Friday, December 13, 2013

Medicaid MAGI methodology notice

Family Voices has been contacted by members receiving letters in the mail from FSSA related to MAGI methodology for determining eligibility for Medicaid. It is important to note that individuals who have Medicaid under Aged, Blind and Disabled (the kind of Medicaid you have with the waiver and in other instances) are not subject to the new MAGI rules.

Here is additional information from Indiana Medicaid:

The Affordable Care Act (ACA) is the new law that requires most people to have health insurance. There are also some new health insurance choices as of October 2013.
You may have questions about how the ACA impacts you as a Medicaid member. You may also be looking to Medicaid as a possible way to get the required insurance coverage.


As a current Medicaid member, you will not notice many changes.  You do not have to reapply or provide any additional information simply due to the ACA.  You may notice a change when it is time for you to have your annual redetermination, but these changes will not impact your Medicaid benefits.  You will be notified by mail when it is time for your redetermination.
You may notice that different information is collected at your redetermination.  If you were eligible for coverage before, you will most likely still qualify for coverage.  When you have gone through a redetermination, you may notice a change in the name of your aid category.  This will not impact your Medicaid benefits or the services that you receive.


For children, pregnant women, and families who apply for Medicaid, the Affordable Care Act changes the way income is counted in the process of determining eligibility.  These new rules are called Modified Adjusted Gross Income (MAGI).  The income on which you must pay taxes will be counted in determining if you qualify for Medicaid.   Your resources will no longer be reviewed for Medicaid eligibility. Resources are items like bank accounts, cars, or houses.  Note:  Not all people who apply for Medicaid will have their income counted with MAGI rules. If you are disabled or have Medicare, there will be no changes from today's eligibility rules.
Income such as SSI, child support and veterans benefits are not counted under MAGI.

This is the letter families are receiving:

If you have questions, feel free to contact us. 317 944 8982

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