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ACA Medicaid Expansion & Public Programs Flashcards

6 cards from real ACA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 ACA Medicaid Expansion & Public Programs flashcards as text

  1. Under the ACA, what is the Modified Adjusted Gross Income (MAGI) methodology used for in Medicaid eligibility?

    Answer: To standardize income counting rules across Medicaid, CHIP, and the Marketplace

    MAGI-based income rules were introduced by the ACA to create a uniform income-counting methodology across Medicaid, CHIP, and Marketplace subsidies, replacing varied state methodologies.

  2. Which ACA provision allowed states to extend Medicaid coverage to former foster youth up to age 26 regardless of income?

    Answer: Section 2004 of the ACA

    ACA Section 2004 requires states to provide Medicaid coverage to former foster care youth up to age 26 regardless of income level.

  3. What is the primary purpose of Medicaid managed care organizations (MCOs) under ACA-expanded Medicaid programs?

    Answer: To coordinate and deliver Medicaid covered services under capitated payment contracts with states

    Medicaid MCOs contract with states to provide Medicaid-covered services to enrollees under capitated (per-member per-month) payment arrangements, coordinating care and managing costs.

  4. Under the ACA, which provision requires Medicaid programs to cover tobacco cessation counseling and medications for pregnant women at no cost sharing?

    Answer: Section 4107

    ACA Section 4107 requires Medicaid programs to cover tobacco cessation counseling and FDA-approved medications for pregnant women without cost sharing.

  5. What is a Section 1115 waiver in the context of ACA Medicaid programs?

    Answer: A demonstration waiver allowing states to test innovative Medicaid delivery or financing approaches with federal approval

    Section 1115 waivers allow states to test and evaluate new Medicaid approaches—including work requirements, alternative benefit designs, and delivery reforms—subject to federal budget neutrality and CMS approval.

  6. Under ACA Medicaid expansion rules, how often must states conduct eligibility renewals for expansion enrollees?

    Answer: Annually

    States must renew Medicaid eligibility for expansion enrollees at least annually using electronic data matches before sending renewal forms to the beneficiary.