D-1050, Calculating Household Income

Revision 15-4; Effective October 1, 2015

CHIP, CHIP Perinatal

For CHIP and CHIP perinatal, each individual’s MAGI household income is calculated following the Medical Programs policy explained in A-1341, Income Limits and Eligibility Tests.

 

D—1051 Income Frequency

Revision 15-4; Effective October 1, 2015

CHIP, CHIP Perinatal

Income received must be converted to a monthly amount, unless received monthly. Advisors must use the following conversion factors. (Monthly pay means that the employee is paid once a month.)

Income Frequency Conversion Factor
Weekly (paid once every week) Multiply by 4.33
Bi-weekly (paid every other week) Multiply by 2.17
Semi-monthly (paid twice a month) Multiply by 2.0
Annually (paid once a year) Divide by 12

If the income frequency cannot be determined based on the information listed on the application or from the verification, the advisor must generate Form H1020, Request for Information or Action, to request the income frequency.

 

D—1052 Terminated Income

Revision 15-4; Effective October 1, 2015

CHIP, CHIP Perinatal

Count terminated income in the month received. Use actual income and do not use conversion factors if terminated income is less than a full month's income. If the income terminated in the application month, the advisor must request missing information to verify the termination. Self-declaration is not acceptable verification.

 

D—1053 Budget Months

Revision 15-4; Effective October 1, 2015

CHIP

The system will determine CHIP eligibility for the following months:

At Application

  • Application month
  • Process month

At Redetermination

The month following the last month of CHIP coverage.