Analysis of Federal Eligibility and Enrollment Requirements

Medicaid MAGI, CHIP, Non-MAGI, TANF, SNAP and Child Care Assistance Program

The following chart, produced with support from the State Health Reform Assistance Network (an RWJF national program) summarizes the federal statutory and regulatory eligibility and enrollment requirements for Medicaid using the Modified Adjusted Gross Income (MAGI) methodology, CHIP, Non-MAGI Medicaid, Temporary Assistance for Needy Families (TANF), Child Care Assistance Program and Supplemental Nutrition Assistance Program (SNAP). This analysis highlights points of alignment and meaningful differences across all six programs.

Many states are considering the legal, technical, and operational implications of integrating their eligibility determinations for Medicaid and CHIP under MAGI with eligibility determinations for other means tested programs such as TANF, child care, SNAP and Non-MAGI Medicaid. Despite the many shared eligibility requirements across the six programs there are a number of requirements that are distinct to one or several of the programs that create a barrier to full alignment. Ultimately, development of a multi-benefit application offers states the opportunity to evaluate, streamline and simplify eligibility and enrollment rules for its public benefit programs.