Addendum 1

MAGIModified Adjusted Gross IncomeModified Adjusted Gross Income Medicaid Income Standards

 

 

 

Parents and Caretaker Relatives and Under 21 - COLACost of Living Allowance based

*These income standards are updated each year on January 1st

(if there is a Social Security Cost of Living Adjustment)

 

Household Size

Monthly Income Limit

1

1,808

2

2,814

3

3,364

4

3,912

5

4,459

6

5,008

7

5,555

8

6,102

9

6,654

10

7,201

Each additional person

517

 

 

 

 

Expansion Group - 133% of the Federal Poverty Level

*These income standards are updated each year on April 1st

 

Household Size

Monthly Income Limit

1

2,085

2

2,831

3

3,577

4

4,323

5

5,069

6

5,815

7

6,561

8

7,307

9

8,053

10

8,799

Each additional person

746

 

 

 

 

Pregnant Women - 200% of the Federal Poverty Level

*These income standards are updated each year on April 1st

 

Household Size

Monthly Income Limit

1

n/a

2

4,257

3

5,379

4

6,500

5

7,622

6

8,744

7

9,865

8

10,987

9

12,109

10

   13,231

Each additional person

1,122

 

 

 

Pregnant Women - 225% of the Federal Poverty Level

*These income standards are updated each year on April 1st

 

Household Size

Monthly Income Limit

1

n/a

2

4,789

3

6,051

4

7,313

5

8,575

6

9,837

7

11,099

8

12,360

9

13,622

10

   14,884

Each additional person

1,262

 

 

 

 

Children Under Age 19 With Insurance - 177% of the Federal Poverty Level

*These income standards are updated each year on April 1st

 

Household Size

Monthly Income Limit

1

2,775

2

3,768

3

4,760

4

5,753

5

6,746

6

7,738

7

8,731

8

9,724

9

10,717

10

11,710

Each additional person

993

 

 

 

 

Children Under Age 19 Without Insurance - 203% of the Federal Poverty Level

*These income standards are updated each year on April 1st

 

Household Size

Monthly Income Limit

1

3,183

2

4,321

3

5,460

4

6,598

5

7,736

6

8,875

7

10,013

8

11,152

9

12,291

10

   13,430

Each additional person

1,139

 

 

 

 

MAGIModified Adjusted Gross Income Modified Adjusted Gross IncomeIncome Disregards - 5% of the Federal Poverty Level

*These income disregards are updated each year on April 1st

 

Household Size

Disregard

1

79

2

107

3

135

4

163

5

191

6

219

7

247

8

275

9

304

10

333

Each additional person

29

 

 

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