Centers of Medicare & Medicaid - Affordable Care Act: What's New in the Marketplace

Your clients have not had health coverage for several years and have low health insurance literacy. How can you provide the most effective assistance to them given this challenge? A. You should advise them to contact a Navigator for assistance in applying for health coverage through the Marketplace B. You should avoid using acronyms and technical jargon, and give information in small chunks. C. You should help them determine if they qualify for a hardship exemption D. You should encourage them to make a quick decision on their qualified health plan selection since they can likely change it after the Open Enrollment period ends

B. You should avoid using acronyms and technical jargon, and give information in small chunks.

True or False: If an individual completes the Marketplace application and is determined eligible for Medicaid, you should refer them to their state Medicaid agency for the next steps to get enrolled in coverage.

True

True or False: An agent or broker may enter their own contact information on a consumer's Marketplace application.

False

True or False: You may log in to Healthcare.gov as the consumer, using the consumer's ID and password when assisting a consumer using the Marketplace Pathway.

False

Which of the following statements below are true about cultural and linguistic competence? A. Linguistic competence is the ability to speak consumer's preferred languages or offer language assistance services when needed B. Linguistic competence is the ability to speak all languages that consumers speak in your service area C. Being culturally competent means that, when you're working with different cultures, what you do is more important than how you do it D. Cultural competence means being able to identify, respect, and understand differences in cultural beliefs, behaviors, and needs of consumers

A & D A. Linguistic competence is the ability to speak consumer's preferred languages or offer language assistance services when needed D. Cultural competence means being able to identify, respect, and understand differences in cultural beliefs, behaviors, and needs of consumers

Which of the following are NOT a proper uses of CMS systems? A. Individuals are allowed to have more than one CMS Portal account B. Using scripts or automation tools to conduct person searches on CMS websites without CMS written approval C. Conducting person searches for consumers who have given consent for purposes of applying for and enrolling in a Marketplace plan D. Conducting person searches through the Direct Enrollment Pathways (Classic or Enhanced) for the purpose of enrolling the person in a non-Marketplace plan

A, B & D A. Individuals are allowed to have more than one CMS Portal account B. Using scripts or automation tools to conduct person searches on CMS websites without CMS written approval D. Conducting person searches through the Direct Enrollment Pathways (Classic or Enhanced) for the purpose of enrolling the person in a non-Marketplace plan

The aca provides protections for individuals participating in the marketplace and all plans offered by issuers that participate in the marketplace against discrimination on the basis of .... A. Race, color, or national origin B. Sex, gender identity, or sexual orientation C. Age D. Disability

A, B, C, & D A. Race, color, or national origin B. Sex, gender identity, or sexual orientation C. Age D. Disability

Agents and brokers are expected to apply certain controls to manage risk and protect consumer information. Which of the following is not an appropriate control and is damaging to information security? A. Use privacy filter screens on your computer stations as necessary B. Ensure that your system has up-to-date malware protections installed and conduct patch management systematically to prevent network attacks and penetration attempts C. Uses a colleague's log-in credentials one time only so you can continue to assist consumers with eligibility determinations and enrollments through the Marketplace without any issues and/or delays D. Ensure communications are encrypted when exchanging PII or other sensitive data

C. Uses a colleague's log-in credentials one time only so you can continue to assist consumers with eligibility determinations and enrollments through the Marketplace without any issues and/or delays

How long does the Marketplace give a consumer to provide additional information to resolve a citizenship or immigration status data inconsistency before the consumer loses eligibility for health care coverage or financial assistance through the Marketplace? A. 30 Days B. 45 Days C. 60 Days D. 95 Days

D. 95 Days

What is the process when the Marketplace finds that an applicant is eligible for Medicaid or the Children's Health Insurance Program (CHIP)? A. The Marketplace does not evaluate eligibility for Medicaid and CHIP B. The Marketplace notifies the consumer and provides him or her with the option of contacting his or her state Medicaid/CHIP agency or continuing the enrollment process C. The Marketplace notifies the consumer that he or she cannot get coverage through the Marketplace and instructs him or her to contact his or her state Medicaid/CHIP agency D. The Marketplace transfers the information of any applicant found eligible for Medicaid or CHIP to the applicable state Medicaid/CHIP agency, which will follow up for either the completion of the eligibility process or plan/delivery system selection.

D. The Marketplace transfers the information of any applicant found eligible for Medicaid or CHIP to the applicable state Medicaid/CHIP agency, which will follow up for either the completion of the eligibility process or plan/delivery system selection.