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Medical Services –Appendix E, Dependent Filing Requirements and MAGI Revised 01/24 Gloria and FeFe’s households are the same: Gloria and FeFe. Gloria earns $1,256.86 per month which equals $15,082.32 annually. FeFe is the tax dependent of Gloria. FeFe’s child support income is not counted. Gloria’s household size is 2. Compare the $1,256.86 monthly income to the $220.00 Parent/Caretaker Relative standard for 2. Compare the $1,256.86 monthly income to the $1,719.03 Adult Expansion Program. Compare the $1,256.86 monthly income to the ARKids A standard of 142% for 2, $1,835.35. FeFe is eligible for ARKids A. Gloria is eligible for the Adult Expansion Program without applying the 5% disregard. Example 3: Single adult who files taxes Linda is 21 years old and lives at home with her parents. Linda files income taxes and her parents do not claim her as a tax dependent. Linda is applying for medical assistance because she does not have health insurance. Linda’s Household 1. Does Linda expect to file a tax return? Yes Continue to Question 1a. 1a. Does Linda expect to be claimed as a tax dependent by someone else? No Linda’s household: Linda (taxpayer) Linda works full time at the Hardware Store and earns $8.50 per hour. She is paid bi-weekly. Her monthly earned income is $1,473.56. • $8.50 x 80 = $680.00 • $680.00 x 2.167 = $1,473.56 Linda earns $1,473.56 per month which equals $17,682.72 annually. Linda is expected to file a tax return. Linda household size is 1. Compare the $1,473.56 monthly income to the $1,321.35 (with 5% disregard) Adult Expansion Program standard for 1. Linda is 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.