which of the following is not a mandatory service offered by states course hero

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Which is not considered a basic health care service?

Rehabilitative and home health services are not considered basic health care services; instead, they are characterized as health care services. Which of the following statements about preferred provider organizations is NOT correct?

Which of the following are included in the HMO program?

They include the following: nursing and physical therapy, occupational therapy, speech therapy, medical social work, nutritional consultation, services of a home health aide, and use of durable medical equipment and supplies. Which of the following statements pertaining to health maintenance organizations (HMOs) is CORRECT?

Why is Jones not subject to the Uniform Securities Act?

Jones claims he is not subject to the antifraud provisions of the Uniform Securities Act because he is not a registered agent and, secondly, the securities involved are exempt from registration requirements of the act. Which of the following statements is TRUE?

How many employees are required to have an HMO?

What is the HMO Act?

What is a PPO?

Do HMOs pay periodic fees?

Can a member of an HMO use a POS plan?

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UHC - 2021 Events Basics (English) Flashcards | Quizlet

Louise wants to hold an event that helps consumers understand Medicare programs and perhaps an prove their health/Wellness knowledge but she is not interested in completing enrollment applications at the event she would like to staff a table at the Public Library and how consumers approach her what type of event is Louise need to conduct

SEJPME II: Module 22 Flashcards

While having appropriate MOPs, MOEs and data to back both are important to ensure that the commander can objectively defend his assessment process, metrics, and recommendations to higher HQ (HHQ) and national level decision-makers.

Patient Protection and Affordable Care Act - HealthCare.gov

” is usually used to refer to the final, amended version of the law. (It’s sometimes known as “PPACA,” “ACA,” or “Obamacare.”) The law provides numerous rights and protections that make health coverage more fair and easy to understand, along with subsidies (through “premium tax credits” and “cost-sharing reductions”) to make it more affordable.

Describe the importance of taking responsibility for establishing and ...

Find an answer to your question Describe the importance of taking responsibility for establishing and implementing health mainenance for individuals of all ages…

How many employees are required to have an HMO?

Federal law requires employers with 5 or more employees to implement an HMO plan for health care coverage. Explanation. An HMO offers health care services to its subscribers and emphasizes preventive health care by providing full benefits for routine physical check-ups, immunizations, and the like.

What is the HMO Act?

The HMO Act of 1973 specified requirements that must be met for an HMO to receive federal qualification. For example, federally qualified HMOs must provide basic health care services and charge a community rate.

What is a PPO?

A) A PPO is a group of health care providers, such as doctors, hospitals, and ambulatory health care organizations, that contracts with a group to provide their services. B) Employers, insurance companies, and other health insurance benefit providers are typical groups that contract with PPOs.

Do HMOs pay periodic fees?

They pay a fixed periodic fee whether or not health care services are used. Explanation. Persons participating in an HMO pay a fixed periodic fee in advance for services performed by participating physicians and hospitals. This fee is payable, whether or not the participant uses any health care services.

Can a member of an HMO use a POS plan?

Members of an HMO can generally not use health care providers outside the organization. An HMO has employees, while a POS generally contracts with independent providers. HMOs are generally nonprofit, while POS plans are for-profit.

When did the agent buy 100 shares of a nonexempt security?

On September 1 of that year, he buys 100 shares of a nonexempt security in a nonexempt transaction. On August 1, 2015, the client discovered that the agent's firm never licensed him in Michigan and therefore, he is subject to civil liability to the purchaser. The statute of limitations for this sale runs out.

Can an administrator work with more than one broker?

the Administrator, by rule or order, authorizes employment with more than one broker-dealer. The USA generally limits agents to single employment unless the Administrator, by rule or order, authorizes multiple affiliations.

Is a broker dealer a resident of another state?

If a broker-dealer registered in one state contacts an existing customer in another state and that customer is not a resident of the other state, the broker-dealer is not defined as a broker-dealer in the state in which the contact is made and is therefore not subject to the laws of that state.

Can an administrator deny an agent with insufficient net capital?

To protect the public, the Administrator may. deny the registration of an agent with insufficient net capital. require an applicant for registration as both a broker-dealer and an investment adviser to limit activities to those of a broker-dealer due to lack of qualifications to render investment advice.

Is the New York Stock Exchange federally covered?

Securities listed on the New York Stock Exchange (NYSE), Chicago Stock Exchange, or Nasdaq Stock Market are federal covered securities and do not need registration in any state under the Uniform Securities Act. An agent in Illinois, Missouri, and Iowa has a client move from Chicago to Detroit on July 1, 2014.

How many employees are required to have an HMO?

Federal law requires employers with 5 or more employees to implement an HMO plan for health care coverage. Explanation. An HMO offers health care services to its subscribers and emphasizes preventive health care by providing full benefits for routine physical check-ups, immunizations, and the like.

What is the HMO Act?

The HMO Act of 1973 specified requirements that must be met for an HMO to receive federal qualification. For example, federally qualified HMOs must provide basic health care services and charge a community rate.

What is a PPO?

A) A PPO is a group of health care providers, such as doctors, hospitals, and ambulatory health care organizations, that contracts with a group to provide their services. B) Employers, insurance companies, and other health insurance benefit providers are typical groups that contract with PPOs.

Do HMOs pay periodic fees?

They pay a fixed periodic fee whether or not health care services are used. Explanation. Persons participating in an HMO pay a fixed periodic fee in advance for services performed by participating physicians and hospitals. This fee is payable, whether or not the participant uses any health care services.

Can a member of an HMO use a POS plan?

Members of an HMO can generally not use health care providers outside the organization. An HMO has employees, while a POS generally contracts with independent providers. HMOs are generally nonprofit, while POS plans are for-profit.

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