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Can states use a simplified method for income counting as an option for all groups

Yes. A simplified method of determining income (e.g., using use of gross income rather than or other simplified approximation of MAGI) per 42 CFR 435.1102(a) is permitted for all types of PE. Our regulations at 42 CFR 435.1102(a) discuss the use of simplified income methods and clearly state that full MAGI-based eligibility determinations cannot be used to determine PE. This requirement applies to all forms of PE, including hospital PE, per 42 CFR 435.1103(a) and 435.1110(a).

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Date
FAQ ID
91591
FAQ Question
Can states use a simplified method for income counting as an option for all groups eligible for PE, including hospital PE, or is this option limited to children and pregnant women? Are hospitals expected to be trained to calculate MAGI rules?