Page 133

State Children’s Health Insurance Program

Phase 1 Effective Date: April 1, 1998 132 Revised: 1/26/98, 2/19/98, 3/3/98, 3/6/98 Phase 2 Effective Date: July 1, 1998

Revised: 8/20/98, 8/24/98, 10/1/99, 7/28/00, 1/31/01, 7/02/02, 7/22/02, 1/3/03, 2/13/04, 9/27/04, 11/15/05, 8/11/05, 10/1/06, 7/1/09, 7/1/10, 7/1/11, 7/1/12 • Non-Parent Households a. Defined as any child not living with a parent in the household. May be living with a relative or a non-related adult. b. Income of child is counted (except for earned income of full-time students) - see Section III for explanation. c. Income of adults is not included. d. Family size = number of children only. e. Siblings and their income may be excluded if it makes the child potentially Medicaid eligible.

• Households with Stepparents - no mutual children a. Includes any household with a stepparent and natural parent(s). b. Only count natural parent when determining the child’s eligibility. c. Siblings and their income may be excluded if it makes the child Medicaid eligible. • Households with Stepparents – with mutual children (blended) a. Stepparent and natural parent with at least one mutual child in the household. b. Test 1 includes all family members together at 100% FPL. c. Test 2 excludes mutual child from deprived child’s filing unit. d. For mutual children, include deprived siblings.

Income Disregards

• Siblings with Income and Student Earned Income a. Siblings with income may be excluded (both income and in determining household size) when exploring eligibility or the other siblings if it makes the other sibling potentially Medicaid eligible. b. The earned income of a full-time student is disregarded unless the student is the parent applying for a child.

• Disregards to Income