Overview of Medicaid and Medicare

Course Code: REL-IDD-0-QAC3

Hours: 1

Type: Online Course

Content Expiration Date: 2/28/2027

Learning Objectives:
Describe the basic structure of the Medicaid and Medicare systems.
Explain the purpose of and services funded through Medicaid and Medicare.
Identify basic eligibility and compliance concerns for Medicaid and Medicare.

Outline:
Section 1: Introduction

About This Course

Learning Objectives

Section 2: The Medicaid & Medicare Systems

Meet Jasmine

What Are Medicaid and Medicare?

Organization and Administration

Medicare Basics

Medicaid Basics

Medicaid and Medicare Together

Long-Term Services and Supports

Related Programs

Review

Summary

Section 3: Compliance and Eligibility

Remember Jasmine?

Compliance and Eligibility

Medicare Eligibility

Medicaid Eligibility

Financial Implications of Eligibility

Financial Protections

Service Authorizations

Service Regulations

Compliance

Review

Summary

Section 4: Conclusion

Course Summary

Course Contributors

Resources

References

Congratulations!

Instructor: Katy Kunst, MBA, QIDP

Katy Kunst received her Bachelor of Arts in Psychology from the University of North Carolina at Chapel Hill, and her Master of Business Administration from Elon University. She has 15 years of experience serving people with intellectual and developmental disabilities and their supporters, including roles as direct support professional, program director, and training facilitator. She has created and facilitated training on topics including non-violent crisis interventions, person-centered planning, cultural competence, quality service delivery, regulatory compliance, and a variety of topics related to IDD services.

Expert Reviewer: Alison Nelson, LGSW

Ms. Nelson is a licensed social worker who has over 17 years of experience working in the social work field. She currently does contract work for Residential Services, Inc. where she serves individuals with developmental disabilities. One of her primary roles is assisting with Social Security, Medicare, and Medicaid funding. She completes annual reviews and monitors funding on a regular basis to ensure each person is receiving their maximum benefit entitlement. Her educational background includes a bachelor’s degree in Human Development and Family Studies from Auburn University and a master’s degree in Social Work from East Carolina University.

Target Audience:
The target audience for this course is: Direct Support Professionals; Qualified Intellectual Disability Professionals; in the following settings: Intellectual Developmental Disabilities.

Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.

Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.

All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.

To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.

Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.