STATE OF ALASKA
Department of Health and Social Services
Division of Public Assistance
TRANSMITTAL NUMBER: MC #28
MANUAL: MAGIModified Adjusted Gross Income Medicaid program
DATE: September 2, 2025
We have made several changes to clarify existing policy as a result of policy questions or suggestions from the field. An overview of the changes are listed below.
If you have any questions, please contact the Policy & Program Development Team at hss.dpa.policy@alaska.gov.
OVERVIEW OF CHANGES
ENTIRE MANUAL
806-2(B) Benefit Start Date
- Clarified in subsection B that the application filing date for Medicaid applications received from the FFMFederally Facilitated Marketplace is the date the application was received by the FFMFederally Facilitated Marketplace.
806-3 Renewal Requirements
- Clarified that if a MAGI Medicaid case is not in ARIESAlaska's Resource for Integrated Eligibility Services, the ex parte process must be done manually.
- Added that federal regulations do not all us to send a renewal form to the household unless we are unable to determine continued eligibility using the ex parte process.
- Clarified that individuals who have no income counted on their case and no income is found when checking data sources can only be approved using the ex parte process if we received an application or renewal form attesting to zero income within the 3 years. This means the maximum number of ex parte renewals that can be approved for an individual who has no income counted on their case and no income is found when checking data sources is 3. After this time frame, a renewal form must be sent to the household for completion to attest to their income.
808-6(D)4 Documentary Proof of U.S. Citizenship
- Added note in subsection D, clarifying that the only states to issue Enhanced Driver's License (EDL), are Washington, Michigan, Minnesota, New York, and Vermont.
816-1(B) Pregnant Women
- Revised PWPregnant Woman Medicaid certification period policy in subsection B from the month of her estimated due date to 12 months due to a clarification from CMSCenters for Medicaid and Medicare Services.
- Added additional information regarding the second Pregnant Women Medicaid category for clarity.
818 MAGIModified Adjusted Gross Income Medicaid Income
- Added an example regarding counting tax dependent income when receiving both earned income and unearned income.
820-3 Full Month's Income
- Revised the child support payments example as this is exempt income for MAGIModified Adjusted Gross Income Medicaid.
Addendum 1 MAGIModified Adjusted Gross Income Medicaid Income Standards
- Clarified the income limits for both Pregnant Women Medicaid categories.
Addendum 2 MAGIModified Adjusted Gross Income Medicaid Subtypes
- Added Medicaid subtype PV for Pregnant Women who have income between 201% - 225% FPLFederal Poverty Limit as described in MS 816-1(B).
Addendum 3 Countable and Excluded Income
- Clarified that payments from the John H. Chafee Foster Care Independence Program are exempt for MAGIModified Adjusted Gross Income Medicaid.
- Clarified limited entry fishing permit or fishing vessel is considered unearned rental income.