Michigan Nursing Home Administrator (NHA) Practice Exam

How is the Medicaid Patient Pay Amount determined?

1. Amount due = Medicaid rate + days of stay

2. Amount due = Medicaid rate X days of stay

3. Amount due = Medicaid rate - days of stay

4. Amount due = Medicaid rate / days of stay

The correct answer is: Amount due = Medicaid rate X days of stay

The Medicaid Patient Pay Amount is determined by calculating the total amount owed based on the daily Medicaid rate multiplied by the number of days of stay in the facility. This method reflects the total reimbursement that the facility expects to receive from Medicaid for the care provided to the resident over their stay. In this context, using multiplication to determine the total amount allows for a straightforward calculation, as it aligns with how payment structures typically work in healthcare settings, where services are billed per day. Other options do not represent the correct calculation for the Medicaid Patient Pay Amount. Adding days of stay to the Medicaid rate suggests a misunderstanding of how costs accumulate. Subtracting or dividing by days of stay would not yield a meaningful figure in the context of calculating total payment owed for care received.