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MEPD and TW Bulletin 22-03Date: February 04, 2022To:Eligibility Services Supervisors and StaffProgram ManagersRegional DirectorsRegional AttorneysHearings OfficersFrom: Access and Eligibility Services Program PolicyState Office 2115Subject: 2022 Federal Poverty LevelThe information in this bulletin will be included in a future handbook revision. Untilthe handbook is updated, staff must use the information in this bulletin. If you haveany questions regarding the policy information in this bulletin, follow regionalprocedures.Active bulletins are posted on the following websites: Medicaid for the Elderly and People with Disabilities Handbook (MEPDH) /mepd/policy-bulletins;Texas Works Handbook (TWH) at as-works-handbook/texas-works-bulletins.
MEPD and TW Bulletin 22-03Page 22022 Federal Poverty LevelBackgroundThe United States Department of Health and Human Services (HHS) updates thefederal poverty level (FPL) annually. Texas Health and Human Services Commission(HHSC) uses the FPL to annually adjust amounts used for eligibility determinationsfor certain Medicaid programs and the Children's Health Insurance Program (CHIP).HHSC converts the FPL to a monthly income amount used to determine theapplicable FPL for each program and the Standard Modified Adjusted Gross Income(MAGI) disregard amounts.Policy UpdateMEPDMedicare Savings Programs (MSP)2022 Income Limits and Deeming Amounts Qualified Medicare Beneficiaries (QMB) – 100 percent FPLo Individual: 1,133o Couple: 1,526o Deeming amount: 393Specified Low-Income Medicare Beneficiaries (SLMB) – 120 percent FPLo Individual: 1,359o Couple: 1,831o Deeming amount: 472Qualifying Individuals (QI-1) – 135 percent FPLo Individual: 1,529o Couple: 2,060o Deeming amount: 531Qualified Disabled Working Individuals (QDWI) – 200 percent FPLo Individual: 2,265o Couple: 3,052o Deeming amount: 787Medicaid Buy-in (MBI) Program The MBI income limit is 250 percent FPL for a person. The 2022 amount is 2,832.Use the new 2022 FPL amounts listed below when calculating MBI premiumpayments:
MEPD and TW Bulletin 22-03Page 32022 FPL Amounts for MBI150% of FPL 1,699185% of FPL 2,096200% of FPL 2,265250% of FPL 2,832Medicaid Buy-In for Children (MBIC) The MBIC income limit is 150 percent FPL based on family size.The 2022 amounts are listed below:2022 FPL Amounts for MBICFamily Size12345678 150% FPL 1,699 2,289 2,879 3,469 4,059 4,649 5,239 5,829The 2022 ineligible sibling exclusion amount is ( 1,699 x 2) 85 3,483.Use the new 2022 FPL amounts listed below when calculating MBIC premiumpayments:2022 FPL Amounts for MBICFamilySize150% FPL200% FPL300% FPL1 1,699 2,265 3,3982 2,289 3,052 4,5783 2,879 3,839 5,7584 3,469 4,625 6,9385 4,059 5,412 8,1186 4,649 6,199 9,2987 5,239 6,985 10,4788 5,829 7,772 11,658
MEPD and TW Bulletin 22-03Page 4Texas Works2022 FPL Amounts by Type of Assistance (TP and TA)2022 FPL Amounts by TP and TAFamily Size123456789101112131415For eachadditionalperson133%FPL (3-122)TP 44,34, TA76 1,510 2,034 2,559 3,083 3,607 4,132 4,656 5,180 5,705 6,229 6,753 7,278 7,802 8,326 8,851 525144% FPL(3-1-22)TP 48,33, TA75185% FPL(3-1-22)TP 07 1,631 2,198 2,764 3,330 3,897 4,463 5,030 5,596 6,162 6,729 7,295 7,862 8,428 8,994 9,561 567 2,096 2,823 3,551 4,279 5,006 5,734 6,462 7,189 7,917 8,645 9,372 10,100 10,828 11,555 12,283 728198% FPL(3-1-22)TP 40,42, 43,36, 35,TA 74 2,243 3,022 3,800 4,579 5,358 6,137 6,916 7,694 8,473 9,252 10,031 10,810 11,588 12,367 13,146 779
MEPD and TW Bulletin 22-03Page 52022 FPL Amounts by TP and TACont.Family Size201%FPL(3-1-22)TA 84202%FPL(3-1-22)TA 85204.2%FPL(3-1-22)TA 41400%FPL(3-1-22)TA 77413%FPL(3-1-22)TP 701 2,277 2,288 2,313 4,530 4,6782 3,067 3,083 3,116 6,104 6,3023 3,858 3,877 3,919 7,677 7,9274 4,649 4,672 4,723 9,250 9,5515 5,439 5,466 5,526 10,824 11,1766 6,230 6,261 6,329 12,397 12,8007 7,020 7,055 7,132 13,970 14,4258 7,811 7,850 7,935 15,544 16,0499 8,602 8,644 8,739 17,117 17,67310 9,392 9,439 9,542 18,690 19,29811 10,183 10,233 10,345 20,264 20,92212 10,973 11,028 11,148 21,837 22,54713 11,764 11,823 11,951 23,410 24,17114 12,555 12,617 12,754 24,984 25,79615 13,345 13,412 13,558 26,557 27,420For eachadditionalperson 791 1,574 1,625 795 804
MEPD and TW Bulletin 22-03Page 6Standard MAGI Income Disregard2022 Five Percentage Points of FPLFamily Size123456789101112131415For each additionalperson2022 MonthlyDisregard Amount 56.65 76.30 96.00 115.65 135.30 155.00 174.65 194.30 214.00 233.65 253.30 273.00 292.65 312.30 332.00 19.70
MEPD and TW Bulletin 22-03Page 72022 IRS Monthly Income ThresholdsThe IRS monthly income thresholds are used to determine if a person’s incomemust be counted when calculating MAGI financial eligibility, as explained in TWHA- 1341, Income Limits and Eligibility Tests, Medical Programs, Step 3. To determine whether a person is required to file a federal income tax return,compare the specified income types to the IRS thresholds in the followingtable:2022 IRS Monthly Income ThresholdsType ofIncome2022ThresholdUnearnedIncome 91.67EarnedIncome 1,045.83Apply Threshold Value in FormH1042, Modified Adjusted GrossIncome (MAGI)Worksheet: Medicaid and CHIP Pages 4-6, Step 3, Part 7 Pages 4-6, Step 3, Part 9 Pages 4-6, Step 3, Part 8Process ChangesProcessing Case ActionsWhen processing a case action on or after February 7, 2022, use the following chartto determine when the new FPL and IRS Monthly Income Threshold amounts will beused:Processing Case ActionsIf providing coverage for use the March 2021 through February 2022 2021 income limits and thresholdamountsMarch 2022 through February 2023 updated 2022 income limits andthreshold amountsIf providing coverage for months in both time periods, the 2021 income limitsand threshold amounts are used for months before March 2022 and the 2022income limits and threshold amounts are used for March 2022 and later.
MEPD and TW Bulletin 22-03Page 8Processing Form H1146, Medicaid Report, for Transitional Medicaid CasesWhen processing a Form H1146 for Transitional Medicaid (TP 07) EDGs, use thefollowing chart to determine when the updated 2022 income limits will be used.Processing Form H1146If Form H1146 is due use the February 2022 or earlier2021 income limitsMarch 2022 or laterupdated 2022 income limitsAutomationChanges to the Texas Integrated Eligibility Redesign System (TIERS) are currentlyscheduled to be implemented with TIERS Release 111.1.1.0 on February 5, 2022.For MEPD programs, TIERS: uses the 2022 FPL amounts for coverage effective March 1, 2022, and later;andre-budgets all active MSP and MBIC cases using the 2022 FPL amounts.For Texas Works programs, TIERS: uses the 2022 FPL amounts for coverage effective March 1, 2022 and later;anduses the 2022 IRS Monthly Income Thresholds for coverage effective March1, 2022 and later when calculating MAGI eligibility.CorrespondenceCorrespondence changes are not required.HandbookThe TWH is currently scheduled to be updated in the April 2022 revision.The MEPDH is currently scheduled to be updated in the June 2022 revision.TrainingTraining is not required.Effective DateThis policy is effective March 1, 2022.
MEPD and TW Bulletin 22-03 . Date: February 04, 2022. To: Eligibility Services Supervisors and Staff . Program Managers . Regional Directors . . MEPD and TW Bulletin 22-03 Page 4 . Texas Works . 2022 FPL Amounts by Type of Assistance (TP and TA) 2022 FPL Amounts by TP and TA . Family Size 133% FPL (3-1- 22) TP 44, 34, TA . 76
