42 CFR § 435.603 (f) 

Definition (3) Rules for individuals who

neither file a tax return nor are claimed as a tax dependent.

In the case of individuals who do not expect to file a Federal tax return and do not expect to be claimed as a tax dependent for the taxable year in which an initial determination or renewal of eligibility is being made, or who are described in paragraph (f)(2)(i), (f)(2)(ii), or (f)(2)(iii) of this section,

(f) (3) The household consists of the individual and, if living with the individual

(i) The individual’s spouse;

(ii) The individual’s children under the age specified in paragraph (f)(3)(iv) [two lines down] of this section; and

(iii) In the case of individuals under the age specified in paragraph (f)(3)(iv) [next line] of this section, the individual’s parents and siblings under the age specified in paragraph (f)(3)(iv) of this section.

(iv) The age specified in this paragraph is either of the following, as elected by the agency in the State plan

(A) Age 19; or

(B) Age 19 or, in the case of full-time students, age 21.

Non Filer explained by

* George Town University

* George Town – Exceptions for who counts in the household

*   Western Poverty page 2.33 

*  Sorry, none of them seem to be in plain simple English.

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***Non Filer Exemption

Flow Chart Excerpt – Non Filer Rules

Flow Chart Excerpt - Non Filer Rules

Check out the Household Size Flow chart  below for a simpler way of looking at the 42 CFR 435.603 rules.

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42 CFR 435.603 rules.
Household Size for Medi Cal qualification

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How many people are in the Household?
What is the definition?

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:

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6 comments on “Not filing a return – nor claimed as a dependent f 3

  1. hello mr shore –

    i have been attempting to find an answer to my issues with covered ca customer service agents and medi-cal agents and im not getting straight answers.

    i saw you on youtube and would just like to kindly ask for a little help.

    My son 19 and works part time and goes to school. is projected annual income will be 6000 to 7000.

    he plans to file taxes on his own. being that he is not “required to file” but will anyways.

    will they go by his sole income or will the count my income as well.

    sorry for having to bother you sir. im just don’t have anywhere to turn to –

    thank you -chris c

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