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AHIP AHM-510 Exam Dumps

Get All Governance, Legal Issues, Medicare and Medicaid Exam Questions with Validated Answers

AHM-510 Pack
Vendor: AHIP
Exam Code: AHM-510
Exam Name: Governance, Legal Issues, Medicare and Medicaid
Exam Questions: 76
Last Updated: November 21, 2025
Related Certifications: Managed Healthcare Professional
Exam Tags: AHIP Health Governace
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Free AHIP AHM-510 Exam Actual Questions

Question No. 1

In the course of doing business, health plans conduct basic corporate transactions. For example, when a health plan engages in the corporate transaction known as aggressive sourcing, the health plan

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Correct Answer: B

Question No. 2

Certificate of need (CON) laws apply to health plans in a variety of ways, depending upon the state. By definition, CON laws are laws that are designed to

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Correct Answer: A

Question No. 3

One federal law amended the Social Security Act to allow states to set their own qualification standards for HMOs that contracted with state Medicaid programs and revised the requirement that participating HMOs have an enrollment mix of no more than 50% combined Medicare and Medicaid members.

This act, which was the true stimulus for increasing participation by health plans in Medicaid, is called the

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Correct Answer: A

Question No. 4

One provision of the Mental Health Parity Act of 1996 (MHPA) is that the MHPA prohibits group health plans from

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Correct Answer: A

Question No. 5

In the paragraph below, a statement contains two pairs of terms enclosed in parentheses. Determine which term in each pair correctly completes the statement. Then select the answer choice containing the two terms that you have chosen.

In the case of Pacificare of Oklahoma, Inc. v. Burrage, the U.S. Court of Appeals for the Tenth Circuit considered whether ERISA preempts medical malpractice claims against health plans based on certain liability theories. In this case, the Tenth Circuit court held that ERISA (should / should not) preempt a liability claim against an HMO for the malpractice of one of its primary care physicians, and therefore the HMO was subject to a claim of (subordinated / vicarious) liability.

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Correct Answer: D

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