Certified Specialist Payment Rep (CSPR) Practice Exam

The correct answer indicates that beneficiaries must select and enroll in a managed care plan as part of Medicaid Managed Care. This enrollment process is crucial because it helps manage and coordinate healthcare services for Medicaid participants. By choosing a managed care plan, beneficiaries gain access to a network of providers and managed services that can lead to more streamlined care, preventive services, and often a focus on overall health management.

Participation in a managed care plan typically involves agreeing to certain guidelines and regulations outlined by the state and the managed care organization. This choice empowers beneficiaries to have some agency over their healthcare options while facilitating cost control and improving the quality of care delivered.

In contrast, selecting a primary care physician might be a part of the managed care plan's requirements, but it is not the primary action beneficiaries must take as a whole. Enrolling in traditional Medicaid does not align with the Medicaid Managed Care framework, as the latter is a distinct option that changes how services are delivered. Lastly, while out-of-pocket expenses may be present in some cases, Medicaid Managed Care aims to minimize these costs for beneficiaries, which makes the requirement for beneficiaries to pay for all services incorrect in this context.