42 CFR 435.603 - Application of modified adjusted gross income (MAGI)
| Cite as | 42 CFR 435.603 |
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19 practice notes
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Medicaid, Children's Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals and Other Provisions Related to Eligibility and Enrollment for Exchanges, Medicaid and CHIP, and Medicaid Premiums and Cost Sharing
...Code. We propose to make a technical correction in paragraph (c)(1)(ii) to add the word ``calculated'' prior to ``in accordance with 42 CFR 435.603(d).'' We also propose to make a technical correction to cite to the applicable Treasury regulation instead of section 36B of the We propose to ......
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Medicaid and Children's Health Insurance Programs: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and Enrollment
...a tax filer's household income, as defined in 26 CFR 1.36B-1(e), or an applicant's household income, calculated in accordance with 42 CFR 435.603(d), and for whom the Exchange has a Social Security number, the Exchange must request tax return data regarding MAGI and family size from the Sec......
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Securing Updated and Necessary Statutory Evaluations Timely
...which could result in the automatic expiration of some regulations. A large number of commenters specifically mentioned regulations at 42 CFR 435.603, on which multiple insurance affordability programs, including Medicaid and CHIP, rely to determine financial eligibility using Modified Adju......
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Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers
...final rule as well as the Medicaid final rule, and to include: applicants; an adult who is in the applicant's household, as defined in 42 CFR 435.603(f), or family, as defined in section 36B(d)(1) of the Code; authorized representatives; or, if the applicant is a minor or incapacitated, som......
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9 cases
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MITSON BY AND THROUGH JONES v. Coler, No. 87-12020-Civ.
...all other benefits to which they may be entitled, including but not limited to, "aid and attendance." 20 C.F.R. 416.210 and 42 C.F.R. 435.603. In determining their incomes for VA pension purposes, Plaintiffs are permitted to exclude from their non-VA income substantially all of th......
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Whitehouse v. Ives, Civ. No. 87-0332-B.
...were required to take all reasonable steps to obtain any pension, retirement or disability benefits to which they were entitled. 42 C.F.R. § 435.603. The state could "deem" a portion of a non-institutionalized spouse's income to be available to an institutionalized spouse in deter......
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Salazar v. Dist. of Columbia, Civil Action No. 93-452 (GK)
...applications pursuant to new eligibility rules established by the ACA and its implementing regulations. See 42 U.S.C. § 1396a(e)(14) ; 42 C.F.R. §§ 435.603, 457.315(a). In order to facilitate implementation of the ACA's new rules, the District took steps to build a new, automated Medicaid a......
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Buck v. Com., Dept. of Public Welfare
...inter alia, any pension or other retirement benefits to which they are entitled unless they can show good cause for not doing so. See 42 C.F.R. § 435.603. Once eligibility for medical assistance is determined, federal regulations Page 1271 direct that the state must reduce its payment to th......
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2 firm's commentaries
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Enhancing Access to Family Planning Services in Medicaid: A Toolkit for States
...including family planning services (90 percent) 42 CFR § 435.214 • Implements the optional Medicaid family planning eligibility group 42 CFR § 435.603(k) • Specifies permitted methods for calculating income for the optional Medicaid family planning eligibility group 42 CFR §§ 435.1100‑1110 ......
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Coverage Options for Massachusetts: Leveraging the Affordable Care Act
...creditable coverage (MCC) requirements, the Commonwealth decided to maintain its individual mandate 33 42 U.S.C. 1396a(a)(14)(H)(i); 42 C.F.R. § 435.603(h). States may also take into account reasonably predictable changes in income (i.e., seasonal work, a promise of future employment, or an......
7 provisions
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Medicaid, Children's Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals and Other Provisions Related to Eligibility and Enrollment for Exchanges, Medicaid and CHIP, and Medicaid Premiums and Cost Sharing
...Code. We propose to make a technical correction in paragraph (c)(1)(ii) to add the word ``calculated'' prior to ``in accordance with 42 CFR 435.603(d).'' We also propose to make a technical correction to cite to the applicable Treasury regulation instead of section 36B of the We propose to ......
-
Medicaid and Children's Health Insurance Programs: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and Enrollment
...a tax filer's household income, as defined in 26 CFR 1.36B-1(e), or an applicant's household income, calculated in accordance with 42 CFR 435.603(d), and for whom the Exchange has a Social Security number, the Exchange must request tax return data regarding MAGI and family size from the Sec......
-
Securing Updated and Necessary Statutory Evaluations Timely
...which could result in the automatic expiration of some regulations. A large number of commenters specifically mentioned regulations at 42 CFR 435.603, on which multiple insurance affordability programs, including Medicaid and CHIP, rely to determine financial eligibility using Modified Adju......
-
Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers
...final rule as well as the Medicaid final rule, and to include: applicants; an adult who is in the applicant's household, as defined in 42 CFR 435.603(f), or family, as defined in section 36B(d)(1) of the Code; authorized representatives; or, if the applicant is a minor or incapacitated, som......
Request a trial to view additional results