How many people does Medi-Cal count as being in your Household?
What is the definition?
42 CFR 435.603 (f) Household – Definition
(1)Basic rule for taxpayers not claimed as a tax dependent.
In the case of an individual who expects to file a tax return for the taxable year in which an initial determination or renewal of eligibility is being made, and who does not expect to be claimed as a tax dependent by another taxpayer, the household consists of the taxpayer and, subject to paragraph (f)(5) of this section, all persons whom such individual expects to claim as a tax dependent.
(2) Basic rule for individuals
(f) (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) .
The Medi-Cal 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
For one thing, you have to remember 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:
Too much Income for Medi-Cal?
Guaranteed Issue - No Pre X Clause -
Quote & Subsidy Calculation for
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We've developed the Medi-Cal portion of our website, as many of our Covered CA clients 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. We ask that when you have other questions or need coverage, that you visit our other websites:
Our Webpage on
Western Poverty Law - Exact Legal Rules on Coverage for Low Income Californian's