Michigan Nursing Home Administrator (NHA) Practice Exam

What must be submitted before a county case worker evaluates a resident's application for Medicaid?

1. Form 2565

2. Form 2020

3. Form 1199

4. Form 4096

The correct answer is: Form 2565

The correct submission before a county case worker evaluates a resident's application for Medicaid is Form 2565. Form 2565, also known as the "Medicaid Application Form for Nursing Home Residents," serves a crucial purpose in the Medicaid application process. This form collects necessary information about the resident’s financial status, medical needs, and other eligibility criteria. By having this information upfront, the county case worker can conduct a thorough evaluation to determine if the resident qualifies for Medicaid assistance in a nursing home setting. The importance of Form 2565 cannot be overstated, as it lays the foundation for the entire evaluation process. Without this form completed correctly, the application may face delays or may not be processed at all. The other forms listed have specific uses and might pertain to different aspects of healthcare or financial obligations, but they do not fulfill the requirement necessary for initiating a Medicaid evaluation.