Who Is In?
The Code
Mix Up
Kin Folk
Magi or Naw
100

What is the age limit for Medicaid as a Parent or Caretaker?

There is no age limit  

100

OU

Out: the person is not participating, and the income and assets are not counted.  

100

Anyone the taxpayer can claim as a dependent. 

Tax payer household 

100

Can the stepparent of the child be the parent/caretaken even after divorce.

Yes, if the child is still in the home with the stepparent.  

100

Eating For two?

Pregnant Woman Magi

200

Applicants  

Non-Applicant

A MAGI household can consist of?

200

IN

 Included: The person is participating, and the income and assets are counted. To include a husband and wife in the ABD household they both have to be ABD

200

The tax payer as long as no-one can claim them as an dependent 

Tax payer household 

200

Related to the taxpayer (taxpayer’s child or descendant of a child, or the taxpayer’s father, mother, ancestor, or sibling, step-children, in-laws and half-siblings.

What is a qualifying relative?

200

Bey Beys Kids 

Children under 19 Magi

300

Can a spouse be considered a caretaker even if they are not in the household.

Yes

300

DS

Deemed spouse: the person is not participating; however, the income is counted because he/she is financially responsible for someone who is participating in the program. To show financial responsibility for a spouse who is not ABD. DS deems a portion of the spouse income that is counted but does not qualify.

300

Special protection for children to keep their coverage 

continuous coverage 

300

Living with the taxpayer for at least half a year and not provide more than half of his or her own support

What is a qualifying child?

300

A Baby Mama

Care taker Magi 

400

Tax

Medicaid

What are the household types

400

SS

the spouse id receiving Social Security Income (SSI) and the income is not counted. Do not use MAGI rules and are categorically eligible. SSI recipients do not have to submit an application

or be certified as long as they are SSI eligible. If applicant does not appear in the SDX their eligibility for SSI must be verified. Children under 21 can also be ABD if they receive SSI or are disabled. If the child receives SSI, their ABD case will be separate from the parent.  

400

not lawfully present 

non applicant 

400

Qualifying child

Qualifying relative

What are two types of dependents.

400

" No Kids for me"

childless adult Magi

500

"My husband has insurance though his job but we cannot afford it for the family" 

this makes the husband a 

Non applicant 

500

G

What is cohort 10 following the g code 

500

someone who does not expect to file taxes or be claimed on someone's taxes. 

Medicaid household

500

The taxpayer  

The taxpayer spouse

Anyone the taxpayer can claim as a dependent

What is a tax payer household 

500

John Hinkley ( saint Elizabeth Patient) 

Long term care non magi

M
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