How many people are in the Household?
What is the definition?
(f) Household –
Definition (2) Basic rule for individuals
claimed as a tax dependent.
If this legalize is too confusing, check out the flow chart below.
In the case of an individual who expects to be claimed as a tax dependent by another taxpayer for the taxable year in which an initial determination or renewal of eligibility is being made, the household is the household of the taxpayer claiming such individual as a tax dependent,
except that the household must be determined in accordance with paragraph (f)(3) [Rules for individuals who neither file a tax return nor are claimed as a tax dependent Visit our Webpage] of this section in the case of –
(i) Individuals other than a spouse or child who expect to be claimed as a tax dependent by another taxpayer; and
(ii) Individuals under the age specified by the State under paragraph (f)(3)(iv) of this section who expect to be claimed by one parent as a tax dependent and are living with both parents but whose parents do not expect to file a joint tax return; and
(iii) Individuals under the age specified by the State under paragraph (f)(3)(iv) of this section who expect to be claimed as a tax dependent by a non-custodial parent. For purposes of this section –
(A) A court order or binding separation, divorce, or custody agreement establishing physical custody controls; or
(B) If there is no such order or agreement or in the event of a shared custody agreement, the custodial parent is the parent with whom the child spends most nights.
Plain English FAQ
If an adult is claimed as a tax dependent by their parents, will their parents income count towards the dependent adult’s income for eligibility?
Yes. The adult who expects to be claimed as a tax dependent by his/her parents will have his parents income counted when determining income eligibility under the MAGI methodology. Federal regulatory reference is 42 CFR 435.603(f)(2). dhcs.ca.gov *
(5) For purposes of paragraph (f)(1) of this section, if, consistent with the procedures adopted by the State in accordance with § 435.956(f) of this part, a taxpayer cannot reasonably establish that another individual is a tax dependent of the taxpayer for the tax year in which Medicaid is sought, the inclusion of such individual in the household of the taxpayer is determined in accordance with paragraph (f)(3) of this section. Copied from 42 CFR 435.603 – Application of modified adjusted gross income (MAGI)
Our website is MUCH more than just
Pro Bono helping you with Medi-Cal
We've developed the Medi-Cal portion of our website, as many of our Covered CA clients unfortunately end up here, if their income drops below 133% of FPL, Federal Poverty Level, see the income chart.
We do not get a nickel, for this site or for helping people enroll in Medi-Cal, nor answering complex questions. When you have other questions or need coverage, take a look at our other websites:
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How to get the Health Care You Need
24 pages
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- 10 Essential Health Benefits
- Our Webpage onMedi Cal Benefits
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The sample redetermination form MC 216 states:
We may need some information about people in your household who live with you or are listed on your tax return, who do not have Medi-Cal and who do not want to apply for Medi-Cal.Sample MC 216
Please note that, Medi-Cal wants to cover everyone and may go beyond the law to gather information to do that. There are also many other programs that Medi-Cal has that you might qualify for and no one would know unless they asked. Such as:
MORE Social Services – In Addition to Medi-Cal
IHSS In Home Supportive Services
Scroll down to view Household Size Flow Chart
InsuBuy International Medical Coverage –
Instant Quotes & Enrollment
Coverage for Travel - $50k Emergency under Medicare Medi Gap or MAPD Advantage may not be enough!
Dental For #Everyone,
has an excellent website with full brochures, Instant online quoting and enrollment
- One of our colleagues on how Dental for Everyone Works.
- Sample Quote
- Blue Cross Dental & Vision
- Dental with the new Extra & Innovative Medi Gap Plans Plan F Extra – Dental
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My newborn child will be covered by the grandfather’s insurance and he will also be taking the tax deduction
so the child will not be on my income tax
nor does she need health coverage as she has coverage on my grandfathers plan
How do we prove that the child has other insurance and that she’s not on my taxes
Covered CA proofs of income
We doubt that a grand child is being covered under the grandparents coverage, unless there is a court order or some official document saying the grandparents have legal guardianship.
Send us an ID card naming the child as being covered, a copy of the EOC Evidence of Coverage or something as least in writing. We do not accept hearsay evidence, especially where we are not even being compensated to help you.
See our contact page for Medi-Cal. They have Social Workers earning big bucks and benefits to help you.