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Defining Income and Household Size

Defining Income and Household Size

Key Facts

Key Facts: Income Definitions for Marketplace and Medicaid Coverage | Key Facts

Key Facts: Determining Households for Medicaid and CHIP | Key Facts

Key Facts: Determining Households for Premium Tax Credits (PTCs) | Key Facts


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Webinars
Determining Household Size and Income

NEW Webinar: 2017 Coverage | Slide Deck PDF | Presented September 29, 2016

Part II of a four-part series on key elements of eligibility and enrollment 

Topics include:

  • Determining households for PTCs
  • Determining households for Medicaid
  • What counts as income for PTCs and Medicaid
  • Combining household and income rules to determine eligibility for coverage programs
Complex Eligibility Scenarios

NEW Webinar: 2017 Coverage | Slide Deck PDF | Presented November 10, 2016

Topics include:

  • Scenario 1: Affordability
  • Scenario 2: Noncustodial parents
  • Scenario 3: Increased household income
  • Scenario 4: Change in household size

 


OE3 Webinars:
How Changes in Income and Household Size Affect PTCs and CSR

Archived Webinar: 2015 Coverage | Slide Deck PDF | Presented January 22, 2015

Topics include:

  • Mid-year changes in income impact on eligibility for PTCs and cost-sharing reductions (CSR)
  • Mid-year changes in household on eligibility for PTCs and CSR
  • Mid-year changes in eligibility for minimum essential coverage (MEC)
  • Recalculation of PTCs
  • Recalculation of CSR

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Additional Resources

Health Assister’s Guide to Tax Rules | Guide
A guide on the basic tax rules that are applied in determining eligibility for premium tax credits and Medicaid

 

Frequently Asked Questions: Question of the Day | FAQs
Collection of FAQs on many of the common issues encountered since the implementation of health reform