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West Virginia Income Maintenance Manual Chapter 4

West Virginia Income Maintenance Manual Page 8 Chapter 4 Income

INCURRED EXPENSES Monetary liabilities of the client. IN-KIND INCOME/PAYMENT Goods or services received or provided by the AG in lieu of a cash payment. INSURANCE AFFORDABILITY PROGRAM (IAP) The IAP includes Medicaid, WVCHIP, and coverage in a QHP offered through the Marketplace using advanced payments of premium tax credit or cost-sharing reductions. LUMP-SUM PAYMENTS Non-recurring, recurring, or advance payments. This may include, but is not limited to, RSDI, stock dividends paid quarterly, or payments from an income disability insurance plan that cover a previous period, but are delayed for medical reports, etc. MAGI DISREGARD An income disregard that equals 5% of the Federal Poverty Level (FPL) for the family size, applicable only to Medicaid Groups and WVCHIP that use MAGI income-based methodologies. See Section 4.7 for further details. MAGI SCREENING All applicants will go through a “MAGI Screen” and will have MAGI Medicaid eligibility determined first. If eligible for a MAGI Medicaid coverage group, the applicant should promptly be enrolled into the MAGI coverage group. The applicant may also pursue eligibility for coverage in non-MAGI groups. MANDATORY PAYROLL DEDUCTIONS Income withholdings common to all employees of the same employer. MEANSTESTED PROGRAM A program for which the client's financial circumstances are considered in determining eligibility and/or benefit level. Also known as NEEDS-BASED PROGRAM. MINIMUM ESSENTIAL COVERAGE (MEC) Coverage as defined in Section 5000 (f) of Subtitle D of the Internal Revenue Code. MEC includes, but is not limited to, Medicaid, the Children’s Health Insurance Program (CHIP), Medicare, TRICARE, Veterans Affairs (VA) benefits, Peace Corps, Employee Sponsored Plans and Plans in the individual market.