Program |
Manual Section |
Caretaker Relative (including TMA and Continued Coverage) Pregnant Woman Child Adult KidsCare |
MAGI Adjustments to Gross Income EXCEPT Alimony
When a customer is screening over income for MAGI, take the following steps to identify, verify and enter adjustments from gross income and pre-tax deductions for MAGI eligibility:
Step |
Action |
1 |
Is the customer potentially eligible for a program that uses Modified Adjusted Gross Income (MAGI) rules for income eligibility? (Caretaker Relative, Adult, Child, Pregnant Woman, Or KidsCare)
|
2 |
Will the deduction reduce the KidsCare premium?
|
3 |
Is the customer eligible without the deduction?
|
4 |
Go to the Allowed Deductions from Income screen. |
5 |
Choose the expense type(s) from the list of allowed deductions on the screen by clicking on the check-box. |
6 |
Select the household member or members with the expense and enter the amount. |
7 |
Is proof of the deduction in the case file?
|
8 |
Send the customer a Request for Information (RFI) requesting proof of the deduction. |
9 |
Did the customer return the RFI by the due date?
|
10 |
Review any proof the customer has provided. NOTE If the proof shows a different deduction amount than what the customer claimed, update the amount in Allowed Deductions from Income. |
11 |
Does the proof show the expense meets the conditions to be an allowed deduction from income (MA609C)?
|
NOTE When unable to determine if the deduction is allowed or if there is enough proof, submit a Policy Clarification Request.