Category: Determining Household and Income (MAGI)

Confusion over Recording Income

Hi, I know now to look out for a dependent’s tax return.  That income is included in the calculation for MassHealth and Health Connector programs.  The instructions on the 8962, page 6 worksheet 1-2 show that you add all dependents’ 1040s together along with the head of household’s return to determine adjusted gross income. I […]

Mass Health Protection

On 6/3/16 I did a renewal for a member.  She and her daughter were both on Mass Health Standard until that point.  She received more hours and a raise at her job, which bumped her over the 138% FPL, and it offered her a Connector Care Type 2B plan.  She enrolled, but when she went […]

Employee vs. Self-Employed

Hi, I realize it can be confusing trying to figure out which options to use in the online system when it comes to employment.  Sometimes its hard to choose between self-employed and job income. Here is some additional information I feel others might be interested in: If an individual is receiving income but taxes are […]

Counting Income for A Dependent that Files Own Tax Return

Hi, I have an individual who claims their son as a dependent on taxes.  Their son also files their own tax return because the son’s income is over $6,300 for 2016.  The son is over 19. What is the best way of representing this income correctly in the application to receive the correct determination? Who […]

Living in Separate Households

Hi All, I am in the process of doing an application with a young, unemployed female with one seven year old child.  She and her child were terminated from MH Standard because she did not return the Eligibility Review Form.   The problem is her living situation.  She and the child’s father live in separate […]

MassHealth CSR Not Asking about Yearly Income…AGAIN

Hi, I had a small fight with a MassHealth CSR about reporting 2016 income today.  The MassHealth CSR proceeded to tell me that I could not update 2016 yearly income because the client was not seasonally employed. I walked the CSR through updating current monthly income, then attempted to get him to change total income […]

Disabled Adult Dependents Process

We’ve been told that disabled adult children (19+) who are dependents on their parents’ tax returns need the whole household to be entered in HIX with parent as head of household.  The workaround for the adult child to have only his income considered is to be done by MEC in the MA21.  I had one […]