1. Which of the following are common features of managed care plans?

a) Provider networks
b) Utilization Review
c) Preventive Care coverage
d) All of the above

2. The not-for-profit organization that reviews quality and performance measures of HMOs is:

a) Centers for Medicare and Medicaid Services (CMS)
b) Joint Committee on Accreditation of Healthcare Organizations (JCAHO)
c) National Committee on Quality Assurance (NCQA)
d) Office of Healthcare Access (OHCA)

3. Connecticut residents who have questions about Managed Care or need help with the referral and grievance process can seek assistance from the:

a) Department of Public Health
b) Office of Managed Care Ombudsman
c) Office of Health Care Access
d) US Department of Labor

4. Mandated benefits are those required by state statute. What plans must provide these benefits?

a) Fully insured, state licensed plans
b) Self-insured plans
c) Plans licensed outside of Connecticut
d) Medicare Supplements

5. In Connecticut, self-insured plans cover approximately how many privately insured citizens?

a) One third
b) One half
c) One tenth
d) None