MAGI coverage groups

The weekly amounts received are averaged then multiplied by 4.3 to account for the four extra pay periods per year. This prorates the extra pay periods over the year and provides a consistent monthly equivalent.

Non-MAGI coverage groups

The amounts actually received in the month are totaled.

NOTE     There are months when a person may receive a fifth paycheck. Each month needs to be determined separately. The person may be denied the month the five paychecks are received due to excess income.However, the person may qualify for the months that only four paychecks are received.

See Example - Five weekly payments received in a month

MAGI coverage groups

The bi-weekly amounts received are averaged then multiplied by 2.15 to account for the two extra pay periods per year. This prorates the extra pay periods over the year and provides a consistent monthly equivalent.

Non-MAGI coverage groups

The amounts actually received in the month are totaled.

NOTE     There are months when a person may receive a third paycheck. Each month needs to be determined separately. The person may be denied the month the three paychecks are received due to excess income. However, the person may qualify for the months that only two paychecks are received.

See Example - three bi-weekly payments received in a month

The two amounts received for the month are added together.

The amount received in the month is the counted amount.

MAGI coverage groups

The quarterly amount is divided by 3 to get a monthly equivalent, which is counted in each month.

Non-MAGI coverage groups

The quarterly amount is counted in the month it is received.

MAGI coverage groups

The amount is divided by the number of months it is intended to cover to get a monthly equivalent, which is counted in each month.

Non-MAGI coverage groups

The amount is counted in the month it is received.

MAGI coverage groups

The yearly amount is divided by 12 to get a monthly equivalent, which is counted in each month.

Non-MAGI coverage groups

The yearly amount is counted in the month it is received.

MAGI coverage groups

The lump sum amount is counted only in the month received.

Exception: Lottery or gambling winnings of more than $80,000.00 are prorated over more than one month (see MA606UU).

Non-MAGI coverage groups

The lump sum amount is counted only in the month received.

MAGI coverage groups

The total amount received in the last 30 days is the counted amount.

Non-MAGI coverage groups

• Exclude the first $30.00 of all earned income received infrequently or irregularly in the calendar quarter. Count the remaining amount.

• Exclude the first $60.00 of all unearned income received infrequently or irregularly in the calendar quarter. Count the remaining amount.

A payment received twice a month. This results in 24 payments in a year.

A payment received every other week. This results in 26 payments in a year.

A payment received every week. This results in 52 payments in a year.

Income that is received no more than once in a calendar quarter from a source. For example, a cash gift from an adult child every six months to help pay living expenses.

Income that cannot reasonably be expected to be received. This is income that is:

• Not subject to scheduling; or

• Is unpredictable so that it cannot be counted on.

A calendar year is divided into four calendar quarters as follows:

• January 1 to March 31

• April 1 to June 30

• July 1 to September 30

• October 1 to December 31

A lump sum payment is a one-time only payment like an insurance or lawsuit settlement, inheritance, lottery winnings or retroactive cash benefits.

Monthly countable income amount determined by averaging, prorating, or converting a person’s income.

42 USC 1382a(a) and (b)

20 CFR 416.1102, 1110, 1111, and 1120

42 CFR 435.603

R9-22-1422, 1423 and 1424