Eligibility Determination Using Modified Adjusted Gross Income: Implications for Enrollment under Health Reform

This project will analyze the potential implications of the PPACA provision requiring states to use “modified adjusted gross income” (MAGI) to determine income eligibility for medical assistance under state plans and waivers.  The project will convene a meeting between state officials and policy experts to discuss these implications and will use the CPS to conduct an empirical analysis to determine how MAGI compares with other income definitions that selected state have used.  Through these analyses, researchers will develop a set of guidelines for states to use in translating their particular Medicaid/CHIP income definitions into the MAGI and filing-unit concepts that PPACA requires.

Publications

Modified Adjusted Gross Income: Implications for Medicaid Eligibility Systems under the ACA
(July 2011, Report)

Medicaid Eligibility Determination under the ACA: Challenges for States
(April 2011, Webinar)