1 Relationships of CHIP Household Members
A An applicant must declare the relationship between household members. The relationship of household members is a factor used in eligibility decisions.
B Relationships applicable to medical assistance eligibility include:
o Parent to child.
o Spouse to spouse (legally married, not divorced).
o Sibling to sibling (including biological, adoptive and step-siblings).
C As CHIP uses MAGI-based methodology, an unrelated person in a household may factor into the eligibility determination (215-3).
D To determine the MAGI household, see 230-2 and 230-3.
2 Establishing Relationships of Household Members
A Accept the client's statement about the relationships of their household members. They may be living with the client or temporarily absent. If the agency has conflicting information, request other verification.
B If a couple claims they have a common-law marriage, accept the client's statement, unless the agency has conflicting information.
C If the agency has conflicting information, request verification of relationship. In some cases, a combination of documents may be required (Table VI).