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Manual Title Virginia Medical Assistance Eligibility Chapter M04 Page Revision Date October 2018 Subchapter Subject M04 MODIFIED ADJUSTED GROSS INCOME (MAGI) Page ending with M0450.200 Page 23

Jack (child) eligibility determination: Potential covered groups: Child < Age 19 FAMIS Monthly Income limits: Child < 19 143% FPL for a HH of 3 = $2,477 FAMIS 200% FPL for HH of 3 = $3,464 5% FPL Disregard for HH of 3 = $86 The gross HH income for Jack of $3,000 (his father’s earnings) exceeds the Medicaid Child < Age 19 143% FPL income limit for 3 ($2,477), so Jack is entitled to the 5% disregard. $3,000.00 gross household income - 86.00 5% FPL Disregard for HH of 3 $2,914.00 countable income (after 5% disregard) The countable income of $2,914.00 still exceeds the Medicaid Child < Age 19 143% FPL limit ($2,477), Jack is not eligible for Medicaid. The gross HH income for Jack of $3,000 is then compared to the FAMIS income limit for a HH of 3 which is $3,404. As the gross HH income is less than the FAMIS income limit ($3,404) Jack is eligible for FAMIS. If the gross HH income had been over the FAMIS income limit, the 5% disregard would have been used and compared to the FAMIS income limit. Betty (child) eligibility determination: Betty’s (the other child) income eligibility determination is the same as Jack’s; she is eligible for FAMIS too. B. Example #2 Tax Filer/Three Generation Household Mary Lewis is a 52-year-old working grandmother living in Louisa County (Group I). Mary claims her daughter (Samantha), age 20 and a full-time student, and granddaughter Joy (Samantha’s daughter), age 2, as tax dependents who both live in the household with her. (Using Jan. 18, 2018 figures) Mary earns $4,500/month ($54,000/year). Samantha earns $300/month ($3,600/year) Projected annual income for tax household = Mary’s income (Samantha not required to file) = $54,000 per year