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QUESTION IMAGE

an area of major concern for medicaid is: interacting with state agenci…

Question

an area of major concern for medicaid is:

interacting with state agencies
being used by wealthy citizens
potential fraud such as paying for services that did not occur
being a payor of last resort

Explanation:

Analyze the question and options

The question asks for "An area of major concern for Medicaid".

  • "Interacting with state agencies" is a standard administrative function, not an area of major concern.
  • "Being used by wealthy citizens" is incorrect because Medicaid is a means-tested program designed for low-income individuals.
  • "Potential fraud such as paying for services that did not occur" is a well-documented, major systemic and financial concern for Medicaid administration.
  • "Being a payor of last resort" is a legal design feature of the program, not a major concern.

Determine the correct option

The option regarding potential fraud directly represents a major administrative, legal, and financial concern for Medicaid programs.

Answer:

  • (A) Interacting with state agencies
  • (B) Being used by wealthy citizens
  • (C) Potential fraud such as paying for services that did not occur (Correct answer)
  • (D) Being a payor of last resort