AHIP Exam AHM-530 Topic 6 Question 5 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 5
Topic #: 6

The National Association of Insurance Commissioners (NAIC) Managed Care Plan Network Adequacy Model Act defines specific adequacy and accessibility standards that health plans must meet. In addition, the Model Act requires health plans to

AHold plan members responsible for unreimbursed charges or unpaid claims

BAllow providers to develop their own standards of care

CAdhere to specified disclosure requirements related to provider contract termination

DFile written access plans and sample contracts with the Centers for Medicaid and Medicare Services (CMS)

Show Suggested Answer

Suggested Answer: C

by Glory at May 07, 2022, 08:30 PM

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