- (Topic 3)
The provision of mental health and chemical dependency services is collectively known as behavioral healthcare. The following statements are about behavioral healthcare. Select the answer choice containing the correct statement.

1. A. In most preferred provider organizations (PPOs) and open access plans, plan members must receive a referral before accessing behavioral healthcare services from a specialist.
2. B. To manage the delivery of behavioral healthcare services, managed behavioral health organizations (MBHOs) typically use alternative treatment levels and alternative treatment methods rather than crisis intervention or alternative treatment settings.
3. C. Managed behavioral health organizations (MBHOs) typically are prohibited from negotiating with network providers for reduced fees in exchange for increased patient volume.
4. D. The treatment approaches for behavioral healthcare most often include drug therapy, psychotherapy, and counseling.

Correct Answer: B

- (Topic 3)
Salient features of a Health Savings Account include all of the following except

1. A. Funding by both employer & the employee
2. B. Employer account ownership
3. C. Account portability & roll over of funds from year to year
4. D. Investment opportunities

Correct Answer: B

- (Topic 2)
The following organizations are the primary sources of accreditation of healthcare organizations:

1. A. National Committee for Quality Assurance (NCQA)
2. B. American Accreditation HealthCare Commission/URAC Of these organizations, performance data is included i
3. C. A only
4. D. B only
5. E. A and B
6. F. none of the above

Correct Answer: A

- (Topic 3)
The following types of CDHPs allow federal tax advantages including the ability to roll funds from one year to the next:

1. A. MSAs, HRAs, HSAs
2. B. FSAs, MRAs, HRAs
3. C. FSAs, HRAs, HSAs
4. D. FSAs, MRAs HSAs

Correct Answer: A

- (Topic 2)
One of the most influential pieces of legislation in the advancement of health plans within the United States was the Health Maintenance Organization (HMO) Act of 1973. One of the provisions of the Act was that it

1. A. exempted HMOs from all state licensure requirements.
2. B. required all employers that offered healthcare coverage to their employees to offer only one type of federally qualified HMO.
3. C. eliminated funding that supported the planning and start-up phases of new HMOs.
4. D. established a process by which HMOs could obtain federal qualification

Correct Answer: D