ACA ACA Medicaid Expansion & Public Programs 2

Question 1

Under the ACA, what is the Children's Health Insurance Program (CHIP) primarily designed to cover?

Accepted Answer

Uninsured children in families with incomes too high for Medicaid but who cannot afford private coverage

Answer

CHIP covers uninsured children in low-to-moderate income families that earn too much to qualify for Medicaid but cannot afford private insurance.

Question 2

What ACA provision requires states to maintain Medicaid and CHIP eligibility for children at levels in effect on the date of enactment?

Accepted Answer

The maintenance of effort (MOE) requirement

Answer

The ACA's maintenance of effort (MOE) requirement prohibits states from restricting Medicaid and CHIP eligibility for children below levels in place on March 23, 2010.

Question 3

Under the ACA, what is 'presumptive eligibility' in the context of Medicaid?

Accepted Answer

A process allowing qualified entities to temporarily enroll individuals in Medicaid pending full eligibility determination

Answer

Presumptive eligibility allows qualified entities (such as hospitals) to make a temporary Medicaid eligibility determination so individuals can receive immediate coverage while the full application is processed.

Question 4

Which ACA section established the Basic Health Program (BHP), an optional coverage alternative for states serving low-income residents?

Accepted Answer

Section 1331

Answer

ACA Section 1331 established the Basic Health Program, which allows states to create a state-administered coverage program for residents earning between 133–200% FPL instead of enrolling them in Marketplace plans.

Question 5

Under the ACA Medicaid expansion, which income verification method is primarily used during the application process?

Accepted Answer

Real-time electronic data matches using federal data sources like SSA and IRS

Answer

The ACA requires states to use real-time electronic data matches with federal sources such as the SSA and IRS to verify income during the Medicaid application process.

(ACA) Affordable Care Act Certified Practice Test

(ACA) Affordable Care Act Certified Practice Test

ACA ACA Medicaid Expansion & Public Programs 2