CERTIFIED MEDICAID PLANNER EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS)
Q&A 2026/2027|INSTANT DOWNLOAD PDF
1. What is Medicaid primarily designed to provide?
A. Private health insurance for employers
B. Health coverage and medical assistance for eligible low-
income individuals and families
C. Retirement income for older adults
D. Property insurance for disabled individuals
Answer: B. Health coverage and medical assistance for eligible
low-income individuals and families
Rationale: Medicaid is a joint federal-state program that
provides health coverage to eligible populations under federal
and state rules.
2. Medicaid is jointly financed by which entities?
A. Federal and state governments
B. Federal government and private employers
C. Counties and private insurers only
D. Individuals and hospitals only
Answer: A. Federal and state governments
Rationale: Medicaid is jointly funded by the federal
government and participating state governments.
,3. Which federal agency administers Medicaid at the federal
level?
A. FDA
B. CMS
C. CDC
D. SSA
Answer: B. CMS
Rationale: The Centers for Medicare & Medicaid Services (CMS)
administers Medicaid at the federal level.
4. What does MAGI generally stand for in Medicaid eligibility?
A. Medical Assistance General Insurance
B. Modified Adjusted Gross Income
C. Medicaid Annual Gross Income
D. Medicare Adjusted Government Income
Answer: B. Modified Adjusted Gross Income
Rationale: MAGI is an income methodology used for
determining eligibility for many Medicaid and CHIP populations.
5. Which group is generally evaluated using MAGI-based
rules?
A. Many children and parents
B. All nursing-home residents
,C. All Medicare beneficiaries
D. Every SSI recipient
Answer: A. Many children and parents
Rationale: MAGI commonly applies to children, pregnant
individuals, parents, and certain other populations, while many
aged, blind, or disabled groups use different methodologies.
6. Medicaid eligibility is determined primarily by:
A. Federal rules alone
B. State rules within federal requirements
C. Employer policies
D. Hospital policies
Answer: B. State rules within federal requirements
Rationale: States administer Medicaid programs under
federally established requirements, resulting in some
differences among states.
7. Which factor can affect Medicaid eligibility?
A. Income
B. Household composition
C. State residency
D. All of the above
Answer: D. All of the above
Rationale: Medicaid eligibility can depend on multiple factors,
, including income, household circumstances, residency, age,
disability, and program category.
8. What is a Medicaid state plan?
A. A private insurance contract
B. An agreement describing how a state administers its
Medicaid program under federal requirements
C. A beneficiary's medical record
D. A hospital's financial policy
Answer: B. An agreement describing how a state administers its
Medicaid program under federal requirements
Rationale: The state plan establishes the framework through
which the state operates its Medicaid program.
9. What is CHIP primarily intended to provide?
A. Dental coverage for Medicare beneficiaries only
B. Health coverage for eligible children in families who may
have income too high for Medicaid
C. Long-term care for all adults
D. Workers' compensation coverage
Answer: B. Health coverage for eligible children in families who
may have income too high for Medicaid
Rationale: CHIP provides coverage to eligible children who do
not qualify for Medicaid under applicable rules.
AND CORRECT ANSWERS (VERIFIED ANSWERS)
Q&A 2026/2027|INSTANT DOWNLOAD PDF
1. What is Medicaid primarily designed to provide?
A. Private health insurance for employers
B. Health coverage and medical assistance for eligible low-
income individuals and families
C. Retirement income for older adults
D. Property insurance for disabled individuals
Answer: B. Health coverage and medical assistance for eligible
low-income individuals and families
Rationale: Medicaid is a joint federal-state program that
provides health coverage to eligible populations under federal
and state rules.
2. Medicaid is jointly financed by which entities?
A. Federal and state governments
B. Federal government and private employers
C. Counties and private insurers only
D. Individuals and hospitals only
Answer: A. Federal and state governments
Rationale: Medicaid is jointly funded by the federal
government and participating state governments.
,3. Which federal agency administers Medicaid at the federal
level?
A. FDA
B. CMS
C. CDC
D. SSA
Answer: B. CMS
Rationale: The Centers for Medicare & Medicaid Services (CMS)
administers Medicaid at the federal level.
4. What does MAGI generally stand for in Medicaid eligibility?
A. Medical Assistance General Insurance
B. Modified Adjusted Gross Income
C. Medicaid Annual Gross Income
D. Medicare Adjusted Government Income
Answer: B. Modified Adjusted Gross Income
Rationale: MAGI is an income methodology used for
determining eligibility for many Medicaid and CHIP populations.
5. Which group is generally evaluated using MAGI-based
rules?
A. Many children and parents
B. All nursing-home residents
,C. All Medicare beneficiaries
D. Every SSI recipient
Answer: A. Many children and parents
Rationale: MAGI commonly applies to children, pregnant
individuals, parents, and certain other populations, while many
aged, blind, or disabled groups use different methodologies.
6. Medicaid eligibility is determined primarily by:
A. Federal rules alone
B. State rules within federal requirements
C. Employer policies
D. Hospital policies
Answer: B. State rules within federal requirements
Rationale: States administer Medicaid programs under
federally established requirements, resulting in some
differences among states.
7. Which factor can affect Medicaid eligibility?
A. Income
B. Household composition
C. State residency
D. All of the above
Answer: D. All of the above
Rationale: Medicaid eligibility can depend on multiple factors,
, including income, household circumstances, residency, age,
disability, and program category.
8. What is a Medicaid state plan?
A. A private insurance contract
B. An agreement describing how a state administers its
Medicaid program under federal requirements
C. A beneficiary's medical record
D. A hospital's financial policy
Answer: B. An agreement describing how a state administers its
Medicaid program under federal requirements
Rationale: The state plan establishes the framework through
which the state operates its Medicaid program.
9. What is CHIP primarily intended to provide?
A. Dental coverage for Medicare beneficiaries only
B. Health coverage for eligible children in families who may
have income too high for Medicaid
C. Long-term care for all adults
D. Workers' compensation coverage
Answer: B. Health coverage for eligible children in families who
may have income too high for Medicaid
Rationale: CHIP provides coverage to eligible children who do
not qualify for Medicaid under applicable rules.
