Medicaid Policy                                                                 

815-5 Income Changes

Effective Date: March 1, 2017

Previous Policy

 

A. Changes in Income – MAGI Programs

1. Workers will only take action on the change that is reported, unless the change requires the member to verify other factors of eligibility, such as verifying TPL on a new job.

2. Determine the effect the reported change has on all household member’s ongoing eligibility. Take the appropriate action based on the Medicaid program the individual is open for, and re-determine eligibility.

3. If the reported change was already anticipated, such as seasonal or unemployment income, do not complete a new best estimate.

4. If the reported change was not anticipated, complete a new best estimate.

5. The following apply when completing a new best estimate:
   1. Annualize income over a 12-month period to arrive at a monthly income amount. The worker may have to adjust the best estimate at the next review.
   2. Do not include a source of income that has terminated, such as UI.
   3. Do not include seasonal income if the individual does not anticipate returning to the seasonal job.
   4. Do not change or remove seasonal income that has already been anticipated, if the individual intends to return to the seasonal job.

6. If verification is needed, see 731. 

7. For the effective date of a change, see 815.

B. Changes in Income – Non-MAGI Programs

1. Determine the effect the change has on all household members' ongoing eligibility.  Take the appropriate action based on the Medicaid program the individual is open for, and re-determine eligibility.

2. Do not count income that is no longer being received or has not yet been received.

3. If verification is needed, see 731.

4. For the effective date of a change, see 815.