Arizona Health Insurance Practice Exam

Which program provides coverage for nursing home care that does not require a previous hospitalization?

1. Medicare

2. AHCCCS

3. Medicaid

4. AHCCCS-ALTCS

The correct answer is: AHCCCS

The program that provides coverage for nursing home care without the requirement of a previous hospitalization is the Arizona Health Care Cost Containment System (AHCCCS), specifically its long-term care services. AHCCCS is Arizona's Medicaid program, and it provides comprehensive coverage for various health care needs, including long-term care services for individuals who meet certain eligibility criteria. In this context, AHCCCS can offer nursing home care to eligible individuals without the need for prior hospitalization, making it a vital resource for those requiring ongoing extended care in skilled nursing facilities. This is particularly important for elderly or disabled individuals who may need assistance with daily activities and health management. While other programs like Medicare and traditional Medicaid have specific conditions or limitations, such as requiring prior hospitalization for skilled nursing facility coverage, AHCCCS-ALTCS (the alternative benefit plan focusing on long-term care under AHCCCS) is often what is specifically referred to for those needing nursing home care. Therefore, selecting AHCCCS reflects an understanding of its broad provision of services aimed at supporting individuals needing extensive long-term care without prior hospitalization requirements.