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West Virginia Income Maintenance Manual Chapter 4
West Virginia Income Maintenance Manual Page 159 Chapter 4 Income
2. Determine the MAGI for each Household: Income of each member of the applicant’s MAGI household is counted unless identified as not being counted in Section 4.7.2 above. • Neither Cedar nor Holly are the child or expected tax dependent of another member of the MAGI household; therefore, their income will count. • Ash is the child and expected tax dependent of another member of the MAGI household. However, he is not expected to be required to file a tax return. Any income of Ash’s would not be counted. In this example, because each applicant’s MAGI household is the same – Cedar + Holly + Ash, each applicant has the same MAGI household income. Cedar, Holly, and Ash’s total MAGI household income = Cedar and Holly’s income = $1,500 + $450 = $1,950. 3. Determining Eligibility: Cedar, Holly, and Ash: Convert the gross monthly income for each applicant’s MAGI household to a percentage of the FPL. Because each applicant in this example has the same MAGI household, the same income conversion calculation will apply to all three applicants. Each applicant’s MAGI household’s total gross monthly income equals $1,950. To convert household income to a percentage of FPL and determine eligibility, follow these steps: • Determine gross monthly income: $1,950. • Determine MAGI household size: three. • Determine 100% of the FPL for the household size of three: $1,702. • Divide gross monthly income by 100% of the FPL for the household size: $1,950/$1,702 = 1.1457. • Move decimal point two places to the right: 1.1457 = 114.57% of the FPL. • Compare 114.57% of the FPL to the income threshold for each coverage group. • The 5% FPL disregard is not required because the applicants are eligible for a MAGI Medicaid coverage group. In this case Cedar, Holly, and Ash all fall under an income threshold for Medicaid eligibility. Cedar and Holly qualify under the Adult Group and Ash qualifies under the Children Under Age 19 Group.