CES Medicaid and CHIP Programs 1 — Questions and Answers
Question 1: Which federal agency administers Medicaid and CHIP at the federal level?
- Centers for Medicare & Medicaid Services (CMS) (Correct answer)
- Department of Labor (DOL)
- Social Security Administration (SSA)
- Department of Health and Human Services Office of Inspector General
Correct answer: Centers for Medicare & Medicaid Services (CMS)
CMS, a division of HHS, is the federal agency responsible for overseeing and administering both Medicaid and CHIP programs.
Question 2: Medicaid is jointly funded by which two entities?
- Federal government and state governments (Correct answer)
- Federal government and counties
- State governments and local municipalities
- Employers and state governments
Correct answer: Federal government and state governments
Medicaid is jointly financed by the federal government and each state, with the federal share determined by the FMAP formula.
Question 3: What is the Children's Health Insurance Program (CHIP) primarily designed to cover?
- Children in families with incomes too high for Medicaid but who cannot afford private insurance (Correct answer)
- Children of federal employees only
- All children under age 18 regardless of income
- Children with disabilities who qualify for SSI
Correct answer: Children in families with incomes too high for Medicaid but who cannot afford private insurance
CHIP targets children in families whose incomes are above the Medicaid limit but who still cannot afford private health insurance coverage.
Question 4: Under the ACA's Medicaid expansion, states that adopted expansion must cover adults up to what percentage of the Federal Poverty Level (FPL)?
- 138% (Correct answer)
- 100%
- 200%
- 250%
Correct answer: 138%
The ACA expanded Medicaid eligibility to adults up to 138% FPL (which accounts for a 5% income disregard applied to the 133% statutory limit).
Question 5: Which income-counting methodology replaced the older Medicaid income rules under the ACA?
- Modified Adjusted Gross Income (MAGI) (Correct answer)
- Adjusted Net Income (ANI)
- Household Gross Income (HGI)
- Federal Poverty Percentage (FPP)
Correct answer: Modified Adjusted Gross Income (MAGI)
The ACA standardized Medicaid income determinations using MAGI, aligning them with Marketplace eligibility rules for most non-elderly, non-disabled applicants.
Question 6: States have the option to offer CHIP coverage to children through which general income threshold (as a maximum upper limit)?
- Up to 300% of the Federal Poverty Level (Correct answer)
- Up to 138% of the Federal Poverty Level
- Up to 400% of the Federal Poverty Level
- Up to 500% of the Federal Poverty Level
Correct answer: Up to 300% of the Federal Poverty Level
While thresholds vary by state, federal law permits states to set CHIP eligibility up to 300% FPL, though some states have received waivers to go higher.
Question 7: What is the formal statutory name for CHIP, as established by the Balanced Budget Act of 1997?
- Title XXI of the Social Security Act (Correct answer)
- Title XIX of the Social Security Act
- Title XVIII of the Social Security Act
- Title XVI of the Social Security Act
Correct answer: Title XXI of the Social Security Act
CHIP is codified as Title XXI of the Social Security Act; Title XIX is Medicaid, Title XVIII is Medicare, and Title XVI is SSI.
CES Medicaid and CHIP Programs 1
Which federal agency administers Medicaid and CHIP at the federal level?