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AG members (participating and nonparticipating), allocating a parent's income to his children's unmet needs, and using each member's income and allocated income against his prorated share to determine that person's eligibility.
In determining the amount of income, a parent can allocate to a child these rules apply: • A parent's income is first used to meet their own needs. • Any remaining parental income is then used to meet the unmet needs of his spouse in the AG. • Any remaining income is then allocated equally between all the parent's dependents with unmet needs. • If this causes a surplus for a child, the surplus is divided equally among the remaining dependents with unmet needs up to the amount of that person's unmet needs. This will continue until all income is allocated or the needs of all individuals in the AG have been met. • If the child's prorated needs are met, the child is not eligible for medical assistance.
3460.05.00 REFUGEE TANF AND CASH ASSISTANCE (MED 2) All recipients of Refugee Cash Assistance are eligible for medical assistance if they apply for health coverage.
3465.00.00 BENEFIT CALCULATION (MED 3) The Medicaid financial eligibility determination compares the AG's countable income to the appropriate income standard for the category of Medicaid under consideration. 3465.05.00 MEDICAL ASSISTANCE BUDGETING FOR MAGI CATEGORIES (MED 3)
Financial eligibility for MAGI (MED 3) AG categories, MA Y, MA Z, MA 2, MA 9, MA 10, MAGF, MAGP, MA E, MA O, MANA, MAPC, MARB, MASB, MARP AND MASP is based on the sum of the MAGI-based income of every member of the individual’s MAGI household. This Section does not apply to the following MED 3 AGs: MA X (newborns born to pregnant women that were eligible for Medicaid in the month of birth), MA 4 (foster children), MA 8 (children under 19 in the adoption assistance program), and MA 15 (former foster children 18- 25). Income is not considered for these AGs. 3470.00.00 BENEFIT CALCULATION (MED 4) Financial eligibility for the Qualified Medicare Beneficiary (QMB), Qualified Disabled Worker (QDW), Specified Low-Income Medicare Beneficiaries (SLMB), and Qualified Individual's (QI)