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MIBW Coding Worksheet for KIDS Subtype, Pregnant Woman and Baby – Effective 03/01/14
Case Name_______________ Case Number ______________ Month _________
Print and fill this sheet out for each child in the HH under age 19, Baby or Pregnant Woman
PAY ATTENTION: You must know all the following factors in order to correctly assign the SUBTYPE for KIDS, Baby or Pregnant Woman Category on the MIBW:
AGE of client: __________
INSURANCE: YES _____ or NO _____
MAGI HH SIZE ________ (Make sure all people listed on the RESULTS page of the EXCEL Manual Budget are REGISTERED to the EIS CASE – coded IN or OU as appropriate on the SEPA screen and given the appropriate BUDGET coding on the MIBW)
MAGI HH countable income __________________
Once you know all the factors above compare the countable income for the HH size to the chart below to determine the correct SUBTYPE to enter on the MIBW.
On this chart: Check the income for the HH size in one of the 4 color coded KIDS columns
[pic]
On this chart: Find the age of the child on the left, look for the insurance indicator,
use the subtype in the middle of the chart for the age, insurance and income factors
[pic]
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