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Affordable Care Act (ACA) Impacts <br />Changes to Most Eligibility Rules <br />Affects approximately 60% <br />January 1, 2014 <br />of Medicaid cases effective <br />Intended to ultimately simplify eligibility determination <br />Utilizes a new eligibility rule set based on income tax <br />modified adjusted gross income (MAGI); a significant <br />change from prior Medicaid rule set <br />County workers have to collect new /different data from <br />clients <br />Medicaid clients (both existing and new) have to provide <br />different information to become /remain on Medicaid that <br />they have not had to provide before <br />Attachment number 2 <br />G -2 <br />Page 120 <br />