ModifiedAdjustedGrossIncome(MAGI)Methodology：调整后总收入（博士）的方法.pdfVIP

Health Care Reform - Medicaid Expansion Medicaid Expansion Policy Options Modified Adjusted Gross Income (MAGI) Methodology Vision The Affordable Care Act (ACA) gives all States the opportunity to simplify medicaid eligibility determinations for children, parents, caretaker relatives and pregnant women by: Consolidating several existing mandatory and optional medicaid ‘groups’ for these individuals, Offering a new optional medicaid program for parents/caretaker relatives with income over 133% FPL, and Creating a new mandatory eligibility group for single adults and parents/caretaker relatives with income at/below 133% FPL. o (See Appendix A for a more detailed explanation of the new groups) It is envisioned that eligibility will be determined using a streamlined, electronic application process using federal and state data-matching sources, minimizing human intervention and providing real-time Medicaid eligibility decisions. Centers for Medicare Medicaid Services (CMS) draft regulations require that States utilize a single methodology (MAGI) when determining medicaid eligible for anyone that falls into one of these new groups. The calculation of Modified Adjusted Gross Income (MAGI) closely mirrors how the IRS determines adjusted gross income for tax purposes. The MAGI income calculation will also be the basis upon which the State Exchange will rely on for the purposes of determining advance premium tax subsidy credits for individuals who do not qualify for medicaid. Proposal CMS recently provided draft guidance to assist States in determining an individual’s countable income at the point of initial application for coverage. The dilemma is that while States will have access through the Federal data hub to last year’s tax data (if the individual filed a tax return), that income in