Page 371

West Virginia Income Maintenance Manual Chapter 3

West Virginia Income Maintenance Manual Page 60 Chapter 3 Eligibility Determination Groups

3.10 PARENTS/CARETAKER RELATIVES GROUP The Affordable Care Act (ACA) simplified eligibility categories by combining certain existing mandatory and optional eligibility groups. The Parents/Caretaker Relatives coverage group replaces the former Aid to Families with Dependent Children (AFDC) Medicaid coverage group for parents and other caretaker relatives. The ACA established a new methodology based on the Internal Revenue Service (IRS) 36B tax rules for determining how income is counted and how household composition and size are determined when establishing financial eligibility, called Modified Adjust Gross Income (MAGI). To be eligible under this category, the parent or caretaker relative must be living in the household with a dependent child for whom they assume primary responsibility. See Section 3.3 for the definition of a dependent child and specified caretaker relative. 3.10.1 THE ASSISTANCE GROUP (AG) Only the parent or caretaker relative, and if living with such parent or other caretaker relative, his or her spouse. 3.10.2 THE MAGI HOUSEHOLD INCOME GROUP (IG) AND NEEDS GROUP (NG) The methodology for determining the Medicaid household’s IG and NG is the same as found in Section 3.7.

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Page 371

Official source

West Virginia Income Maintenance Manual Chapter 3

West Virginia Income Maintenance Manual Page 60 Chapter 3 Eligibility Determination Groups

3.10 PARENTS/CARETAKER RELATIVES GROUP The Affordable Care Act (ACA) simplified eligibility categories by combining certain existing mandatory and optional eligibility groups. The Parents/Caretaker Relatives coverage group replaces the former Aid to Families with Dependent Children (AFDC) Medicaid coverage group for parents and other caretaker relatives. The ACA established a new methodology based on the Internal Revenue Service (IRS) 36B tax rules for determining how income is counted and how household composition and size are determined when establishing financial eligibility, called Modified Adjust Gross Income (MAGI). To be eligible under this category, the parent or caretaker relative must be living in the household with a dependent child for whom they assume primary responsibility. See Section 3.3 for the definition of a dependent child and specified caretaker relative. 3.10.1 THE ASSISTANCE GROUP (AG) Only the parent or caretaker relative, and if living with such parent or other caretaker relative, his or her spouse. 3.10.2 THE MAGI HOUSEHOLD INCOME GROUP (IG) AND NEEDS GROUP (NG) The methodology for determining the Medicaid household’s IG and NG is the same as found in Section 3.7.