400.21 MAGI HOUSEHOLD COMPOSITION – GENERAL RULES

A MAGI household is constructed for each individual listed on the application form or renewal form who is applying for or renewing coverage for Medicaid and/or CHIP. For MAGI purposes: • Eligibility is determined at the individual level, • A household may or may not include everyone listed on the application or renewal form, • Income of all “household” members form the basis for eligibility, • Different households may exist within a single family, depending on each family member’s family and tax relationships to each other. A household of 3 does not necessarily mean that each of the 3 have the same household. • For Medicaid purposes, an adjustment in family size is made for a pregnant woman’s or pregnant minor’s household. Family size is not adjusted for CHIP when a minor is pregnant. NOTE: when adding the deemed newborn to the mother’s case, the Specialist must ensure that the deemed infant’s budget correctly shows the mother as an individual with the needs of the unborn removed from the budget.