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16.1 Income

16.1.1 Income Limits

16.1.2 Income Under Modified Adjusted Gross Income Rules

 

16.1.1 Income Limits

Population

Income Limits for All Members

Pregnant women

306% FPL

Children under 19*

306% FPL

Parents/Caretaker relatives

100% FPL

Childless adults

100% FPL

Family Planning Only Services

306% FPL

 

*Children and pregnant women with income above the limit can become eligible by meeting a deductible.

 

See Section 50.1 Federal Poverty Level Table for the most recent FPL limits.

 

The income limits under MAGI rules include the following income disregards.

 

 

Note: Other effective income limits for children under MAGI rules will also reflect the addition of the 6 percent disregard with the exception that the income thresholds for children’s premiums will only be increased by 1 percent.

16.1.2 Income Under Modified Adjusted Gross Income Rules

All taxable income is counted when determining BadgerCare Plus eligibility. Social Security income is also counted. See Section 16.2 Income Types Not Counted for the list of income that is not counted. These rules apply to families that are filing taxes and those who are not.

 

Within a MAGI group, income will be counted as detailed in Chapter 2 BadgerCare Plus Group. For any member whose income is budgeted for their assistance group, income under the countable income types listed in Section 16.4 Earned Income and Section 16.5 Other Income will be counted and deductions under the types listed in Section 16.3 Income Deductions will be allowed. See Chapter 2 for determining the assistance group size.

 

All MAGI group members’ income is counted with one exception: If a group member is the child or tax dependent of another group member, his or her income is only counted if he or she is “expected to be required” to file a tax return for the current year. See Section 2.8 MAGI Income Counting Rules for more information.

 

If a member’s income is budgeted for his or her assistance group, his or her deductions will be counted for that group. In situations where an individual is planning to file a joint tax return with his or her spouse, the individual’s deductions may offset the spouse’s income even if the individual has no income.

 

Note: The availability of income does not affect whether or not the income is counted under MAGI rules.

 

When it is known that a member of the group is eligible for income or an increased amount of income:

 

  1. If the amount is known, count the income as if the person is receiving it.
  2. If the amount is unknown, ignore the income.

 

Example 1: Ms. M. is entitled to unemployment compensation benefits of $430. However, she declined a $100 increase offered by unemployment compensation, and the amount of her check remains at $430. Since the full entitlement amount is known, the available income is $530.

 

 

 

This page last updated in Release Number: 17-01

Release Date: 04/11/2017

Effective Date: 04/11/2017