Certified Revenue Cycle Representative (CRCR) Practice Exam

Which of the following statements about Medicaid eligibility is not true?

1. Medicaid categories are restricted to children, pregnant women and elderly in nursing homes.

2. Medicaid assists low-income individuals and families.

3. Medicaid eligibility can also include individuals with disabilities.

4. Medicaid covers adult care services in certain states.

The correct answer is: Medicaid categories are restricted to children, pregnant women and elderly in nursing homes.

The statement that Medicaid categories are restricted to children, pregnant women, and elderly individuals in nursing homes is not true because Medicaid does not have such narrow restrictions on eligibility. While it is true that children, pregnant women, and elderly individuals in nursing homes are important categories of Medicaid beneficiaries, the program also encompasses a broader range of eligibility groups. Medicaid provides benefits to low-income individuals and families, which can include a variety of adults, individuals with disabilities, and other vulnerable populations according to state-specific regulations. The structure of Medicaid eligibility is designed to adapt to various demographic needs and can cover multiple categories beyond those mentioned, including low-income adults, individuals with disabilities, and even some individuals with mental health needs or chronic illnesses. Additionally, each state may have its own specific criteria and acknowledgments of various groups, further expanding the eligibility beyond just children, pregnant women, and elderly nursing home residents.