Table J: 5% MAGI Deduction SR 22-14 Dated 03/22 (MAM-A)

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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 incomededuction 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	$57
2	$77
3	$96
4	$116
5	$136
6	$155
7	$175
8	$195
9	$214
10	$234
11	$254
12	$273
For each additional person add:	$20

References: 42 CFR 435.603(d)(4), 42 USC 9902(2)