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All County Welfare Directors Letter No.: 20-10 Page 26 April 30, 2020
Medi-Cal Household Parent 1 Child 1 Family Size Parent 1 Included Not Included 1 Child 1 Not Included Included 1
4) Homeless Youth (under 21 years old) The household composition for a homeless youth residing outside the home of their parent(s) and requesting Medi-Cal coverage will vary depending on if the child will be claimed as a tax dependent. Detailed below is guidance on how to evaluate homeless youth with various tax filing statuses. • Homeless youth claimed as a tax dependent: If the homeless youth is claimed as a tax dependent, the county shall follow the Tax Dependent Rules outlined in the “MAGI Household Composition and Tax Filing Rules” section above when determining eligibility. If the homeless youth is unable to provide their parent(s) tax and income information, the CEW shall evaluate the child for Non-MAGI Medi-Cal and the child’s parent(s) may be excluded in the Medi-Cal determination pursuant to Title 22, C.C.R. Sections 50373 and 50381. • Homeless youth not claimed as a tax dependent: If the homeless youth is not claimed as a tax dependent by a parent, or they are unsure of their parents expected filing status, the Non-Filer Rules are used to determine household composition and MAGI Medi-Cal eligibility. As a result, the child’s parent(s) would not be included in the household composition. (42 C.F.R. Section 435.603(h)(3)).
Homeless Youth Example: Homeless Youth (Age 17) is not living with parents and unsure whether they are claimed as a tax dependent.
Homeless Youth’s Household Composition: 1) Does the child expect to file a federal tax return? No. 2) Does the child expect be claimed as a tax dependent by another tax filer? Unsure/Don’t Know 3) Individual 1 qualifies for Non-Filer Rules: Household consists of homeless youth and any of the following living with the homeless youth: the homeless youth’s spouse, the homeless youth’s children (natural, adopted, or step) and the homeless youths parents (natural, adopted, or step). (Household comprised of Homeless Youth Only) 4) Are they married? No. 5) Are they pregnant? No.