Michigan Nursing Home Administrator (NHA) Practice Exam

What could lead to the termination of Medicaid enrollment for a facility?

1. Increase in resident population

2. A facility's actions that threaten health safety or welfare

3. Inapplicable patient pay amounts

4. Regular discharge of residents

The correct answer is: A facility's actions that threaten health safety or welfare

The termination of Medicaid enrollment for a facility can result from a facility's actions that threaten the health safety or welfare of its residents. This signifies that if a facility engages in behaviors that compromise the wellbeing of the individuals they serve—such as neglecting care standards, failing to meet health and safety regulations, or exhibiting practices that could cause harm—Medicaid may decide to revoke the facility's participation in the program. This process is in place to maintain a high standard of care for Medicaid recipients and to ensure that their rights and safety are prioritized. In the context of the other choices, an increase in the resident population does not inherently jeopardize Medicaid enrollment and may even be beneficial for a facility. Inapplicable patient pay amounts pertain more to individual financial circumstances rather than the facility's compliance with regulations. Regular discharge of residents can occur for a variety of reasons, including improving health. However, it does not directly indicate a threat to health safety or welfare as the other option does.