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Medicare & Medicaid Exam Prep 2026/2027: 59 Practice Questions & Correct Answers for Healthcare Professionals

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Master Medicare and Medicaid with This Complete Practice Quiz Guide! Understanding Medicare and Medicaid is essential for healthcare professionals, medical billers, coders, patient access staff, and healthcare administrators. This comprehensive practice quiz features 59 exam-style questions with detailed correct answers to help you master the complexities of these government healthcare programs.

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COMPREHENSIVE HEALTH
INSURANCE: CHP. 13 MEDICAID
NEWEST EXAM 2026/2027 WITH 81
QUESTIONS AND CORRECT
ANSWERS RATED A+
Medicaid
The organization responsible for determining the type, amount, and scope of
services covered by Medicaid is:
a.) the Centers for Medicare and Medicaid Services (CMS)
b.) the federal government
c.) each state government
d.) contracted insurance carriers
each state government
Groups included as eligible for Medicaid include:
a.) the categorically needy
b.) the medically needy
c.) special groups
d.) all of the above
all of the above
States will get federal matching funds for categorically needy groups that include
all of the following EXCEPT:
a.) families who meet Eligibility for Temporary Assistance for Needy Families
(TANF, formerly AFDC) eligibility requirements
b.) children ages 6 to 19 in families with income up to 100% of the federal poverty
level
c.) caretakers of children younger than age 18
d.) individuals age 65 and older
individuals age 65 and older

,In some states, a spend-down program requires that individuals must spend a
portion of their income or resources each month on medical expenses before:
a.) Medicare begins paying for services
b.) Medicaid begins paying for services
c.) a deductible is paid
d.) a coinsurance amount applies
Medicaid begins paying for services
To qualify for federal matching funds for the medically needy, states must include
coverage for:
a.) pregnant women
b.) the elderly
c.) the blind
d.) the disabled
pregnant women
Under the Welfare Reform Bill, mandatory covered services for immigrants
include:
a.) prenatal care
b.) well-child check ups
c.) emergency services
d.) preventative services
preventative services
Eligibility for Temporary Assistance for Needy Families (TANF) is determined by
the:
a.) city
b.) county
c.) state
d.) nation
county
The goal of the Children's Health Insurance Program Reauthorization Act
(CHIPRA) is to expand Medicaid eligibility to more:
a.) children with disabilities
b.) working individuals without insurance

, c.) children without health insurance
d.) immigrants
children with disabilities
Which types of nominal cost sharing can states require of most Medicaid
beneficiaries?
a.) Deductibles
b.) Coinsurance
c.) Copayments
d.) all of the above
all of the above
Mandatory Medicaid services do not include which of the following?
a.) Inpatient hospital services
b.) Nurse-midwife services
c.) Optometrist services
d.) Vaccines for children
Optometrist services


Medicaid is health insurance coverage for:
a.) the aged
b.) the disabled
c.) low-income individuals
d.) those with end-stage renal disease
low-income individuals
Medicaid is paid for by:
a.) the local government
b.) the federal government
c.) the state government
d.) the federal and state government
the federal and state government
The largest funding for healthcare for America's low-income individuals comes
from:
a.) Medicare

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