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Introduction
The Surveyor Minimum Qualifications Test (SMQT) is a mandatory
certification exam administered by the Centers for Medicare & Medicaid Services
(CMS) for individuals who conduct surveys of long-term care facilities to ensure
compliance with federal Medicare and Medicaid requirements. The exam verifies
that surveyors possess the minimum knowledge, skills, and abilities needed to
evaluate facility compliance with federal standards.
Section 1: Federal Regulations and Legislative Framework (Questions 1–35)
1. What federal legislation mandated the creation of the Surveyor Minimum
Qualifications Test (SMQT)?
A. The Affordable Care Act of 2010
B. The Omnibus Budget Reconciliation Act (OBRA) of 1987
C. The Medicare Modernization Act of 2003
D. The Health Insurance Portability and Accountability Act of 1996
Correct Answer: B
Rationale: OBRA 1987 and the Social Security Act require that individual
members of long-term care survey teams meet minimum qualifications established
by the Secretary, including successfully completing a training and testing program.
,2. Which federal agency administers the SMQT program?
A. FDA
B. CDC
C. CMS (Centers for Medicare & Medicaid Services)
D. OSHA
Correct Answer: C
Rationale: CMS administers the SMQT to certify surveyors who inspect facilities
participating in Medicare and Medicaid.
3. The SMQT is primarily used for surveying which type of healthcare
facilities?
A. Acute care hospitals
B. Long-term care facilities/nursing homes
C. Outpatient clinics
D. Home health agencies
Correct Answer: B
Rationale: The test focuses on long-term care, specifically nursing homes, under
the Nursing Home Reform Act.
4. What does SMQT stand for?
A. State Medicaid Quality Training
B. Surveyor Minimum Qualifications Test
C. Skilled Medical Quality Training
D. Survey Management Qualification Training
Correct Answer: B
Rationale: SMQT stands for Surveyor Minimum Qualifications Test. It is part of
CMS's surveyor training and testing program.
,5. The regulations for long-term care facilities are found in which section of
the Code of Federal Regulations?
A. 42 CFR Part 483
B. 21 CFR Part 210
C. 45 CFR Part 160
D. 29 CFR Part 1910
Correct Answer: A
Rationale: The requirements for long-term care facilities participating in Medicare
and Medicaid are found in 42 CFR Part 483.
6. What was created in 1977 to combine Medicare and Medicaid?
A. The Social Security Administration
B. The Health Care Financing Administration (HCFA)
C. The Centers for Disease Control
D. The Office of Civil Rights
Correct Answer: B
Rationale: The Health Care Financing Administration (HCFA) was created in
1977 to combine Medicare and Medicaid. HCFA was the predecessor of CMS.
7. Which population does Medicaid provide services for?
A. Individuals aged 65 and older only
B. Low-income individuals, including needy elders, blind, disabled getting SSI,
and certain low-income pregnant women
C. Individuals with disabilities only
D. Veterans only
Correct Answer: B
Rationale: Medicaid provides services for low-income individuals, including
needy elders, blind, disabled individuals getting SSI, and certain low-income
pregnant women.
, 8. Which federal agency is responsible for ensuring that quality health care is
provided in facilities that receive Medicare and Medicaid funding?
A. FDA
B. CMS
C. CDC
D. OSHA
Correct Answer: B
Rationale: CMS depends on surveyors to ensure that quality health care is
provided in facilities that receive Medicare and Medicaid funding.
9. What is the primary purpose of the SMQT?
A. To assess clinical nursing skills
B. To evaluate knowledge of long-term care regulations and surveyor competencies
C. To test financial management in healthcare
D. To measure patient satisfaction techniques
Correct Answer: B
Rationale: SMQT is designed to ensure surveyors have the core knowledge of
federal regulations, survey processes, and enforcement actions in long-term care
settings.
10. The primary purpose of the SMQT is to assess whether a surveyor has the
knowledge and skills necessary to:
A. Manage a nursing facility
B. Conduct LTC facility surveys
C. Administer medications
D. Write facility policies
Correct Answer: B