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Revision 15-4; Effective October 1, 2015
CHIP, CHIP Perinatal
Modified Adjusted Gross Income (MAGI) household composition is used to determine whose needs, income, and expenses are considered in determining an individual’s eligibility for CHIP and CHIP perinatal. Each MAGI household composition is determined on the individual level. Individuals living at the same physical address may have a different MAGI household composition. MAGI household composition is based on federal income tax rules.
An individual does not have to file a federal income tax return to apply for CHIP or CHIP perinatal.
D—321 Who Is Included
Revision 16-4; Effective October 1, 2016
CHIP, CHIP Perinatal
Advisors must follow the policy described in A-240, Medical Programs, to determine who should be included in each individual’s MAGI household composition.
CHIP
When determining eligibility for a pregnant child, the expected number of the pregnant child's unborn children are included in the pregnant child's MAGI household composition.
CHIP Perinatal
When determining eligibility for a pregnant woman, the expected number of unborn children are included in the pregnant woman's MAGI household composition.
If the CHIP perinatal MAGI household composition includes other pregnant women, the expected number of unborn children of the other pregnant women are also included in the CHIP perinatal MAGI household composition, regardless of whether the other pregnant women are certified on a medical program.
Related Policy
Inclusion of the Unborn, A-241.1.5
D—322 Who Is Not Included
Revision 16-4; Effective October 1, 2016
CHIP, CHIP Perinatal
Advisors must follow the policy described in A-240, Medical Programs, to determine who should be included in each individual’s MAGI household composition.
CHIP
The expected number of unborn children are not included in a non-pregnant child's MAGI household composition for CHIP when a pregnant child is included in the household.
D—323 Minor Parent Situations
Revision 15-4; Effective October 1, 2015
CHIP, CHIP Perinatal
Advisors must follow the policy described in A-240, Medical Programs, to determine who should be included in each individual’s MAGI household composition.