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DHCS Guide for Calculating MAGI Medi-Cal Individual Household Size Key Characteristics Table Instructions:  Using Information for each household/family member, capture key characteristics in the table below.  Use this table of characteristics to walk through the flow on the page above to arrive at a resultant Household Member Set and Family Size in the last column of the table # Household Member Tax Filer? Tax Dpdnt of # Excep 1? ** Excep 2? ** Excep 3? ** Married to # Living with #’s Filing with # Pregnant? Resultant HH Members (#’s) HH Size 1 Y / N Y / N Y / N Y / N Y / N 2 Y / N Y / N Y / N Y / N Y / N 3 Y / N Y / N Y / N Y / N Y / N 4 Y / N Y / N Y / N Y / N Y / N 5 Y / N Y / N Y / N Y / N Y / N 6 Y / N Y / N Y / N Y / N Y / N 7 Y / N Y / N Y / N Y / N Y / N 8 Y / N Y / N Y / N Y / N Y / N 9 Y / N Y / N Y / N Y / N Y / N 10 Y / N Y / N Y / N Y / N Y / N ** Exceptions Defined: 1. Someone other than the spouse or child (biological, adopted, or step; minor or adult) of the taxfiler. 2. Under the age of 19 or under 21 if a full time student who expects to be claimed as a tax dependent and is living with both parents but whose parents do not expect to file a joint tax return. 3. Under age 19 or under age 21 if full time student and the taxfiler is the individual’s non-custodial parent. v1.2 20160826