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Update Medicaid income limits for 2023 #4563

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Fixes #4521

@vrathi101 vrathi101 marked this pull request as draft May 26, 2024 18:36
@vrathi101 vrathi101 self-assigned this May 26, 2024
@@ -21,6 +21,7 @@ CA:
2021-01-01: 2.13
CO:
2021-01-01: 2.00
2023-01-01: 1.95
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Could you check the original Colorado source? I suspect KFF may have misinterpreted whether some states include the 5% disregard, given how many have changes of 0.05 here.

See note 1 from the 2022 report:

January 2022 income limits reflect Modified Adjusted Gross Income (MAGI)-converted income
standards and include a disregard equal to five percentage points of the federal poverty level (FPL).

And this note from the 2023 table:

January 2023 income limits reflect Modified Adjusted Gross Income (MAGI)-converted income standards and include a disregard equal to five percentage points of the federal poverty level (FPL).

See also #4564 (doesn't need to be fixed in this PR)

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@vrathi101 vrathi101 May 27, 2024

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Could you check the original Colorado source? I suspect KFF may have misinterpreted whether some states include the 5% disregard, given how many have changes of 0.05 here.

According to https://hcpf.colorado.gov/sites/hcpf/files/April%202024%20Medicaid%20Income%20Chart.pdf, it is actually 195% for pregnant women. But would this still be 200% then?
For Kentucky here https://www.chfs.ky.gov/agencies/dcbs/dfs/Documents/OMVOLIVB.pdf#page=11 they distinguish between FPL vs. FPL with 5%.

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Yes, I think 195% is the MAGI limit, where MAGI includes the 5% disregard as specified in https://www.law.cornell.edu/uscode/text/42/1396a#e_14_I_i. The Colorado regs also indicate this.

As an example, C.R.S. 25.5-8-103 defines the income limit for pregnant women with children at 260%, which would be 265% after the disregard. I couldn't immediately find the statutory backing for 195% for pregnant women without children. Ideally we'd cite the legal code for all such numbers rather than the KFF source, but for now let's just double-check the ones KFF thinks changed by 5%.

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@vrathi101 vrathi101 May 27, 2024

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for now let's just double-check the ones KFF thinks changed by 5%.

Ok, double checked it and fixed a few states according to their individual rules which are different from KFF

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CO, NJ, and VA, is that right?

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CO, NJ, and VA, is that right?

Yes

@PavelMakarchuk PavelMakarchuk marked this pull request as ready for review May 31, 2024 12:08
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MaxGhenis commented May 31, 2024

I think PolicyEngine/policyengine-core#214 broke CI here @nikhilwoodruff

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could you try pulling upstream?

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codecov bot commented Aug 29, 2024

Codecov Report

All modified and coverable lines are covered by tests ✅

Project coverage is 99.01%. Comparing base (f57467b) to head (b9406c7).
Report is 54 commits behind head on master.

Additional details and impacted files
@@           Coverage Diff            @@
##           master    #4563    +/-   ##
========================================
  Coverage   99.00%   99.01%            
========================================
  Files        2536     2559    +23     
  Lines       36845    37176   +331     
  Branches      152      158     +6     
========================================
+ Hits        36479    36810   +331     
  Misses        337      337            
  Partials       29       29            

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Could you take a look at the new nc Medicaid pr also to check consistent references and values?

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Update Medicaid income limits for 2023
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