42 CFR § 435.603 (f) Household –
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;
(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 – Exceptions for who counts in the household
* Sorry, none of them seem to be in plain simple English.
President Trump - Insurance is very complicated - He should have asked me
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:
Too much Income for Medi-Cal?
Guaranteed Issue - No Pre X Clause -
Quote & Subsidy Calculation for
No charge for our services
Report Changes Promptly
CMS How Covered CA works
Report Changes as they happen # 5152
Changes should be reported within 30 days.
If you've appointed us - instructions - as your broker, no extra charge, we can do it for you.
Denial of benefits and possible criminal charges if you don't report changes in income!
Covered CA Certified Agent
No extra charge if you qualify for Covered CA Subsidies.
We don't get compensated to help you with Medi Cal. Here's Medi-Cal's contact information.
Get a Covered CA Quote, including subsidy calculation
Video on why you should have an agent