Certified Revenue Cycle Representative (CRCR) Practice Exam

Which of the following is required for participation in Medicaid?

1. Obtain a supplemental health insurance policy

2. Meet income and assets requirements

3. Meet a minimum yearly premium

4. Be free of chronic conditions

The correct answer is: Meet income and assets requirements

Participation in Medicaid requires individuals to meet specific income and asset requirements that vary by state and are designed to determine eligibility for the program. Medicaid primarily serves low-income individuals and families, so adhering to these financial criteria is essential for enrollment. The income limits are often expressed as a percentage of the Federal Poverty Level (FPL), and states may also consider the applicant’s assets to ensure they qualify. This ensures that Medicaid is directed toward those who truly need financial assistance for medical services. Other options do not align with the eligibility criteria for Medicaid. For example, obtaining a supplemental health insurance policy is not a requirement; it is often used to enhance coverage but does not influence eligibility. Similarly, there is no minimum yearly premium required for Medicaid, as it is intended to provide coverage to those who may not be able to afford health insurance. Lastly, being free of chronic conditions is irrelevant as Medicaid is specifically designed to provide services to individuals regardless of their health status, including those with chronic conditions who require ongoing care.