice under Medicare means the patient focuses on comfort care and waives the right to curative treatment for the terminal diagnosis.
Personal Emergency Response Systems (PERS), such as medical alert buttons, are often covered as a Medicaid waiver benefit because they help clients:
Answer: Remain safely at home and avoid institutionalization
PERS devices are covered under many HCBS waivers because they support independent living at home and can prevent costly emergency hospitalizations.
A PCA's role in helping a client access community benefits includes assisting with applications for services. Which document most commonly establishes a client's functional eligibility for PCA Medicaid benefits?
Answer: Level of Care assessment or functional assessment
A Level of Care or functional needs assessment evaluates the client's ADL limitations and determines whether they meet the threshold for PCA Medicaid services.
Which of the following best describes the benefit of a managed long-term services and supports (MLTSS) plan versus traditional fee-for-service Medicaid for PCA clients?
Answer: Coordinated care with a single plan managing all benefits
MLTSS integrates acute and long-term services under one managed care organization, improving care coordination for clients with complex needs.
Adult Day Service programs are often funded as a Medicaid HCBS benefit primarily to:
Answer: Provide social engagement and supervision while giving family caregivers daytime relief
Adult day services provide structured programming, health monitoring, and socialization during daytime hours, supporting clients and giving caregivers a break.