Lessons from CA: HCBS Payments to Caregivers and MAGI

Executive Summary

This month’s Lessons from California highlights an important state policy change to the treatment of payments received by in-home, individual care providers under the state’s In-Home Supportive Services (IHSS) program. Wages received by IHSS caregivers who live with the recipient of those services will not be included in the caregiver’s gross income, affecting their eligibility for Medicaid and Premium Tax Credits under Modified Adjusted Gross Income methodologies. Learn what your state may need to do to get a similar result.

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