Income eligibility for SMHB will be determined using MAGI Methodology (see 1805.030.00 Modified Adjusted Gross Income (MAGI) Methodology) and comparing the MAGI to the appropriate percentage of Federal Poverty Level (FPL). When calculating the household composition (see 1805.030.10 MAGI Household Composition), use the tax-filing status of the mother.
An unborn child is eligible for SMHB healthcare coverage if the household’s MAGI income (see 1805.030.20 Income, Deductions, and the Five Percent (5%) Disregard) meets one of the following criteria:
- An unborn child, whose mother was denied on MPW for excessive income, cannot have income that is 201% of FPL (196% of FPL plus the 5% disregard) or less and does not exceed 305% of FPL (300% of FPL plus the 5% disregard)
- An unborn child, whose mother was denied on MPW for citizenship, must have income that does not exceed 305% of FPL (300% of FPL plus the 5% disregard)