Under what circumstances does Medicaid pay for Mr. Cole's cost-sharing?

Medicaid is designed to provide health coverage for individuals and families with low income. One of the essential components of Medicaid is that it typically covers cost-sharing responsibilities, meaning that it helps beneficiaries with costs such as premiums, deductibles, coinsurance, and copayments associated with their medical services. However, this assistance is only applicable when the services are provided by Medicaid participating providers.

When a beneficiary like Mr. Cole receives services from a provider who is not enrolled in Medicaid, the costs incurred are not covered by Medicaid. This requirement ensures that the services are appropriately managed and that providers meet the standards established by the Medicaid program. Therefore, Mr. Cole's cost-sharing expenses would be covered by Medicaid only when he utilizes services from providers who participate in the Medicaid program, which is why this choice is the correct answer.

Other scenarios, such as emergency services or specific out-of-pocket expenses, do not capture the broader applicability of cost-sharing coverage linked directly to provider participation.