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Managed Care Nursing

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The TEFRA includes criteria for which the person has to meet all guideline requirements. Which statement best describes the set of criteria?
  1. Age 0-21, meet 100% of FPG or “spin down,” disability certified, lives with biological or adoptive parent (s), level of care needs equivalent to a type of inpatient care.
  2. Age 1-18, meet 75% of FPG, disability certified, lives with biological or adoptive parent(s), level of care needs are equivalent to a type of inpatient care
  3. Age 0-19, meet 100% FPG or “spin down”, disability certified, lives with biological or adoptive parent (s), level of care needs equivalent to a type of inpatient care
  4. None of the above
Explanation
Answer: C - The set of guidelines that best describes TEFRA criteria includes Age 0-19, meet 100% FPG or “spin down,” disability certified, lives with biological or adoptive parent (s), level of care needs equivalent to a type of inpatient care
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