Financial Eligibility Criteria

AU’s must have income within the following limit:

Modified Adjusted Gross Income (MAGI) - The total taxable net income of the AU must be equal to or less than the MAGI income limit of the AU size. Refer to Appendix A2 - Financial Limits for Family Medicaid TOC .

Prospective budgeting is used in determining eligibility for the application month and the ongoing benefit period. If available, actual income may be used for intervening months. Data sources and/or active related programs verifications are used prior to requesting verification.

Actual income is used to determine eligibility for retroactive three (3) months prior Medicaid. Refer to Section 2053 - Retroactive Medicaid .

Modified Adjusted Gross Income (MAGI) financial methodologies are used to calculate the monthly MAGI income used for the BG. Pre-tax deductions and 1040 deductions are given. Refer to Section 2669 - MAGI Budgeting .

MAGI income deduction is 5% of the 100% Federal Poverty Level (FPL) of the AU size. Refer to Section 2669 - MAGI Budgeting .