NYSOH ASSISTORS NEWEST EXAM 2026 | REAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
| VERIFIED ANSWERS | | GRADED A+
What is APTC reconciliation?
consumers who receive APTC must report all life
events, such as change in household size, income, or
job related insurance
What will people receive at the end of year who receive
APTC?
APTC recipients will receive a 1095A tax form from the
Marketplace to reconcile their APTC
What is the Medicaid enrollment period and when does
coverage begin?
enroll at any point in the year, coverage is effective
back to the first of the month from the date of
application, through fee for service Medicaid
Page 1 of 22
,Who are considered NON-MAGI?
Adults who are 65 or older and not a parent or
caretaker relative
Anyone who requires nursing care facility services,
congregate care level 1,2 or 3, waiver services,
Medicaid buy in for working people with disabilities
Who are Non-MAGI referred to?
LDSS or HRA
What is the Medicaid Residency+ Citizenship/
Immigration Eligibility?
Must be NYS residents, available to US citizens
+Naturalized Citizens, Immigrant Non-Citizens, Non-
Immigrant Visa holders and other
What is MAGI for Medicaid based on?
AGI, foreign earned income excluded from taxes, tax
exempt interest, tax exempt SSI
Page 2 of 22
, What are the Managed Care consumer costs?
Some services have a co-pay like prescription drugs,
co-pay maximum $200/year
What is the age limit for Child Health Plus?
under 19
Are there co-pays and coinsurance or deductibles for
CHP?
No
What is the income guidelines for CHP?
no income limit, premium contribution varies on
household size and FPL
What makes you ineligible for CHP?
can't be eligible for Medicaid, can't have other
insurance, don't have access to or aren't enrolled in
NYSHIP
Page 3 of 22
WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
| VERIFIED ANSWERS | | GRADED A+
What is APTC reconciliation?
consumers who receive APTC must report all life
events, such as change in household size, income, or
job related insurance
What will people receive at the end of year who receive
APTC?
APTC recipients will receive a 1095A tax form from the
Marketplace to reconcile their APTC
What is the Medicaid enrollment period and when does
coverage begin?
enroll at any point in the year, coverage is effective
back to the first of the month from the date of
application, through fee for service Medicaid
Page 1 of 22
,Who are considered NON-MAGI?
Adults who are 65 or older and not a parent or
caretaker relative
Anyone who requires nursing care facility services,
congregate care level 1,2 or 3, waiver services,
Medicaid buy in for working people with disabilities
Who are Non-MAGI referred to?
LDSS or HRA
What is the Medicaid Residency+ Citizenship/
Immigration Eligibility?
Must be NYS residents, available to US citizens
+Naturalized Citizens, Immigrant Non-Citizens, Non-
Immigrant Visa holders and other
What is MAGI for Medicaid based on?
AGI, foreign earned income excluded from taxes, tax
exempt interest, tax exempt SSI
Page 2 of 22
, What are the Managed Care consumer costs?
Some services have a co-pay like prescription drugs,
co-pay maximum $200/year
What is the age limit for Child Health Plus?
under 19
Are there co-pays and coinsurance or deductibles for
CHP?
No
What is the income guidelines for CHP?
no income limit, premium contribution varies on
household size and FPL
What makes you ineligible for CHP?
can't be eligible for Medicaid, can't have other
insurance, don't have access to or aren't enrolled in
NYSHIP
Page 3 of 22
