400.14 MAGI ELIGIBILTY CRITERIA

Official source

MAGI, or Modified Adjusted Gross Income, is a methodology, based on federal tax rules, for determining household composition and income. MAGI income rules are described in Chapter 200B- Income, MAGI-Related Categories. MAGI is used to determine eligibility for the following categories of eligibility: • Parent(s) or Caretaker Relative(s), • Pregnant Women, • Children – from birth to age 19 – which includes coverage under Medicaid and the Children’s Health Insurance Program or CHIP, • Women and men enrolled in the Family Planning Waiver. • MAGI is also used to determine eligibility for categories of eligibility certified by the Department of Child Protective Services or DCPS for the optional foster care and adoption assistance children. The eligibility criteria for each of the MAGI categories of eligibility certified by the Division of Medicaid are described in this section. Common to each of the categories is the following eligibility requirements. Policy for each factor of eligibility is described separately in Chapter 102, Non-Financial Requirements. • Identity. • State Residency, • U.S. Citizenship or Qualified Alien Status, • Enumeration for all applying (with certain exceptions as described in 102.03.01), • Deprivation and Relationship(s) • Assignment of Third-Party Rights, and • Child Support Cooperation for eligible adults (as a post-eligibility requirement). • Early Termination Reasons for Children (Chapter 101, Continuous Eligibility) There is no resource test for any MAGI category of eligibility. In addition, an in-person interview cannot be required under MAGI rules, although an applicant can choose to apply in person.

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400.14 MAGI ELIGIBILTY CRITERIA

Official source

MAGI, or Modified Adjusted Gross Income, is a methodology, based on federal tax rules, for determining household composition and income. MAGI income rules are described in Chapter 200B- Income, MAGI-Related Categories. MAGI is used to determine eligibility for the following categories of eligibility: • Parent(s) or Caretaker Relative(s), • Pregnant Women, • Children – from birth to age 19 – which includes coverage under Medicaid and the Children’s Health Insurance Program or CHIP, • Women and men enrolled in the Family Planning Waiver. • MAGI is also used to determine eligibility for categories of eligibility certified by the Department of Child Protective Services or DCPS for the optional foster care and adoption assistance children. The eligibility criteria for each of the MAGI categories of eligibility certified by the Division of Medicaid are described in this section. Common to each of the categories is the following eligibility requirements. Policy for each factor of eligibility is described separately in Chapter 102, Non-Financial Requirements. • Identity. • State Residency, • U.S. Citizenship or Qualified Alien Status, • Enumeration for all applying (with certain exceptions as described in 102.03.01), • Deprivation and Relationship(s) • Assignment of Third-Party Rights, and • Child Support Cooperation for eligible adults (as a post-eligibility requirement). • Early Termination Reasons for Children (Chapter 101, Continuous Eligibility) There is no resource test for any MAGI category of eligibility. In addition, an in-person interview cannot be required under MAGI rules, although an applicant can choose to apply in person.