Medicaid Policy                                                                 

 

402-4 Foster Care Non-IV-E Medicaid Household Composition

Effective Date: June 1, 2025

Previous Policy 

 

 

A.   MAGI-Based Foster Care Household Composition

Non-IV-E Foster Care programs follow the MAGI Non-tax filer rules to determine the child’s household composition (401-3). Sections 354 through 354-5 explain the different requirements. The household size is used to determine if the countable income falls within the program income limit for the individual (Table VII).

 

1.     For non-tax-filers, the foster child is not included in the household.

2.     The foster care child will be opened on a separate medical assistance case.

 

B.   All Other Medical Assistance Coverage Groups

 

·       Do not include a child who has been placed in the home under a Foster Care program in the household size.  A child who is in Foster Care must have their own Medicaid case.

 

Note: This applies to a Foster Care child who has been placed with a Foster Care family. This does not refer to a Foster Care child who has been placed with their own parent or other Specified Relative under a "Preliminary Placement" by DCFS (354).