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Medicaid Eligibility Manual Abbreviations/Acronyms/Definitions

Issued November 13, 2025 Page 8 of A-200 Replaces January 27, 2025

Revised/added text indicated by underscore Deleted text indicated by “**”

GAP Filing Rules – Applying the Marketplace’s Advance Premium Tax Credit (APTC) income rules when a individual is over income for Medicaid using Modified Adjusted Gross income methodology.

Good Cause – An acceptable reason to defer the requirement to cooperate for certain eligibility factors.

Grandfathered – Relating to MSS beneficiary, the process by which individuals were enrolled in the Aged, Blind, and Disabled categories. The Medicaid benefits and LTC vendor payments were continued (as of January 1, 1974) based on income and resource criteria established by the state, as opposed to SSI income and resource criteria.

Gross Income – Income before applying any deductions or exclusions.

H

Heir – A descendant in the first degree (parent, sibling, or child, biological or adopted).

Holding Out – Two individuals who are not legally married present themselves to the community in the same way as a married couple. Such individuals are considered married for Non-MAGI related programs.

Home – Property in which the individual has an ownership interest that serves as their principal place of residence.

Home and Community Based Services Waiver – Services provided by certain Medicaid programs to individuals living in the community rather than in a long-term care facility.

Homestead – One or more tracts of land, with a residence on one tract and a field, pasture or garden on the others, not exceeding 200 acres. Includes rural or urban buildings and improvements owned and occupied by the decedent, or a residence including a mobile home owned and occupied by the decedent, or a residence regardless of whether the homeowner owns the land upon which the home or mobile home is sited. This same homestead shall be the primary residence that served as a bona fide home and which was occupied by the individual immediately prior to the individual’s admission to a long-term care facility or when the beneficiary began receiving home and community based services.

Hospital Presumptive Eligibility – Designated hospitals are qualified to make presumptive Medicaid eligibility determinations based on preliminary, self-attested