Washington Administrative Code (Last Updated: November 23, 2016) |
Title 182. Health Care Authority |
Chapter 182-509. Income and resources. |
Section 182-509-0320. MAGI income—Noncountable income.
Latest version.
- For purposes of determining eligibility for modified adjusted gross income (MAGI)–based Washington apple health (WAH) (see WAC 182-509-0300):(1) Some types of income are not counted when determining eligibility for MAGI-based WAH. Under the MAGI income methodology described in WAC 182-509-0300, income is not counted if the Internal Revenue Service (IRS) permits it to be excluded or deducted for purposes of determining the tax liability of a person. (See 26 U.S.C. Sections 62(a) and 101-140.)(2) Examples of income that are not counted include, but are not limited to:(a) Bona fide loans, except certain student loans as specified under WAC 182-509-0335;(b) Federal income tax refunds and earned income tax credit (EITC) payments for up to twelve months from the date received;(c) Child support payments received by any person included in household size under WAC 182-506-0010;(d) Time loss benefits or other compensation received for sickness or injury, such as benefits from the department of labor and industries (L&I) or a private insurance company;(e) Title IV-E and state foster care maintenance payments;(f) Veteran's benefits including, but not limited to, disability compensation and pension payments for disabilities paid to the veteran or family members; education, training and subsistence; benefits under a dependent-care assistance program for veterans, housebound allowance and aid and attendance benefits;(g) Educational assistance that is not counted under WAC 182-509-0335;(h) Native American benefits and payments that are not counted under WAC 182-509-0340;(i) Income from employment and training programs that is not counted under WAC 182-509-0345;(j) Needs-based assistance from other agencies or organizations that is not counted under WAC 182-509-0350;(k) Money withheld from a benefit to repay an overpayment from the same income source;(l) One-time payments issued under the Department of State or Department of Justice reception and replacement programs, such as Voluntary Agency (VOLAG) payments;(m) Any portion of income used to repay the cost of obtaining that income source;(n) Insurance proceeds or other income received as a result of being a Holocaust survivor;(o) Federal economic stimulus payments that are excluded for federal and federally assisted state programs;(p) Federal twenty-five dollar supplement weekly unemployment compensation payment authorized by the American Recovery and Reinvestment Act of 2009;(q) Income from a sponsor given to a sponsored immigrant;(r) Energy assistance payments;(s) Fringe benefits provided on a pretax basis by an employer, such as transportation benefits or moving expenses;(t) Employer contributions to certain pretax benefits funded by an employee's elective salary reduction, such as amounts for a flexible spending account;(u) Distribution of pension payments paid by the employee (such as premiums or contributions) that were previously subject to tax;(v) Gifts or inheritances to the person that are not counted under WAC 182-509-0355;(w) Death benefits from life insurance and certain benefits paid for deaths that occur in the line of duty; and(x) Other payments that are excluded from income under state or federal law.(3) Income received from the following cash programs is not countable income for MAGI-based WAH programs:(a) Diversion cash assistance (DCA);(b) Temporary assistance for needy families (TANF);(c) State family assistance (SFA);(d) Pregnant women's assistance (PWA);(e) Refugee cash assistance (RCA);(f) Aged, blind, disabled cash assistance (ABD); and(g) Supplemental security income (SSI).[Statutory Authority: RCW 41.05.021, Patient Protection and Affordable Care Act (P.L. 111-148), 42 C.F.R. §§ 431, 435, 457, and 45 C.F.R. § 155. WSR 14-01-021, § 182-509-0320, filed 12/9/13, effective 1/9/14.]
RCW 41.05.021, Patient Protection and Affordable Care Act (P.L. 111-148), 42 C.F.R. §§ 431, 435, 457, and 45 C.F.R. § 155. WSR 14-01-021, § 182-509-0320, filed 12/9/13, effective 1/9/14.
Rules
182-509-0300,182-509-0300,182-509-0335,182-506-0010,182-509-0335,182-509-0340,182-509-0345,182-509-0350,182-509-0355,