1855.020.30 Need – DSS Manuals

IM-110 December 31, 2015

Income eligibility for SMHB will be determined using MAGI Methodology (see 1805.030.00 Modified Adjusted Gross Income (MAGI) Methodology ) and comparing the MAGI to the appropriate percentage of Federal Poverty Level (FPL). When calculating the household composition (see 1805.030.10 MAGI Household Composition ), use the tax-filing status of the mother.

An unborn child is eligible for SMHB healthcare coverage if the household’s MAGI income (see 1805.030.20 Income, Deductions, and the Five Percent (5%) Disregard ) meets one of the following criteria:

An unborn child, whose mother was denied on MPW for excessive income, cannot have income that is 201% of FPL (196% of FPL plus the 5% disregard) or less and does not exceed 305% of FPL (300% of FPL plus the 5% disregard)

An unborn child, whose mother was denied on MPW for citizenship, must have income that does not exceed 305% of FPL (300% of FPL plus the 5% disregard)