This article is a section taken from MinnesotaCare Financial Eligibility a part of the revisions and additions to the Minnesota Health Care Program Eligibility Policy Manual.

MinnesotaCare Income Methodology

Income eligibility for MinnesotaCare is based on projected annual income (PAI). PAI is the Modified Adjusted Gross Income (MAGI) that a person expects to have for a calendar year. PAI includes the MAGI a person has already received for the year as well as the MAGI the person expects to receive for the remaining months of the year. PAI also includes temporary income the person receives or expects to receive within the entire calendar year. When a person is requesting coverage for a future calendar year, PAI consists of the MAGI a person expects to receive for that future year.

An applicant or enrollee may attest to a PAI that is different from his or her current income. When a person reports a change in PAI, current income and adjustments may also change There may be inconsistent information when the PAI a person reports conflicts with other information or documentation provided by the person or in the case file.

MAGI includes:

  • The types of income included in Federal taxable income, minus Federal income tax adjustments
  • Nontaxable foreign earned income and housing cost of citizens or residents of the United States living abroad
  • Nontaxable interest income
  • Nontaxable Social Security and tier one railroad retirement benefits

Federal Taxable Income

Federal taxable income is the different types of income that appear in the Income section of the Internal Revenue Service (IRS) form 1040, IRS form 1040-A or IRS form 1040-EZ. Only the taxable portions of these types of income are included in the adjusted gross income. See the appropriate IRS form instructions for examples of federal taxable income. The general types of taxable income include the following:

  • Wages, salary and tips
    • Payroll or pre-tax deductions for childcare, health insurance, retirement plans, transportation assistance, and other employee benefits are not taxable and are not included in a person’s adjusted gross income.
  • Interest
  • Dividends
  • Taxable refunds, credits or offsets of state and local income taxes
  • Alimony received
  • Business income
  • Capital gains
  • Other gains
  • Individual retirement account (IRA) distributions
  • Pension and annuity payments
  • Income from rental real estate, royalties, partnerships, S corporations, trusts, etc.
  • Farm income
  • Unemployment compensation
  • Social Security benefits
  • Other income

Federal Income Tax Adjustments

The types of adjustments that appear in the Adjusted Gross Income section of the 1040 or 1040-A are subtracted from gross income to calculate the adjusted gross income. Only specific types of adjustments are allowed. See the appropriate IRS form instructions for specific information about the types of adjustments.

The types of tax adjustments include:

  • Educator expenses
  • Certain business expenses of reservists, performing artists and fee-basis government officials
  • Health savings account
  • Moving expenses
  • Deductible portion of self-employment tax
  • Self-employed Simplified Employee Pension (SEP), Savings Incentive Match Plan for Employees (SIMPLE) and qualified plans
  • Self-employed health insurance
  • Penalty on early withdrawal of savings
  • Alimony paid (spousal support)
  • IRA deduction
  • Student loan interest
  • Tuition and fees
  • Domestic production activities

Legal Citations

Code of Federal Regulations, title 26, section 1.36B-1
Code of Federal Regulations, title 42, section 600.5
Code of Federal Regulations, title 42, section 600.330(b)
Minnesota Statutes, section 256L.01

CREDIT: The content of this post has been copied or adopted from the Minnesota Healthcare Programs Eligibility Policy Manual, originally published by the Minnesota Department of Human Services.

This is also part of a series of posts on Minnesota Healthcare Eligibility Policies.