Financial Eligibility Criteria
A/R 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. For Pathways the household income can be up to 100% of the FPL, which includes a 5% of the FPL income disregard. After the 5% disregard and all applicable 1040 and Pre-tax deductions the A/R income must be equal to or less than 95% of the FPL. Refer to Appendix A2 - Family Medicaid Financial Limits TOC .
Prospective budgeting is used in determining eligibility for the application month and the ongoing benefit period. Verification from data sources, active related programs or both are used prior to requesting verification.
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 .