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PDFWAC 182-509-0320

MAGI incomeNoncountable income.

For purposes of determining eligibility for modified adjusted gross income (MAGI)–based Washington apple health (see WAC 182-509-0300):
(1) Some types of income are not counted when determining eligibility for MAGI-based apple health. Under the MAGI income methodology described in WAC 182-509-0300, income is not counted if the Internal Revenue Service (IRS) permits it to be excluded or deducted for purposes of determining the tax liability of a person. (See 26 U.S.C. Sections 62(a) and 101-140.)
(2) Examples of income that are not counted include, but are not limited to:
(a) Bona fide loans, except certain student loans as specified under WAC 182-509-0335;
(b) Federal income tax refunds and earned income tax credit payments for up to twelve months from the date received;
(c) Child support payments received by any person included in household size under WAC 182-506-0010;
(d) Nontaxable time loss benefits or other compensation received for sickness or injury, such as benefits from the department of labor and industries (L&I) or a private insurance company;
(e) Title IV-E and state foster care and adoption support maintenance payments;
(f) Veteran's benefits including, but not limited to, disability compensation and pension payments for disabilities paid to the veteran or family members; education, training and subsistence; benefits under a dependent-care assistance program for veterans, housebound allowance and aid and attendance benefits;
(g) Money withheld from a benefit to repay an overpayment from the same income source;
(h) One-time payments issued under the Department of State or Department of Justice reception and replacement programs, such as Voluntary Agency (VOLAG) payments;
(i) Nontaxable income from employment and training programs;
(j) Any portion of income used to repay the cost of obtaining that income source;
(k) Insurance proceeds or other income received as a result of being a Holocaust survivor;
(l) Federal economic stimulus payments that are excluded for federal and federally assisted state programs;
(m) Income from a sponsor given to a sponsored immigrant;
(n) Fringe benefits provided on a pretax basis by an employer, such as transportation benefits or moving expenses;
(o) Employer contributions to certain pretax benefits funded by an employee's elective salary reduction, such as amounts for a flexible spending account;
(p) Distribution of pension payments paid by the employee (such as premiums or contributions) that were previously subject to tax;
(q) Gifts as described in IRS Publication 559: Survivors, Executors, and Administrators;
(r) Cash or noncash inheritances, except that the agency counts income produced by an inheritance;
(s) Death benefits from life insurance and certain benefits paid for deaths that occur in the line of duty; and
(t) Other payments that are excluded from income under state or federal law.
(3) Income received from other agencies or organizations as needs-based assistance is not countable income under this section.
(a) "Needs-based" means eligibility for the program is based on having limited income, or resources, or both. Examples of needs-based assistance are:
(i) Clothing;
(ii) Food;
(iii) Household supplies;
(iv) Medical supplies (nonprescription);
(v) Personal care items;
(vi) Shelter;
(vii) Transportation; and
(viii) Utilities (e.g., lights, cooking fuel, the cost of heating or heating fuel).
(b) Needs-based cash programs include, but are not limited to, the following apple health programs:
(i) Diversion cash assistance (DCA);
(ii) Temporary assistance for needy families (TANF);
(iii) State family assistance (SFA);
(iv) Pregnant women's assistance (PWA);
(v) Refugee cash assistance (RCA);
(vi) Aged, blind, disabled cash assistance (ABD); and
(vii) Supplemental security income (SSI).
[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 20-17-136, § 182-509-0320, filed 8/18/20, effective 9/18/20. Statutory Authority: RCW 41.05.021, Patient Protection and Affordable Care Act (P.L. 111-148), 42 C.F.R. §§ 431, 435, 457, and 45 C.F.R. § 155. WSR 14-01-021, § 182-509-0320, filed 12/9/13, effective 1/9/14.]
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