Table J: 5% MAGI Deduction SR 14-14, 03/14 (MAM-A)

This income deduction is only applied if the applicant or recipient meets all categorical eligibility requirements for the Modified Adjusted Gross Income (MAGI) category of medical assistance except is over income. At that point, redetermine eligibility by subtracting the 5% MAGI-specific income deduction from the individual’s income based on household size. If still ineligible for the MAGI category of medical assistance, determine In and Out medical assistance.

Assistance Group Size

Monthly Income Deduction

 

1

$49

2

$66

3

$83

4

$100

5

$117

6

$134

7

$151

8

$168

9

$184

10

$201

11

$218

12

$235

For each additional person add:

$17

References: 42 CFR 435.603(d)(4)