Basics of Non-MAGI
This is what Non-MAGI stands for.
Non-Modified Adjusted Gross Income
Social Security benefits and wages fall into this income category.
Countable Income
The resource limit for an individual in Non-MAGI Medicaid.
$2,000
This program helps pay Medicare Part A and B premiums, deductibles, and coinsurance.
QMB
What is the timeframe for a decision to be made for someone with a disability?
90 days
These 3 eligibility groups make up the majority of Non-MAGI recipients.
Aged, Blind, Disabled
This kind of assistance, such as SNAP (food stamps), is not counted as income.
In-kind or case assistance
This type of bank account must be counted as a resource unless proven inaccessible.
Checking or savings account
This Medicare Savings Program pays only the Part B premium.
SLMB (Specified Low-Income Medicare Beneficiary)
How is term 'Aged' defined?
Individual is 65 years of age or older
This type of income rule is used for Non-MAGI Medicaid instead of tax-based calculations.
SSI-based income rules
Payments from this federal program for children or spouses of deceased workers do count toward income.
Social Security survivor benefits
Vehicles are treated this way in the Non-MAGI asset test--only one is usually handled like this.
Excluded
Someone with Medicare and Medicaid is known as this type of beneficiary.
Dually Eligible
Define disability:
the inability to do any substantial gainful activity by reason of any medically determinable physical or mental impairment which lasts for a continuous period of not less than 12 months.
The monthly income limit for an SSI-related Non-MAGI applicant in 2025
$967
This type of unearned income must be counted, even if it's the only income someone receives.
Social Security Disability or Retirement
Tomas owns an 80-foot yacht. This is his primary home. He also owns 3 savings bonds, $400,000 lump sum of lottery winnings received this month. He drives a 2018 Toyota Tacoma. He has a safety deposit box at the bank along with a checking and savings account. What items of Tomas’ are considered a resource?
3 Savings Bonds, checking and savings account, safety deposit box
Medicaid coverage may begin earlier than the application date if this condition is met.
Retroactive Eligibility
What does MEDT stand for and what do they do?
Medical Eligibility Determination Team; make disability determinations
You must be evaluated under this type of program first if you are aged, blind, or disabled.
Non-MAGI Medicaid
Lamar is receiving $200/m from the train derailment disaster of 2015. He works part time for the Census Bureau earning $75/week. He lives on his educational loans of $13,000/semester (twice a year). What is his countable monthly income? Why?
None; Temporary Census Bureau earnings are NEVER COUNTED and Educational loans are NEVER COUNTED
Marie received a disaster payment this month for damages from Hurricane Ida. She also owns her own home in Bourg, Louisiana. She also received a lump sum from the military for Agent Orange exposure, which collects no interest. She owns a 2023 Cadillac. She owns machinery for her business that she uses to grow pecans. What items of Marie are considered resources?
None
This option helps applicants who are over-income by deducting medical expenses.
Medically Needy Spend Down
What does EPSDT and VLP stand for?
Early and Periodic Screening, Diagnosis, and Treatment; Verify Lawful Presence