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

2,167

2

2,930

3

3,692

4

4,455

5

5,217

6

5,980

7

6,742

8

7,505

9

8,268

10

9,031

Each additional person

763

 

 

 

 

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

4,405

3

5,552

4

6,699

5

7,845

6

8,992

7

10,139

8

11,285

9

12,432

10

   13,579

Each additional person

1,147

 

 

 

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

4,956

3

6,246

4

7,536

5

8,826

6

10,116

7

11,406

8

12,696

9

13,986

10

   15,276

Each additional person

1,290

 

 

 

 

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

2,884

2

3,899

3

4,914

4

5,929

5

6,943

6

7,958

7

8,973

8

9,988

9

11,003

10

12,018

Each additional person

1,015

 

 

 

 

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

3,308

2

4,472

3

5,635

4

6,799

5

7,963

6

9,127

7

10,291

8

11,455

9

12,619

10

   13,783

Each additional person

1,164

 

 

 

 

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

82

2

111

3

139

4

168

5

197

6

225

7

254

8

283

9

312

10

341

Each additional person

29

 

 

Previous Section

 

Next Section

 

 

MC #27 (04/25)