WAC 182-506-0012 Determining a person's medical assistance unit.

WAC 182-506-0012 Determining a person's medical assistance unit.

​Effective April 3, 2016

This section applies to people whose financial eligibility for Washington apple health coverage is based on modified adjusted gross income
methodology.

1. Determining a tax filer's medical assistance unit (MAU).
   1. A tax filer is a person who:
      1. Expects to file a federal income tax return; and
      2. Does not expect to be claimed as a tax dependent on a federal income tax return.
   2. If the applicant or recipient is a tax filer, the following people constitute the applicant's or recipient's MAU:
      1. The tax filer;
      2. The tax filer's spouse, if residing with the tax filer; and
      3. Everyone the tax filer expects to claim as a tax dependent.
2. Determining a tax dependent's MAU.
   1. A tax dependent is a person who expects to be claimed as a tax dependent on a tax filer's federal income tax return.
   2. If the applicant or recipient is a tax dependent:
      1. The following people constitute the tax dependent's MAU unless the tax dependent meets one of the exceptions in (b)(ii) of this
         subsection:
         1. The tax dependent;
         2. The tax dependent's spouse, if living with the tax dependent;
         3. The tax filer who claims the tax dependent;
         4. The spouse of the tax filer who claims the tax dependent, if living with the tax filer; and
         5. All tax dependents claimed by the tax filer.
      2. A tax dependent who meets one of the exceptions below is treated as a nonfiler under subsection (3) of this section:
         1. A tax dependent who is neither the spouse nor the child of the tax filer;
         2. A child under age nineteen who resides with both parents and
            those parents do not file a joint tax return; or
         3. The tax dependent expects to be claimed by a noncustodial parent.
3. Determining a nonfiler's MAU.
   1. A nonfiler is a person who does not expect to file a federal income tax return and either:
      1. Does not expect to be claimed as a dependent; or
      2. Meets one of the exceptions listed in subsection (2)(b)(ii) of this section.
   2. If the applicant or recipient is a nonfiler, the nonfiler and the following people constitute the applicant's or recipient's MAU,
      but only if residing with the nonfiler:
      1. The nonfiler's spouse;
      2. The nonfiler's children under age nineteen; and
      3. If the nonfiler is under age nineteen, the nonfiler's parents and the nonfiler's siblings under age nineteen.