Medicaid eligibility based on modified adjusted gross income (MAGI) household and income rules uses three categories to determine an individual’s household size:
- Tax filers not claimed as a tax dependent
- Tax dependents (with three exceptions)
- Non-filers not claimed as a tax dependent
Separate determinations of household size are made for each member of a family, and the categories are based on expected filing status. MAGI rules apply to children, pregnant people, parents and caretaker relatives, and adults in states that have expanded Medicaid eligibility. Seniors and people eligible for Medicaid based on a disability use different household and income rules.
This reference chart walks through the Medicaid household rules for MAGI Medicaid eligibility.
OE10 Webinar: Determining Households & Income