Page 27

Medical Services –Appendix E, Dependent Filing Requirements and MAGI Revised 01/24 child nor tax dependent of any of the other members of this household, i.e., Chloe. Chloe Child Support No – Chloe is Audrey’s child; child support income is not counted. Bertha works full time as the vice president of the High Rise Corporation. She reported that the annual income amount returned from the Federal Data Services Hub ($96,000) was reflective of her current salary and that she receives the same amount each month. Therefore, the annual income amount can be divided by 12 months to arrive at her current monthly income ($8,000). Audrey just started working part time (10 hours per week) at the daycare center where Chloe attends. She earns $7.25 per hour. Her current monthly income is determined as follows: 1.$7.25 x 10 = $72.50 2.$72.50 x 4.334 = $314.22 monthly income Bertha and Audrey’s household are the same which includes Bertha, Audrey & Chloe.  Bertha earns $8,000.00 per month which equals $96,000 annually.  Audrey earns $314.22 per month which equals $3,770.64 annually.  Audrey is the child and tax dependent of Bertha. Audrey is not required to file taxes; therefore, her income doesn’t count. Bertha’s income is counted.  Bertha’s household size is 3.  Compare the $8,000.00 monthly income to the Adult Expansion Program standard of 138% for 3, $2,245.95.  Bertha and Audrey are not eligible for the Adult Expansion Program; therefore, the agency will electronically transfer their account to the Exchange for possible eligibility for premium tax credits and cost sharing reductions. Chloe’s household includes Chloe and her mother, Audrey.  Audrey earns $314.22 per month which equals $3,770.64 annually.  Audrey’s income will be counted because neither her mother, nor father is included in this household. Chloe’s child support income is disregarded.  Chloe’s household size is 2.  Compare the $314.22 monthly income to the ARKids A standard of 142% for 2, $1,835.35.  Chloe is eligible for ARKids A.