CRC Exam (Certified Rehabilitation Counselor) — All Questions

A client asks who runs and pays for Medicaid. According to Medicaid.gov, which statement is accurate?

• a.The federal government administers it and pays the full cost for everyone enrolled
• b.Each state runs it with state funds only, and no federal requirements apply to it
• c.It is run by the Social Security Administration and funded through payroll taxes
• d.States run it under federal rules, with joint state and federal funding✓

Medicaid.gov states that Medicaid is administered by states according to federal requirements and is funded jointly by states and the federal government. It is not a solely federal or solely state program, and the Social Security Administration does not administer Medicaid.

An SSDI beneficiary with Medicare returns to work, completes her trial work period, and her cash benefits stop because of earnings above SGA. She still has a disabling impairment. What happens to her premium-free Medicare Part A?

• a.It continues for at least 93 months after the trial work period✓
• b.It ends in the same month that her cash benefits end
• c.It continues only if she buys a private supplemental plan
• d.It continues for 36 months and then ends permanently

SSA's Red Book explains that most working people with disabilities continue to receive Medicare for at least 93 consecutive months after the 9-month trial work period, with premium-free Part A, if cash benefits stopped because of work above SGA and the disabling impairment continues. Coverage does not end with the cash benefits, does not depend on buying a supplemental plan, and 36 months is the re-entitlement period for cash benefits, not the Medicare period.

An employee with an ADA disability has used all 12 weeks of FMLA leave and needs three more weeks off before she can return. Under EEOC guidance, what must the employer consider?

• a.Nothing more, because FMLA leave has been fully used for the year
• b.Termination under its no-fault policy, which overrides the ADA
• c.Converting the time to unpaid personal leave with no job protection
• d.Additional leave as an accommodation, absent undue hardship✓

EEOC guidance explains that after FMLA leave ends the ADA still requires the employer to consider reasonable accommodation, including additional leave, and that an employer must modify a no-fault leave policy to grant additional unpaid leave unless another effective accommodation exists or it would be an undue hardship; a person on leave as an accommodation generally returns to the same position. Exhausted FMLA leave, a no-fault policy, or unprotected leave do not end the ADA analysis.

An insurer asks a hospital-based rehabilitation counselor for a client's records to process a claim. Under the HIPAA Privacy Rule, what standard generally applies to this disclosure?

• a.The complete record whenever payment is involved
• b.Only information the client has personally reviewed
• c.Any information the requester believes is relevant
• d.The minimum necessary to accomplish the purpose✓

45 CFR 164.502(b) requires covered entities to make reasonable efforts to limit protected health information to the minimum necessary to accomplish the intended purpose of a use, disclosure, or request, with exceptions such as disclosures to a provider for treatment or under a signed authorization. Payment requests do not unlock the whole record, and the rule is not defined by client review or the requester's view of relevance.

A client with Crohn's disease has long symptom-free stretches and occasional flares that severely limit bowel function. Under the ADA regulations, how is an episodic condition like this evaluated?

• a.It is a disability if it would substantially limit a major life activity when active✓
• b.It is a disability only if it limits her during the period in which she applies
• c.It is not a disability, because conditions in remission are excluded entirely
• d.It is a disability only when symptoms last longer than six continuous months

29 CFR 1630.2(j)(1)(vii) states that an impairment that is episodic or in remission is a disability if it would substantially limit a major life activity when active, and 1630.2(i)(1)(ii) lists bowel function as a major bodily function. The definition does not turn on symptoms at the moment of application, does not exclude remission, and (j)(1)(ix) says effects lasting fewer than six months can be substantially limiting.

A working SSDI beneficiary's premium-free Medicare will end because of work, and he wants to keep coverage through the Medicare Buy-In. Which statement matches SSA's Red Book?

• a.He can buy Part B alone, but Part A is not available through the Buy-In
• b.He must be age 65 or older to qualify for the Medicare Buy-In program
• c.He can buy Part A separately, but cannot buy Part B without also buying Part A✓
• d.He loses all Medicare options once his premium-free coverage ends

The Red Book states that a person under 65 who still has a disability and whose Medicare stopped because of work can buy Medicare coverage; Part A can be bought separately without Part B, but Part B cannot be bought unless Part A is also bought. The Buy-In is for people under 65, and coverage options do not simply end.

An employer is designing a return-to-work program for employees with workplace injuries. According to DOL's description of federal workers' compensation programs, which benefit types do those programs provide?

• a.Retirement pensions, housing aid, and child care vouchers
• b.Only lump-sum settlements paid at the time of injury
• c.Only medical treatment, with no wage replacement at all
• d.Wage replacement, medical treatment, and vocational rehabilitation✓

DOL's Office of Workers' Compensation Programs describes its programs as providing wage replacement benefits, medical treatment, vocational rehabilitation, and other benefits to covered workers injured at work or who acquire an occupational disease. Retirement and housing aid are not workers' compensation benefits, and the programs are not limited to lump sums or to medical care alone.