TX HHS Form H1042. Modified Adjusted Gross Income (MAGI) Worksheet

The TX HHS Form H1042, Modified Adjusted Gross Income (MAGI) Worksheet, is a tool used to calculate monthly income for individuals applying for Medicaid and CHIP benefits under the MAGI rules. This form should be completed only for individuals in the MAGI household seeking benefits.

This worksheet consists of five steps to guide users through the calculation process. The required information includes earned and unearned income, as well as specific details about Social Security (RSDI) and other relevant insurance sources. The form is designed to help users accurately determine their monthly income for Medicaid and CHIP applications.

The TX HHS Form H1042, Modified Adjusted Gross Income (MAGI) Worksheet, is a crucial tool for individuals applying for Medicaid and CHIP benefits in Texas. By following the five-step process outlined on this form, applicants can ensure accurate calculations of their monthly income, which is essential for determining eligibility for these vital healthcare programs.