CES Medicaid and CHIP Programs 2

Question 1

What is the Federal Medical Assistance Percentage (FMAP) used to determine?

Accepted Answer

The share of Medicaid costs the federal government reimburses to each state

Answer

The maximum income limit for Medicaid in each state

Answer

The percentage of beneficiaries enrolled in managed care

Answer

The share of CHIP costs paid by beneficiaries as premiums

Question 2

Which of the following is a mandatory Medicaid service that all states must cover?

Accepted Answer

Inpatient hospital services

Answer

Dental care for adults

Answer

Vision care for adults

Answer

Chiropractic services

Question 3

What is 'presumptive eligibility' in the context of Medicaid and CHIP?

Accepted Answer

A qualified entity temporarily enrolls an applicant who appears eligible while the formal application is processed

Answer

Automatic enrollment in Medicaid at birth for all newborns

Answer

A determination made by an employer about an employee's Medicaid status

Answer

A waiver that allows states to bypass standard eligibility criteria

Question 4

What is the Medicaid Estate Recovery Program (MERP) designed to do?

Accepted Answer

Recover Medicaid costs from the estates of deceased beneficiaries who were 55 or older

Answer

Recover premium payments from beneficiaries who had employer coverage

Answer

Seize assets of Medicaid applicants at the time of enrollment

Answer

Collect unpaid CHIP premiums from families after coverage ends

Question 5

Under Medicaid rules, retroactive coverage can go back up to how many months prior to the month of application?

Accepted Answer

3 months

Answer

6 months

Answer

12 months

Answer

1 month

Question 6

Most lawfully present immigrants must wait how long before becoming eligible for federally funded Medicaid benefits?

Accepted Answer

5 years

Answer

2 years

Answer

1 year

Answer

No waiting period applies

Question 7

Which Medicaid waiver authority allows states to test innovative service delivery and financing models that deviate from standard Medicaid rules?

Accepted Answer

Section 1115 Demonstration Waiver

Answer

Section 1902 State Plan Amendment

Answer

Section 1915(b) Managed Care Waiver

Answer

Section 1905 Mandatory Services Waiver