Category: Determining Household and Income (MAGI)

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 […]

Submitting an Appeal vs. Submitting a new application

Hi, I am working with a client on their application for MassHealth CommonHealth.  The individual is working disabled and has household income greater than 133% FPL. DES determined them not disabled in October 2015.  The individual filled an appeal to be redetermined.  They developed new diagnoses between the determination and the appeal.  The individual delayed […]

Applicant Upset by Advance Premium Tax Credit Process

Hi, I was hoping others could also write about some experiences with consumers who are upset about the advance premium tax credit process.  Perhaps the Health Connector would be willing to explain the process better within the application itself. I had a consumer this morning, and another yesterday that complained that the tax credit process […]

Shared Living Provider Stipend

Hi, I had an applicant in my office receiving a Shared Living Provider Stipend for income.  This is a stipend for living in another’s house to assist with daily living activities, etc. This income is not taxable.  After and extensive search for it within MAGI UC Berkeley Worksheet and looking at the IRS 8962 form […]

APTC estimator tool

Hi all,  The Health Connector’s estimator doesn’t seem to work anymore – it just tells you that someone should or should not qualify for APTCs, not how much they should be. It’s been like this for months…. So, I’ve been using this tool, from the Kaiser Foundation: http://kff.org/interactive/subsidy-calculator/ , when I need to estimate what someone’s […]