Michigan Nursing Home Administrator (NHA) Practice Exam

What does compliance mean for facilities delivering Medicaid services?

1. Providing services based on personal discretion

2. Delivering services that meet all federal and state regulations

3. Offering only emergency services to all patients

4. Excluding services not covered by Medicaid

The correct answer is: Delivering services that meet all federal and state regulations

Compliance for facilities delivering Medicaid services involves ensuring that all operations, care delivery, and administrative practices adhere to the standards set forth by federal and state regulations. This means that the facility must provide care that meets the legal requirements and quality standards established to protect patient rights and ensure their well-being. Facilities are mandated to follow specific guidelines regarding service delivery, documentation, billing practices, and patient care protocols. Meeting these regulations not only safeguards the health and rights of residents but also allows the facility to maintain participation in the Medicaid program. This compliance is critical, as failure to meet these standards may lead to penalties, loss of funding, or exclusion from Medicaid participation, ultimately impacting the facility's ability to operate effectively and provide necessary services. In contrast to this correct answer, options that suggest personal discretion, limited service offerings, or the exclusion of non-covered services do not align with the comprehensive nature of compliance required in Medicaid services. Facilities are expected to provide a full range of services in accordance with established regulations rather than operating on personal discretion or limiting care to only emergencies.