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• HIP State Basic or State Plus coverage due to the Low-Income Parent/Caretaker eligibility flag • Fully open for the entire month (not Presumptive Eligibility, suspended, or conditional) o A conditional month which retroactively changes to fully open due to first PAC payment can be counted • Not have been included in a prior TMA period for the household • Not have been counted as Low-Income Parent/Caretaker due solely to neglect or delay of the household to report the earned income increase in a timely manner.

3805.10.00 INCREASE IN EMPLOYMENT/SELF-EMPLOYMENT INCOME

Initial financial calculations will be based upon the countable earned income in the parent/caretaker’s MAGI budget. There must be an increase of at least $1 from employment or self-employment, and MAGI household income must be changing to over 133% FPL (with the 5% MAGI disregard applied) for a family of the same size.

NOTE: New or increased earnings must be reported and verified in a timely manner by the household. If the earnings were not reported/verified in a timely manner, determine whether the family truly meets the three of six months criteria and qualifies for TMA, or if any assistance groups should be closed and/or sent for Benefit Recovery.

Example: Janet has been receiving HIP State Plan benefits with a Low-Income Parent/Caretaker flag since she was initially opened in January of this year. In May, she applies for SNAP and reports a full-time job. The worker can see from wage quarter reports that Janet has had this job since February but did not report it. Janet’s income is over 133% FPL, and she is forming TMA; but because this is due to Janet not following reporting guidelines, the worker contacts the Helpdesk to have the TMA flag removed so HIP can be closed and referred for Benefit Recovery.

3805.15.00 TMA HOUSEHOLD

TMA provisions will be applied to the parent or caretaker with increased earnings, any co-parent in the household, and all minor dependents of an included parent or caretaker. Rules used for the Temporary Assistance to Needy Families (TANF) program regarding household composition, specified caretaker relatives, mandatory members, and age requirements apply.i

A TMA household must always have at least one HIP recipient parent/caretaker and a dependent child (under age 18) who receives Medicaid benefits and/or meets minimal essential coverage (MEC) requirements. Parents/caretaker relatives must meet minimal essential coverage (MEC) requirements for all the children in their care to qualify for HIP or TMA HIP.ii