Indiana Navigator Test (New 2026/ 2027
Update) Questions & Answers {Grade A}
100% Correct (Verified Solutions)
What are ESRD members covered with? - Correct answer Aged, blind, and disabled
category.
- Medicare will be primary and Medicaid is the secondary payer.
What is the presumptive eligibility idea for? - Correct answer - Allows
uninsured/underinsured people to obtain temporary coverage quickly = immediate
care.
- Must still complete a full application to determine eligibility for continued coverage.
What coverage does presumptive eligibility (PE) aid in?
- Infants, children, parents/caretakers, former foster children:
- Pregnant women:
- Family planning:
- Adult:
,- Inmates: - Correct answer - Infants, children, parents/caretakers, former foster
children: Full coverage
- Pregnant women: Only covers ambulatory services
- Family planning: Only covers services and supplies for pregnancy prevention
- Adult: HIP Basic equivalent
- Inmates: Inpatient hospital services only
Who is the payment for Medicaid Inpatient Hospital services for inmates reimbursed
by? - Correct answer Fee-for-service delivery system (FFS)
What are the Indiana full coverage programs? - Correct answer Hoosier Healthwise
CHIP
HIP Plus
Medicaid for the aged, blind, and disabled
MED Works
Breast and Cervical Cancer Program
Some PE categories (PE: infants, children, parents/caregivers, former foster care
children)
,What are the Indiana limited coverage programs? - Correct answer HIP Basic
Family Planning
Emergency Service Only
Medicare Savings Program
Some PE categories (PE: adults, pregnant people, family planning)
What are the factors that apply for any type of Indiana Health Coverage Program
(IHCP)? - Correct answer Residency = Must be resident of IN, including those who are
homeless or in a homeless shelter
Citizenship/Immigration Status = US citizens, non-citizen nationals, immigrants with
qualified immigration status (exemptions/those who do not need to verify = newborns
with a mother who had Medicaid, Medicare beneficiary, receiving SSIncome, foster
care or adoption recipient)
Income Standards = based on FPL/Federal Income Poverty Level
SSN must be provided (does have exceptions)
Must file for other benefits
Medicaid eligibility based on blindness or disability
, What are the age requirements for each program?
- Hoosier Healthwise children
- Healthy Indiana Plan (HIP)
- Behavioral and Primary Healthcare Program
- MED Works
- Breast and Cervical Cancer Program
- Former Foster Children
- Medicaid for the Aged - Correct answer - Hoosier Healthwise children = up to the age
of 19
- Healthy Indiana Plan (HIP) = age 19-64
- Behavioral and Primary Healthcare Program = At least 19 years
- MED Works = 16-64
- Breast and Cervical Cancer Program = 19-64
- Former Foster Children = 18-25
- Medicaid for the Aged = 65+
Update) Questions & Answers {Grade A}
100% Correct (Verified Solutions)
What are ESRD members covered with? - Correct answer Aged, blind, and disabled
category.
- Medicare will be primary and Medicaid is the secondary payer.
What is the presumptive eligibility idea for? - Correct answer - Allows
uninsured/underinsured people to obtain temporary coverage quickly = immediate
care.
- Must still complete a full application to determine eligibility for continued coverage.
What coverage does presumptive eligibility (PE) aid in?
- Infants, children, parents/caretakers, former foster children:
- Pregnant women:
- Family planning:
- Adult:
,- Inmates: - Correct answer - Infants, children, parents/caretakers, former foster
children: Full coverage
- Pregnant women: Only covers ambulatory services
- Family planning: Only covers services and supplies for pregnancy prevention
- Adult: HIP Basic equivalent
- Inmates: Inpatient hospital services only
Who is the payment for Medicaid Inpatient Hospital services for inmates reimbursed
by? - Correct answer Fee-for-service delivery system (FFS)
What are the Indiana full coverage programs? - Correct answer Hoosier Healthwise
CHIP
HIP Plus
Medicaid for the aged, blind, and disabled
MED Works
Breast and Cervical Cancer Program
Some PE categories (PE: infants, children, parents/caregivers, former foster care
children)
,What are the Indiana limited coverage programs? - Correct answer HIP Basic
Family Planning
Emergency Service Only
Medicare Savings Program
Some PE categories (PE: adults, pregnant people, family planning)
What are the factors that apply for any type of Indiana Health Coverage Program
(IHCP)? - Correct answer Residency = Must be resident of IN, including those who are
homeless or in a homeless shelter
Citizenship/Immigration Status = US citizens, non-citizen nationals, immigrants with
qualified immigration status (exemptions/those who do not need to verify = newborns
with a mother who had Medicaid, Medicare beneficiary, receiving SSIncome, foster
care or adoption recipient)
Income Standards = based on FPL/Federal Income Poverty Level
SSN must be provided (does have exceptions)
Must file for other benefits
Medicaid eligibility based on blindness or disability
, What are the age requirements for each program?
- Hoosier Healthwise children
- Healthy Indiana Plan (HIP)
- Behavioral and Primary Healthcare Program
- MED Works
- Breast and Cervical Cancer Program
- Former Foster Children
- Medicaid for the Aged - Correct answer - Hoosier Healthwise children = up to the age
of 19
- Healthy Indiana Plan (HIP) = age 19-64
- Behavioral and Primary Healthcare Program = At least 19 years
- MED Works = 16-64
- Breast and Cervical Cancer Program = 19-64
- Former Foster Children = 18-25
- Medicaid for the Aged = 65+
