Medi-Cal Update 2024-3 Reasonably Projected Annual Income

Reasonably Projected Annual Income 

Date	References	Clerical	Implementation
07/10/24	ACWDL 21-04	N/A	Immediately

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Background

The Affordable Care Act (ACA) allowed states to elect three different budget periods to allow greater flexibility in how income can be counted to determine MAGI MC eligibility. CA elected to use all three budget period methodologies as follows: 

• Current Monthly Income (CMI),
• Reasonably Projected Annual Income (RPAI), and
• Projected Annual Income (PAI).

Changes

Two new Topics: Budget Periods and Reasonably Projected Annual Income have been added to Chapter 13 of the Medi-Cal Handbook with additional details on applying RPAI budgeting.

Documentation

When RPAI is used as a budget period, clear documentation should be included in the case Journal page detailing how the RPAI budget was utilized.

Data Systems

PAI and RPAI are merged into one budget period due to the current system functionality in CalHEERS. 

Other Programs

This change only affects the Medi-Cal Program. 

 

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Department of Employment & Benefits Services

Contact Person(s): Megan Turney, SSA BPIS