1

Pre-Training Test for Parent Mentors

Name:______

Age:______

Zip code:______

Demographic information

1.How many children do you have? _____

2.How many of your children are covered by Medicaid?_____

or

How many of your children are covered by CHIP? _____

3. Have any of your children ever been uninsured? Yes No If yes, for how long:

Child one:

Child two:

Other children:

4. Please circle your race/ethnicity

a. African-American

b. Latino

5.Please indicate your marital status:

a.Married

b.Widowed

c.Divorced

d.Separated

e.Never married

6.Please indicate your employment status:

a.Employed full-time

b.Employed part-time

c.Not employed

7.Please indicate your highest level of education:

a.Did not complete high school; highest grade completed was ___

b.Obtained high school-diploma or GED, but did not go to college

c.Some college, but did not graduate

d.Got college degree(s). I obtained the following degrees: ----

8.Please indicate your combined family income over the last 12 months:

$______

Parent Mentor Training Pre/Post test

True/False

For questions 1-15, please indicate whether the following statementsaretrue of false by circling the correct answer.

1.Compared with white children, Latino and African-American children are more likely to lack health insurance.

TrueFalse

2.Texas has the lowest proportion of uninsured children of any state in our nation.

TrueFalse

3.The main goal of the Kids’ HELP study is to evaluate whether Parent Mentors are more effective and more cost effective than traditional Medicaid and CHIP outreach and enrollment in insuring eligible, uninsured Latino and African-American children.

TrueFalse

4. Parent Mentors will help any uninsured child get health insurance, as long as they are from Dallas or Fort Worth.

TrueFalse

5. As long as you call your assigned family on the telephone, you don’t have to meet with them in person.

TrueFalse

6.Parent Mentors must maintain strict confidentiality about the health, finances, and other personal matters of the children and families in the Kids’ HELP project.

TrueFalse

7.Part of your responsibility as a Parent Mentor is to help families renew Medicaid coverage for children whom you helped to get on Medicaid when they were uninsured.

TrueFalse

8.Parent Mentors already haveexperience withcompleting the Medicaid or CHIP application.

TrueFalse

9.One of the eligibility criteria for Children’s Medicaid or CHIP is the yearly gross incomeof the family.

TrueFalse

10.To receive Medicaid, the family must be receiving TANF (welfare).

TrueFalse

11. For a child to qualify for CHIP, the family’s gross income can be up to 300% of the federal poverty threshold.

TrueFalse

12.The Medicaid or CHIP application can onlybe completed electronically on-line.

TrueFalse

13.For Medicaid, there is no cost to the child’s family.

TrueFalse

14.Only changes to addresses, names, and telephone numbers need to be reported to Medicaid or CHIP, but not other changes, such as changes in expenses, income, or the number of people living in the home,.

TrueFalse

15.To determine the family size, count all the people living in the house.

TrueFalse

Multiple Choice

For questions 16-30, please circle the correct answer.

16. Compared with insured children, uninsured children in the US are more likely to:

a.Have greater access barriers to healthcare

b.Not have a regular physician

c.Die after being admitted to the intensive care unit

d.All of the above

17. Which one of the following is NOT a barrier to health insurance for children:

a.Lack of parental knowledge about Medicaid and CHIP

b.Language barriers

c.Already having a job

d.Hassles

18. Prior studies indicate that providing health insurance to previously uninsured children can result in all of the following EXCEPT for:

a.A greater likelihood of having a medical home

b.Reduced unmet needs for medical care and prescriptions

c.A lower likelihood of being obese

d.Fewer hospitalizations

19. A secondary goal of the Kids’ HELP study is to show that providing health insurance to children who used to be uninsured results in:

a.Better quality of life for the child

b.Improved access to healthcare for the child

c.Fewer unmet healthcare needs for the child

d.Fewer missed school days for the child

e.Higher parental satisfaction with the child’s care

g.All of the above

20. Responsibilities of the Parent Mentor include:

a.Completing the insurance application together with the parent

b.Helping the parent decide whether or not the child should take a medicine prescribed by her/his doctor

c.Helping the parent obtain a medical home for the child

d.Helping the parent enroll the child in school

e.a and c

f.b and d

g. None of the above

21. To qualify for Medicaid, a family with an uninsured child between six and 18 years old must have a gross income that is below:

a.185% of the federal poverty threshold

b.133% of the federal poverty threshold

c.100% of the federal poverty threshold

d.50% of the federal poverty threshold

22. Which one of the following is not considered an asset for determining eligibility for Medicaid or CHIP.

a.Cash

b.House

c.Education or tuition savings plan

d.Vehicles (second running, licensed automobiles)

23.CHIP renewal occurs:

a.Yearly, and the family must report their income every six months

b.Yearly, and the family must report their income monthly

c.Yearly

d.Every six months

24. Medicaid’s preventive child health service, known as Texas Health Steps (THSteps), does not provide which one of the following:

a.Diagnosis and treatment of any condition found during a screening and continuing care

b. Transportation and scheduling assistance

c.Meals and rent

d.Periodic, regularly scheduled medical check-ups

25.The parent’s demographic portion of the Medicaid application does require which of the following:

a.Parent’s Social Security number

b.Case number

c.E-mail address

d.Parent or guardian name

26.When applying for Medicaid, parents can request that an unpaid medical bill be paid, if they provide:

a.A copy of the dated unpaid medical bill for treatment within the past 90 days

b.A copy of the child’s treatment plan

c.A copy of the child’s prescription

d.A copy of the hospital parking voucher

27.A “medical home” is:

a.A building where physicians test patients, conduct examinations, make diagnoses, and treat children

b.A hospital-like facility for people with long-term illnesses

c.Primary care for the child that is accessible, continuous, comprehensive, family-centered, coordinated, compassionate, and culturally effective

d.None of the above

28.Which of the following would not help families with limited English proficiency:

a.Finding adult education classes for English for the parents

b.Finding interpreter services at their child’s healthcare provider’s office and in the hospital

c.Insisting that they schedule appointments on their own

d.Obtaining bilingual handouts, prescription labels, and medication instructions

29.Parent Mentors will expedite final insurance coverage decisions for the child by:

a.Having parents file their income tax paperwork on time

b.Early and frequent contact with program representatives for Texas Medicaid and CHIP

c.Scheduling healthcare provider appointments

d.Finding a pharmacy that accepts Medicaid or CHIP

30.Parent Mentors will help families of uninsured children by being:

a.Anavigator through the healthcare system

b.A resource for families

c.A source of support

d.All of the above

31. Documentation of the child’s citizenship does not include:

a.A Social Security card

b.The birth certificate

c.A permanent resident card

d.Arrival/Departure Form 1-94

32.Of the four types of appointments that families will make with their child’s healthcare provider, which one is made for checkups and shots:

a.Well-child visit

b.Sick visit

c.Follow-up appointment

d.Specialist visit

33.How often do you need to complete the Parent Mentor Activity Log:

a.Daily

b.Weekly

c.Monthly

d.Yearly

©Copyright Glenn Flores, MD, and UT Southwestern. All rights reserved. This test or any portion thereof may not be reproduced or used in any manner whatsoever without the express written permission of Dr. Flores.

5-9-11