PM 15-06-01-g

These examples are for FCRCs determinations only. The All Kids Unit considers total family income to determine eligibility for all Family Health Plans (see PM 17-01-02-a).

Determining Eligibility for Child(ren) with Income

revised textExample 1: Ms. K has one child, Karrie. The only income in the family is Karrie's SSA and trust fund income of $1,700 per month which exceeds the FamilyCare Assist standard for 2 of $1,677.

Since Karrie's income causes ineligibility for FamilyCare Assist for Ms. K, set up 2 cases, one for Ms. K and one for Karrie. Ms. K is eligible for FamilyCare Assist. Eligibility for Karrie is determined as follows:

Karrie's Income $1,700
All Kids Share for 2 $1,891

Karrie is eligible for All Kids Share.

revised textExample 2: Mr. F has one child, Junior. Mr. F receives UIB of $1,200 per month and also receives $600 child support for Junior.

Since a child has income and Mr. F would no longer qualify for FamilyCare Assist, determine eligibility separately for Mr. F and Junior.

Eligibility for Junior is determined as follows:

Father's UIB $1,200
Child Support $550 ($600 - 50 pass through)
Total Income $1,750
All Kids/FamilyCare Assist Standard for 2 $1,677
All Kids/FamilyCare Share Standard for 2 $1,891

Junior is eligible for All Kids Share.

revised textExample 3: Ms. J has 3 children, John, Mary, and Sue. John receives child support of $1,200 and Mary receives child support of $1,500. Ms. J and Sue have no income.

The total family income is $2,650 ($2,700 - 50 child support disregard). Since a child has income and Ms. J would not qualify for FamilyCare Assist, determine eligibility separately for Ms. J and each child with income.

John's Child Support *$1,175 ($1,200 - 25 disregard)
All Kids/FamilyCare Assist Standard for 4 $2,555
Mary's Child Support *$1,475 ($1,500 - 25 disregard)
All Kids/FamilyCare Assist Standard for 4 $2,555

One All Kids/FamilyCare Assist case is set up for Ms. J and Sue, one for John and one for Mary.

*In determining John and Mary's eligibility for medical assistance, allow a $25 child support income disregard ($50 ÷ 2) for each child.

Determining Eligibility for the Parent

revised textExample 4: Mr. B has one child, Robert. Mr. B receives earnings of $1,300 per month and also receives $550 child support for Robert. Since a child has income and Mr. B would not qualify for FamilyCare Assist, set up one case for Mr. B and one for Robert.

Step 1: Determine eligibility for FamilyCare Assist using total family income:

Earnings $1,210 ($1,300 - $90 disregard)
Child Support $500 ($550 - 50 pass through)
Total Income $1,710
FamilyCare Assist Standard for 2 $1,677

Mr. B is ineligible for FamilyCare Assist when considering a child's income.

Step 2: Determine eligibility for FamilyCare Assist without considering the child's income:

Earnings $1,210 ($1,300 - $90 disregard)
FamilyCare Assist Standard for 2 $1,677

Mr. B is eligible for FamilyCare Assist on a separate case from Robert.