Frequently Asked Questions

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FAQ

What is MAGI and how is it different than the way states calculate eligibility today? 

It’s a new, simpler way to determine eligibility for Medicaid and CHIP.

The Affordable Care Act provides a new simplified method for calculating income eligibility for Medicaid, CHIP and financial assistance available through the health insurance Marketplace.  This new method calculates eligibility for all programs based on what is called modified adjusted gross income (MAGI).  By using one set of income eligibility rules across all insurance affordability programs, the new law makes it easier for people to apply for health coverage through one application and enroll in the appropriate program.  MAGI will replace the current process for calculating Medicaid eligibility that is in place today, which uses income deductions (known as “disregards”) that are different in each state and often differ by eligibility group.  

(FAQ9448)

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