PM 15-06-01-h

  1. Family With Undocumented Noncitizen Child(ren)

These charts apply for Family Health Spenddown and All Kids/FamilyCare Assist determinations completed by FCRCs only. Eligibility for Family Assist is determined before units are separated (see PM 15-06-01-f). Eligibility for All Kids/FamilyCare Share, Premium and Rebate is determined using total family income (see PM 06-08-02-d). The All Kids Unit considers total family income to determine eligibility for all Family Health Plans (see PM 17-01-02-a).

Chart 1 - Stepparent in the Home (not applicable for undocumented children)
Household Composition Cases Standard Whose Income Considered
Mother
Stepfather
Her Child
1 for mother and stepfather mother
stepfather
her child
mother
stepfather
1 for her child mother
her child
mother
her child
Mother
Stepfather/ father
Her child
Their child*
1 for mother, stepfather, and their child mother
stepfather
her child
their child
mother
stepfather
their child
1 for her child mother
her child
their child
mother
her child
Mother
Stepfather/ father
Her child
His child
Their child*
1 for mother, stepfather, and their child mother
stepfather
her child
his child
their child
mother
stepfather
their child
1 for her child mother
her child
their child
mother
her child
1 for his child stepfather
his child
their child
stepfather
his child

* If child has income, see Chart 3.

Chart 2 - Parents Are Unmarried
Household Composition Cases Standard Whose Income Considered
Mother (not married)
Father
Their Child
1 for mother mother
their child
mother
1 for father father
their child
father
1 for their child mother
father
their child
mother
father
their child
Mother (not married)
Father
Her child*
Their child
1 for mother and her child mother
her child
their child
mother
her child
1 for father father
their child
father
1 for their child mother
father
her child
their child
mother
father
their child
Mother (not married) Father Her child* His child* Their child 1 for mother and her child mother
her child
their child
mother
her child
1 for father and his child father
his child
their child
father
his child
1 for their child father
mother
his child
her child
their child
father
mother
their child

* If child has income, see Chart 3.

Chart 3 - Child Has Income
Household Composition Cases Standard Whose Income Considered
Mother
Child without income
Children with income
1 for mother and child with no income mother
all children
mother
1 for each child with income mother
all children
mother
each child
Mother
Stepfather
Her child
Their child
1 for mother and stepfather mother
stepfather
her child
their child
mother
stepfather
1 for her child mother
her child
their child
mother
her child
1 for their child mother
stepfather
her child
their child
mother
stepfather
their child
Mother
Stepfather
Her child
His child
Their child
1 for mother and stepfather mother
stepfather
her child
his child
their child
mother
stepfather
1 for her child mother
her child
their child
mother
her child
1 for his child stepfather
his child
their child
stepfather
his child
1 for their child mother
stepfather
her child
his child
their child
mother
stepfather
their child
Mother (not married)
Father
Her child
His child
Their child
1 for mother mother
her child
their child
mother
1 for father father
his child
their child
father
1 for her child mother
her child
their child
mother
her child
1 for his child father
his child
their child
father
his child
1 for their child mother
father
his child
her child
their child
mother
father
their child

revised textEXAMPLE 1:

Family Members: Mr. A, Mrs. A, Mr. A's son Alex, Mrs. A's daughter Carrie, and Mr. and Mrs. A's 2 children in common.

The A's are applying for all family members.

Family Income: Mr. A's gross earnings of $1,200 per month, Mrs. A's gross earnings of $400 per month, and Carrie's child support of $550 per month.

Determine eligibility for the family:

Mr. A's countable income $1,110 ($1,200 - 90)
Mrs. A's countable income +310 ($400 - 90)
Carrie's child support +500 ($550 - 50)
Total Countable Income $1,920
All Kids/FamilyCare Assist Standard for 6 $3,433

Since the children and the parents are eligible for FamilyCare Assist, no further calculation is necessary.

Final Result: Set up one 96 case for the four children and both parents.

revised textEXAMPLE 2:

Family Members: Mr. C, Mrs. C, Mr. C's son, Carl, Mrs. C's daughter, Marilyn, and Mr. and Mrs. C's child, Larry.

The C's are applying for all family members.

Family Income: Mr. C's gross earnings of $2,270 per month, Mrs. C's gross earnings of $400 per month, and Larry's trust fund income of $1,000 per month.

Step 1: Determine eligibility for the family:

Mr. C's countable income $2,180 ($2,270 - 90)
Mrs. C's countable income +310 ($400 - 90)
Larry's trust fund income +1,000
Total Countable Income $3,490
All Kids/FamilyCare Assist Standard for 5 $2,994

Income is over for All Kids/FamilyCare Assist.

Step 2: Determine eligibility for Carl:

Mr. C's countable income $2,180
Total countable income $2,180
All Kids Assist Standard for 3 $2,116

Carl is not eligible for All Kids Assist.

Determine eligibility for Marilyn:

Mrs. C's countable income $310
Total Countable Income $310
All Kids Assist Standard for 3 $2,116

Marilyn is eligible for All Kids Assist.

Step 3: Determine eligibility for Larry:

Mr. C's countable income $2,180
Mrs. C's countable income +310
Larry's trust fund income +1,000
Total Countable Income $3,490
All Kids/FamilyCare Assist for 5 $2,994

The same countable income shown in Step 1 is used for Larry's eligibility. Larry is not eligible for All Kids Assist.

Step 4: Determine eligibility for Mr. and Mrs. C:

Mr. C's countable income $2,180
Mrs. C's countable income +310
Total Countable Income $2,490
All Kids/FamilyCare Assist Standard for 5 $2,994

Mr. and Mrs. C are eligible for FamilyCare Assist.

Step 5: Since Carl and Larry are not eligible for All Kids Assist, determine eligibility for Share, Premium and Rebate using total family income as in Step 1.

Mr. C's countable income $2,180
Mrs. C's countable income +310
Larry's trust fund income +1,000
Total Countable Income $3,490
All Kids Share Standard for 5 $3,376
All Kids Premium Lev 1 Standard for 5 $4,502

Carl and Larry are eligible for All Kids Premium Level 1.

Final Result: Set up an All Kids Assist case for Marilyn. Set up a FamilyCare Assist case for Mr. and Mrs. C. Set up an All Kids Premium Level 1 case for Carl and Larry.

Family With Undocumented Noncitizen Child(ren)

revised textEXAMPLE 3:

Family Members: Mr. W (stepparent), Mrs. W (parent), Mrs. W's daughter Liz and son Ivan. Mrs. W is applying for Liz and Ivan. Liz is an undocumented noncitizen. Ivan is a U.S. citizen.

Family Income: Mr. W's gross earnings of $2,200 per month and Mrs. W's gross earnings of $590 per month.

Determine eligibility for the children:

Mr. W's countable income $2,110 ($2,200 - 90)
Mrs. W's countable income $500 ($590 - 90)
Total countable Income $2,610
All Kids Assist Standard for 4 $2,555
All Kids Share Standard for 4 $2,881

Since the children are not eligible for All Kids Assist due to stepparent income, determine Assist eligibility for Ivan separately. Since Liz is an undocumented noncitizen, do not complete a 2nd Assist calculation for her. 

Determine eligibility for Ivan; do not consider Mr. W's income and do not include him in the standard:

Mrs. W's countable income $500 ($590 - 90)
Total countable Income $500
All Kids Assist Standard for 3 $2,116

Final Result: Set up an All Kids Share case for Liz. Set up an All Kids Assist case for Ivan.