Financial Eligibility Criteria

All Family Non-MAGI Medicaid cases are budgeted using prospective income and expenses.

All Family MAGI Medicaid cases are budgeted using prospective income.

Eligibility for three months prior Family Medicaid is determined using actual income and expenses. If available, actual income may be used for intervening months. Data sources and/or related active programs verification must be accessed for all MAGI Medicaid COAs prior to requesting verification.

For Family Non-MAGI Medicaid COA’s, if resources of the BG are within the applicable resource limit at any time during a month, the AU is resource-eligible for that month.

There are no resource requirements for MAGI Medicaid COAs.

A Family Medicaid case that is ineligible because of financial reasons for one month only is suspended, not terminated. Refer to Sections 2700 - Case Management Overbiew , 2712 - Family Medicaid Changes Overview , 2714 - Family Medicaid AU/BG Composition Changes , 2715 - Family Medicaid Changes in Income and 2716 - Family Medicaid Miscellaneous Changes .

MAGI COAs use the MAGI based income methodology.