817-2          Examples of MAGIModified Adjusted Gross Income Medicaid Households

 

 

Household Example #1:

 

Lilly applies for Medicaid for her household. She lives with her partner Bill and their common child, Bella, age 1. Lilly and Bill are both employed and expect to file taxes. Since they are not married, they will file separately. Bella is Bill's tax dependent. Lily earns $1,000/month and Bill earns $800/month.

 

Household Members

Tax Filing Status

Individual Income

MAGIModified Adjusted Gross Income Medicaid Household Size

Monthly Countable Income

Lily

Tax Filer

$1,000

1 (Lily)

$1,000

Bill

Tax Filer

$800

2 (Bill and Bella)

$800

Bella

Non Tax Filer (living with both parents who do not expect to file taxes together)

$0

3 (Bill, Bella, and Lily)

$1800

 

 

Household Example #2:

 

Casey is 20 years old and living on his own. He doesn't list his tax filing status on the application. Casey earns $1,300/month at his job.

 

Household Members

Tax Filing Status

Individual Income

MAGIModified Adjusted Gross Income Medicaid Household Size

Monthly Countable Income

Casey

Non Tax Filer (status is unknown)

$1,300

1 (Casey)

$1,300

 

 

Household Example #3:

 

April applies for Medicaid. She lives with her husband, Jason and children, Deanna and Meg, twins, age 13. The family's only income is TANFTemporary Assistance to Needy Families (Federal). They don't expect to file taxes since TANFTemporary Assistance to Needy Families (Federal) is not taxable income.

 

Household Members

Tax Filing Status

Individual Income

MAGIModified Adjusted Gross Income Medicaid Household Size

Monthly Countable Income

April

Non Tax Filer

$0

4 (April, Jason, Deanna, Meg)

$0

Jason

Non Tax Filer

$0

4 (April, Jason, Deanna, Meg)

$0

Deanna

Non Tax Filer

$0

4 (April, Jason, Deanna, Meg)

$0

Meg

Non Tax Filer

$0

4 (April, Jason, Deanna, Meg)

$0

 

 

Household Example #4:

 

Betty lives with her child, 6 year old Dan, and her nephew and niece who are siblings, Jake, age 14 and Laurel, age 17. Betty claims her child Dan as a dependent on her taxes. Laurel is filing taxes on her own. Jake isn't filing taxes and is not claimed as a tax dependent by anyone.

 

Household Members

Tax Filing Status

Individual Income

MAGIModified Adjusted Gross Income Medicaid Household Size

Monthly Countable Income

Betty

Tax Filer

$2,000

2 (Betty and Dan)

$2,000

Dan

Tax Dependent of Betty

$0

2 (Betty and Dan)

$2,000

Jake

Non Tax Filer

$500

2 (Jake and Laurel)

$1,500

Laurel

Tax Filer

$1,000

1 (Laurel)

$1,000

 

 

Household Example #5:

 

Sophia and her 9 year old daughter live together and are applying for Medicaid. Sophia is a tax filer with no tax dependents and makes $1,000/month. Monica is claimed as a tax dependent by her non-custodial father, James. She receives $200/month from her job delivering newspapers.

 

Household Members

Tax Filing Status

Individual Income

MAGIModified Adjusted Gross Income Medicaid Household Size

Monthly Countable Income

Sophia

Tax Filer

$1,000

1 (Sophia)

$1,000

Monica

Non Tax Filer (claimed as a tax dependent by a parent she doesn't live with)

$200

2 (Sophia and Monica)

$1,200

 

 

Household Example #6:

 

James is applying for himself. He lives by himself and is a tax filer, earning $900/month. He claims his daughter Monica as a tax dependent. Monica receives $200/month from her job delivering newspapers.

 

Household Members

Tax Filing Status

Individual Income

MAGIModified Adjusted Gross Income Medicaid Household Size

Monthly Countable Income

James

Tax Filer

$900

2 (James and Monica)

$900 (Monica is James's tax dependent with income under the tax filing threshold, so her income is not countable)

Monica

not a Medicaid applicant in this household

$200

N/A

N/A

 

 

Household Example #7:

 

Eric and Leann are married and have one young child, Summer. Leann is expecting twins, so Eric's mother, Serrita is living with the family to help. Eric earns $2,000/month, Leann earns $1,500/month, and Serrita receives $500/month in early retirement benefits.

 

Household Members

Tax Filing Status

Individual Income

MAGIModified Adjusted Gross Income Medicaid Household Size

Monthly Countable Income

Eric

Tax Filer

$2,000

3 (Eric, Leann, Summer)

$3,500

Leann

Tax Filer

$1,500

5 (Eric, Leann, Summer, 2 unborns)

$3,500

Summer

Tax Dependent

$0

3 (Eric, Leann, Summer)

$3,500

Serrita

Tax Filer

$500

1 (Serrita)

$500

 

 

Household Example #8:

 

Luci, her husband, Joe, and their 2 children, Sam and Dean, apply for Medicaid. Joe receives SSISupplemental Security Income and APAAdult Public Assistance cash benefits. These benefits are not taxable income. Luci also works part time, earning $400/month. Luci and Joe file taxes jointly and claim both children as tax dependents.

 

Household Members

Tax Filing Status

Individual Income

MAGIModified Adjusted Gross Income Medicaid Household Size

Monthly Countable Income

Luci

Joint Tax Filer

$400

4 (Luci, Joe, Sam, Dean)

$400

Joe - SSISupplemental Security Income related Medicaid

Joint Tax Filer

$0 (SSISupplemental Security Income and APAAdult Public Assistance are not countable)

4 (Luci, Joe, Sam, Dean)
 

N/A (not a MAGIModified Adjusted Gross Income Medicaid applicant)

Sam

Tax Filer

$0

4 (Luci, Joe, Sam, Dean)
 

$400

Dean

Tax Filer

$0

4 (Luci, Joe, Sam, Dean)
 

$400

 

 

Household Example #9:

 

Christina lives with her 17 year old daughter, Stephanie, and Stephanie’s 16 year old friend, Julie. Christina files taxes and claims both Stephanie and Julie as tax dependents. Christina works full-time and receives gross wages of $3,000 a month. Julie receives Social Security Survivor benefits of $450/month.

 

Household Members

Tax Filing Status

Individual Income

MAGIModified Adjusted Gross Income Medicaid Household Size

Monthly Countable Income

Christina

Tax filer

$3,000

3 (Christina, Stephanie, Julie)

$3,450

Stephanie

Tax Dependent

$0

3 (Christina, Stephanie, Julie)

$3,450

Julie

Non Tax Filer (claimed as a tax dependent by someone other than a parent or spouse)

$450

 1 (Julie)

$450

 

 

Household Example #10:

 

Paul and Shauna have a 7 year old child, Liza. For the sake of Liza, Paul and Shauna live under the same roof, but Shauna later married Matt. Shauna also has another child, Natalie, who is 17 years old.

Paul claims Liza on his taxes as his dependent. Shauna and Matt file taxes jointly and claim Natalie as a tax dependent. Paul has earnings of $2,000/month, Shauna makes $1,500/month, and Matt makes $2,500/month.

 

Household Members

Tax Filing Status

Individual Income

MAGIModified Adjusted Gross Income Medicaid Household Size

Monthly Countable Income

Paul

Tax Filer

$2,000

2 (Paul and Liza)

$,2000

Liza

Non Tax Filer (living with both parents who do  not expect to file taxes together)

$0

5 (Paul, Liza, Shauna, Matt, Natalie)

$6,000

Shauna

Joint Tax Filer with Matt

$1,500

3 (Shauna, Matt, Natalie)

$4,000

Matt

Joint Tax Filer with Shauna

$2,500

3 (Shauna, Matt, Natalie)

$4,000

Natalie

Tax Dependent of Matt and Shauna

$0

3 (Shauna, Matt, Natalie)

$4,000

 

 

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