Question: Let’s say - A household’s current income is at 150% FPL and takes the advanced subsidy through the Exchange. During 2014, the income dips below 138% but they forget to apply for Medi-Cal when this happens. Will they be subject to “clawback” come tax time since they qualified for Medi-Cal but has taken the subsidy instead (in which case the charge back amount can be substantial)?
Answer: There is no reimbursement or “clawback” required in this scenario. Remember it is your responsibility to notify Covered California of changes of income.