Question

instructions: select the most appropriate response.
a federally qualified hmo
a. is certified to provide health care services to medicare and medicaid enrollees.
b. reviews health care provided by managed care organizations.
c delivers health care services using both managed care networks and traditional indemnity coverage so patients can seek care outside the managed
care network.
d. ensures the accountability of managed care plans in terms of objective, measurable standards.

Explanation:

A federally qualified HMO (Health Maintenance Organization) is certified to provide health care services to Medicare and Medicaid enrollees. This is a key regulatory and operational characteristic of such organizations. Other options like reviewing health care (b) is more of a quality - control or administrative task not unique to being "federally qualified". Delivering services using both networks and traditional indemnity (c) is a service - delivery model choice. Ensuring accountability (d) is a general healthcare system goal.

Answer:

a. is certified to provide health care services to Medicare and Medicaid enrollees.