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Medical Services –Appendix E, Dependent Filing Requirements and MAGI Revised 01/24 Example 2: Single parent and child Gloria is 47 years old. She is a single mother that has a 13 year old daughter, FeFe. Gloria claims FeFe as her tax dependent when filing her taxes. Gloria is applying for medical assistance for herself and her daughter. Gloria’s Household 1. Does Gloria expect to file a tax return? Yes Continue to Question 1a 1a. Does Gloria expect to be claimed as a tax dependent by anyone else? No Gloria’s household: Gloria(taxpayer) FeFe (tax dependent) FeFe’s Household 1. Does FeFe expect to file a tax return? No Continue to Question 2. 2. Does FeFe expect to be claimed as a tax dependent by someone else? Yes Continue to Question 2a. 2.a. Does FeFe expect to be claimed as a tax dependent by someone other than a spouse or a biological, adopted or step-parent? Is FeFe under age 19 living with both parents but the parents do not expect to file a joint tax return? Is FeFe under age 19 and expect to be claimed as a tax dependent by a non-custodial parent? No No No FeFe’s household: Since all the answers to Question 2a are “No”, FeFe’s household is the same as Gloria’s household, that is the household of the taxpayer claiming her as a dependent. Gloria (taxpayer) FeFe (tax dependent) Gloria works full time at Rising Boutique and earns $7.25 per hour. She is paid weekly. Gloria receives $500.00 per month in child support for FeFe. Her monthly earned income is $1,256.86. • $7.25 x 40 = $290.00. • $290.00 x 4.334 = $1,256.86. Child support income is disregarded.