CES Medicaid and CHIP Programs

Question 1

Which federal agency administers Medicaid and CHIP at the federal level?

Accepted Answer

Centers for Medicare & Medicaid Services (CMS)

Answer

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?

Accepted Answer

Federal government and state governments

Answer

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?

Accepted Answer

Children in families with incomes too high for Medicaid but who cannot afford private insurance

Answer

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)?

Accepted Answer

138%

Answer

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?

Accepted Answer

Modified Adjusted Gross Income (MAGI)

Answer

The ACA standardized Medicaid income determinations using MAGI, aligning them with Marketplace eligibility rules for most non-elderly, non-disabled applicants.

CES - Certified Enrollment Specialist Practice Test

CES - Certified Enrollment Specialist Practice Test

CES Medicaid and CHIP Programs