Medicaid/ACA with Variable Income?

I'm thinking about moving to a different state to start a business and have begun researching how insurance would work. I'm expecting that the first year I'd be making a low enough income that I should be below the Medicaid limit, but there is always the slim chance that I run afoul of this rule, as it seems that in this state Medicaid is based on monthly income and ACA is based on annual.

Is my understanding correct that every month I should be reporting my income, and if it ever goes above the monthly Medicaid limit, I would lose Medicaid? I expect the income I receive to be very spiky with little way to predict it, ex:

Month 1: $0

Month 2: $0

Month 3: $1800

Month 4: $900

Month 5: $500

Month 6: $2000

Would having something like the above mean that once I've breached the monthly limit in say Month 3, I have to report the income to Medicaid, get kicked off, not have insurance for the rest of the month, and then can hop back on in Month 4/5? At what point can I get on ACA and just "stay" there?

submitted by /u/Dry-Smile3584
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