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
Example 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.
Example 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.
Example 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
Example 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.
