Modified Adjusted Gross Income (MAGI) - Children's Health Insurance Programs (CHIP) (N13/N33)

Created on: 
Jul 12 2017

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Who is eligible to receive N13 (MAGI - CHIP Federal) and N33 (MAGI - CHIP State) medical?

Children under the age of 19 may be eligible for N13 or N33 medical when they meet the requirements described in Apple Health eligibility manual – WAC 182-505-0210 Washington apple health - Eligibility for children.

For income standards, see Apple Health eligibility manual - WAC 182-505-0100 Washington apple health - Monthly income standards based on the federal poverty level (FPL).

Can a client receive N13 (MAGI - CHIP Federal) or N33 (MAGI -  CHIP State) medical coverage while incarcerated?

When a client is active or approved under some medical coverage groups while incarcerated, they can still be eligible to receive medical assistance in a suspended status. For more information, see Suspended Medical – State Bill (SB 6430).

How long is the N13 (MAGI - CHIP Federal) and N33 (MAGI - CHIP State) certification period?

The certification period for N13/N33 medical is 12 months. When the child turns 19, the certification period ends even if the 12 month period is not over.

The certification may extend beyond the end of the month of the child’s 19th birthday when certain conditions exist. For more information, see Apple Health eligibility manual - WAC 182-504-0015 Washington apple health - Certification periods for categorically needy programs.

What are the premium requirements for N13 (MAGI - CHIP Federal) and N33 (MAGI - CHIP State) medical?

Children receiving N13 or N33 medical are required to pay premiums and enroll in managed care. For more information, see Premiums and Apple Health eligibility manual - WAC 182-505-0225 Premium requirements for premium-based health care coverage under programs included in apple health for kids.

 

See ACES Screens and Online Pages for an example of pages or screens used in this chapter.