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West Virginia Income Maintenance Manual Chapter 4

West Virginia Income Maintenance Manual Page 151 Chapter 4 Income

MAGI METHODOLOGY – PARENTS/CARETAKER RELATIVES; PREGNANT WOMEN; CHILDREN UNDER AGE 19, AND ADULT GROUP (Categorically Needy, Mandatory) The Modified Adjusted Gross Income (MAGI) methodology is used to determine financial eligibility for the following Medicaid eligibility groups: • Parents and Other Caretaker Relatives • Pregnant Women • Children Under 19 • Adult Group 4.7.1 DETERMINING INCOME COUNTED FOR THE MAGI HOUSEHOLD Income of each member of the individual’s MAGI household is counted. The MAGI household is determined using the MAGI methodology established in Chapter 3. NOTE: MAGI methodologies are also used to calculate eligibility for the West Virginia Children’s Health Insurance Program (WVCHIP). Additional eligibility requirements for WVCHIP can be found in Chapter 22. EXCEPTION: Income of children, or other tax dependents, who are not expected to be required to file an income tax return is excluded from the MAGI household income.

NOTE: A reasonable determination as to whether an individual will be required to file a tax return can be made based on the individual’s current income for the applicable budget period. Such a determination would be based on information available at the time of application or renewal. Information regarding “Who Must File” a tax return can be found in Appendix F.

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Page 623

Official source

West Virginia Income Maintenance Manual Chapter 4

West Virginia Income Maintenance Manual Page 151 Chapter 4 Income

MAGI METHODOLOGY – PARENTS/CARETAKER RELATIVES; PREGNANT WOMEN; CHILDREN UNDER AGE 19, AND ADULT GROUP (Categorically Needy, Mandatory) The Modified Adjusted Gross Income (MAGI) methodology is used to determine financial eligibility for the following Medicaid eligibility groups: • Parents and Other Caretaker Relatives • Pregnant Women • Children Under 19 • Adult Group 4.7.1 DETERMINING INCOME COUNTED FOR THE MAGI HOUSEHOLD Income of each member of the individual’s MAGI household is counted. The MAGI household is determined using the MAGI methodology established in Chapter 3. NOTE: MAGI methodologies are also used to calculate eligibility for the West Virginia Children’s Health Insurance Program (WVCHIP). Additional eligibility requirements for WVCHIP can be found in Chapter 22. EXCEPTION: Income of children, or other tax dependents, who are not expected to be required to file an income tax return is excluded from the MAGI household income.

NOTE: A reasonable determination as to whether an individual will be required to file a tax return can be made based on the individual’s current income for the applicable budget period. Such a determination would be based on information available at the time of application or renewal. Information regarding “Who Must File” a tax return can be found in Appendix F.