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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 200B – Income: MAGI Categories Page |150

Effective Month: July 2025

3. If EV is “above” but SA is “at/below” the limit(s), apply a $50 threshold. • If the difference between SA & EV does not exceed $50, use SA to determine eligibility. • If the difference between SA & EV exceeds $50, use TALX (if available). 4. If SA is above the limit(s) but EV is “at/below” the limit(s), use TALX and then MDES if needed prior to contacting the applicant for information.

Use TALX as the secondary source: 5. . If SA compared to EV (TALX verified wages) is “at/below” the Medicaid or CHIP limit (for the household size), approve Medicaid or CHIP using SA income; 6. If SA compared to EV (TALX) is “above” the Medicaid or CHIP limit, deny using SA. 7. If EV is “above” but SA is “at/below” the limit(s), apply a $50 threshold. • If the difference between SA & EV does not exceed $50, use SA to determine eligibility. • If the difference between SA & EV exceeds $50, use MDES (if available & “current”)

MDES is the last source for wages

8. If SA compared to EV (MDES) is “at/below” the Medicaid or CHIP limit (for the household size), approve Medicaid or CHIP using SA income 9. If SA compared to EV (MDES) is “above” the Medicaid or CHIP limit, deny using SA.

10 If EV is “above” but SA is “at/below” the limit(s), apply a $50 threshold. • If the difference between SA & EV does not exceed $50, use SA to determine eligibility. • If the difference between SA & EV exceeds $50, contact the applicant.

Contacting the applicant means a contact to discuss the discrepancy between SA and EV income. If the discussion with the client supports EV income, deny the application