Category: Determining Household and Income (MAGI)

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MassHealth members must renew their coverage in 2015. Health Care For All is offering FREE trainings to organizations in Massachusetts that help MassHealth and Health Connector members. If you work with MassHealth and Health Connector members, please contact us to schedule a FREE training. Please contact Kate Bicego at kbicego@hcfama.org or 617-275-2912 to schedule a FREE […]

Future loss of employment/insurance coverage

We have a person coming in today who be laid off from his current job next month and will lose his insurance in the middle of that month.  He wants to avoid a gap in insurance coverage and wants to apply as soon as possible. My concern is if we apply as his current coverage stands today and […]

Separated Couples

We are seeing more people unable to get tax credits because they are still considered married but living separately. They are filing taxes separately but have not officially gotten divorced. When the application is submitted they are being found as not eligible for tax credits. A Connector worker told us that this was due to their marriage […]

calculating negative income

Hi, I did an application where part of the income (rental) was a loss, or negative. In the net monthly income calculation on the application summary, the correct net income showed. However, the determination FPL clearly did not factor in the loss/negative income. In this client’s case it is the difference between getting ConnectorCare Plan Type […]

Self Employed Income calculation

Wondering if anyone has suggestions about how to estimate the income for someone who is self-employed and under 400% of the FPL? Specifically looking for ways in which people estimate what the consumer’s health insurance will cost, especially consumers who are around 300% + FPL for whom the following is true. You estimate them as NOT having ConnectorCare and […]

How do you enter shared custody?

There seems to be no way for the (online) application to accommodate shared custody. Does anyone have any leads about how we should input families where there is shared custody? Multiple issues with it – the person not applying (and not in the household) is added to questions about household members (including the “relationship to…” and health […]

Unmarried couple with a child

We have a complex case we’ve been working on the past couple of weeks. A household of 3 (unmarried couple with 7 month old baby) applied and because Dad wanted to claim child, system determined Mom on MassHealth (no income) and Dad on some sort of QHP. Connector informed Navigator this type of scenario could […]