Navigator State Certification Practice Exam 2025 – 400 Free Practice Questions to Pass the Exam

Question: 1 / 400

If consumer information suggests eligibility for Medicaid, what status does the consumer attain?

They are not considered eligible

They receive PE for Medicaid

When consumer information indicates eligibility for Medicaid, the correct status the consumer attains is "they receive PE for Medicaid," which stands for Presumptive Eligibility. This status allows individuals to gain immediate access to Medicaid services based on preliminary information without needing to go through the complete verification process right away.

Presumptive Eligibility is designed to facilitate access to healthcare for those who appear to qualify, allowing them to receive necessary medical services while their full eligibility is confirmed. This is particularly important as it ensures timely medical care for individuals who might be in critical need of healthcare resources.

The other options reflect scenarios that would not be consistent with the immediate access granted by Presumptive Eligibility. For instance, stating that they must undergo a verification process implies a delay and restriction in access to services, which contradicts the purpose of PE. Similarly, claiming that the state will deny their application does not align with the intent of offering immediate coverage to those potentially eligible.

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They must undergo a verification process

The state will deny their application

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