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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M04 July 2024 Subchapter Subject Page ending with Page M04 MODIFIED ADJUSTED GROSS INCOME (MAGI) M0420.100 5

7. Dependent Child means a child under age 18, or age 18 and a full-time student in a secondary school is expected is to graduate prior to his 19th birthday, and who lives with his parent or caretaker-relative. 8. Family means the tax filer (including married tax filers filing jointly) and all claimed tax dependents. 9. Family Size means the number of persons counted as an individual’s household. The family size of a pregnant individual’s household includes the pregnant individual plus the number of children she is expected to deliver. When determining the family size of other individuals who have a pregnant individual in their household, the pregnant woman is counted as just one person. 10. Household A household is determined by tax dependency. Parents, children and siblings are included in the same household. A child claimed by non-custodial parent is evaluated for eligibility in the household in which is living and is also counted in the family size of the parent claiming the child as a dependent. There can be multiple households living in the home. This definition is different from the use of the word household in other programs such as the Supplemental Nutrition Assistance Program (SNAP). 11. MAGI Adult is an individual between the ages of 19-64 who is not eligible for or enrolled in Medicare and who has income at or below 138% of FPL. 12. Non-filer Household means individuals who do not expect to file a Federal tax return and/or do not expect to be claimed as a tax dependent for the taxable year in which an initial determination or renewal of eligibility is being made. A non-filer household can also be a child who lives in the household with his custodial parent who is claimed on his non-custodial parent’s taxes. 13. Parent for the purposes of MAGI methodology, means a natural, biological, adoptive, or stepparent. When both the child’s parent and stepparent are living in the home with the dependent child, both may be eligible in the LIFC covered group. 14. Reasonable Compatibility means the income attested to (declared) by the applicant is within 20% of income information obtained from electronic sources OR that both the attested income and any electronic income verification are below the applicable income limit. If the income from both sources meets the 20% requirement or the income from both sources is below the limit, then the attestation is considered verified. The applicant’s income reported on the application is compared through a match with income verification available from electronic income sources. The eligibility/enrollment system will compare the reported income with the income from the data match and determine if reasonable compatibility exists. If reasonable compatibility exists, the income will be labeled verified, and no further verification of the income is necessary. If reasonable compatibility does not exist or income data was not available through available electronic sources and the attestation is below the medical assistance income level, additional verification of income is required.