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MEDICAL SERVICES POLICY MANUAL,SECTION E E-200 Determining Financial Eligibility Under the MAGI Methodology
Refer to MS E-261 to determine if a source of income not listed above can be excluded for Medicaid purposes or whether it must be counted.
E-263 Household Members Whose Income Will Not Be Counted for Families and Individual (MAGI) Groups MS Manual 08/03/2020 The income of the following household members is not considered when determining Medicaid eligibility: 1. Income of a child who is included in the parent’s Medicaid household and is not expected to be required to file a tax return. 2. Income of a tax dependentwho is not expected to be required to file a tax return and is in the Medicaid household of the person who is claiming him or her as a tax dependent. 3. Income of a Supplemental Security Income (SSI) recipient who is included in the Medicaid household size.
When determining MAGI eligibility, the income of a child must be counted and verified if the child must file a tax return because his or her income exceeds the IRS filing threshold. Once a household has been established, the MAGI-based income of every household member will be counted with one exception: the income for children and tax dependents whose income is below the filing threshold will be disregarded. This exception only applies to a child who is in the household with a parent or for a tax dependent who is in the household with the tax filer who claims him or her as a tax dependent.
E-265 Determining Current Gross Monthly Income for The Families and Individuals Groups MS Manual 08/03/2020 Current gross monthly income minus allowable deductions will be used in determining financial eligibility for Medicaid. Current monthly income is the income the individual is expected to have in the month(s) for which eligibility is being determined. Income that may have been received in the prior tax year or even the prior month, but that is E 263 Household Members Whose Income Will Not Be Counted for Families and Individuals (MAGI) Groups