C–131 Income Limits

Revision 13-3; Effective July 1, 2013

C–131.1 Federal Poverty Level (FPL)

Revision 25-2; Effective April 1, 2025

TP 33, TP 34, TP 35, TP 36, TP 43, TP 44, TP 48, TP 40, TP 42, TA 74, TA 75 and TA 76

Family Size133% FPL
March 1, 2025
TP 44, 34, TA 76
144% FPL
March 1, 2025
TP 48, 33, TA 75
198% FPL
March 1, 2025
TP 40, 42, 43, 36, 35, TA 74
1$1,735$1,878$2,583
2$2,345$2,538$3,490
3$2,954$3,198$4,398
4$3,564$3,858$5,305
5$4,173$4,518$6,213
6$4,783$5,178$7,120
7$5,393$5,838$8,028
8$6,002$6,498$8,935
9$6,612$7,158$9,843
10$7,221$7,818$10,750
11$7,831$8,478$11,658
12$8,440$9,138$12,565
13$9,050$9,798$13,473
14$9,660$10,458$14,380
15$10,269$11,118$15,288
For each additional person$610$660$908

Note: Refer to C-1114, Guidelines for Providing Retroactive Coverage for Children and Medical Programs, for the income limits.

TA 41, TA 84 (CHIP), TA 85 (CHIP-P), TA 77 and TP 70

Family Size201% FPL
March 1, 2025
TA 84
202% FPL
March 1, 2025
TA 85
204.2% FPL
March 1, 2025
TA 41
400% FPL
March 1, 2025
TA 77
413% FPL
March 1, 2025
TP 70
1$2,622$2,635$2,664$5,217$5,387
2$3,543$3,561$3,600$7,050$7,280
3$4,464$4,487$4,535$8,884$9,173
4$5,386$5,412$5,471$10,717$11,065
5$6,307$6,338$6,407$12,550$12,958
6$7,228$7,264$7,343$14,384$14,851
7$8,149$8,190$8,279$16,217$16,744
8$9,071$9,116$9,215$18,050$18,637
9$9,992$10,042$10,151$19,884$20,530
10$10,913$10,967$11,087$21,717$22,423
11$11,834$11,893$12,023$23,550$24,316
12$12,756$12,819$12,959$25,384$26,209
13$13,677$13,745$13,895$27,217$28,102
14$14,598$14,671$14,831$29,050$29,995
15$15,519$15,597$15,766$30,884$31,888
For each additional person$922$926$936$1,834$1,893

C–131.2 Medically Needy and Parents and Caretaker Relatives Medicaid

Revision 15-4; Effective October 1, 2015

TA 31, TP 08, TP 32, TP 56 and TA 86

--TP 08, TA 31 and TA 86
Family SizeTP 32 and TP 56One ParentTwo Parents
1$104$103N/A
2$216$196$161
3$275$230$251
4$308$277$285
5$357$310$332
6$392$356$367
7$440$389$412
8$475$441$447
9$532$476$500
10$567$527$535
11$624$562$587
12$659$613$622
13$716$648$675
14$751$700$710
15$808$734$762
Per each additional member$57$52$52

C–131.3 Transitional Medicaid

Revision 25-2; Effective April 1, 2025

TP 07

Family Size185% FPL
March 1, 2025
TP 07
1$2,413
2$3,261
3$4,109
4$4,957
5$5,805 
6$6,653 
7$7,501 
8$8,349 
9$9,197 
10$10,044 
11$10,892
12$11,740  
13$12,588 
14$13,436 
15$14,284 
For each additional person$848

C–131.4 Standard MAGI Income Disregard

Revision 25-2; Effective April. 1, 2025

Five Percentage Points of FPL

Family Size2025 Monthly
Disregard Amount
1$65.25 
2$88.15 
3$111.05 
4$134.00 
5$156.90 
6$179.80 
7$202.75 
8$225.65 
9$248.55 
10$271.50 
11$294.40 
12$317.30 
13$340.25 
14$363.15 
15$386.05 
For each additional person$22.95 

C–131.5 IRS Monthly Income Thresholds

Revision 25-2; Effective April 1, 2025

Each year, the Internal Revenue Service (IRS) establishes income thresholds for earned and unearned income. The IRS expects people whose earned, unearned, or a combination of income exceeds the federal income tax filing threshold filed during a federal income tax return under federal law. The IRS monthly income thresholds are used to determine if a person’s income must be counted when calculating Modified Adjusted Gross Income (MAGI) financial eligibility, explained in A-1341, Income Limits and Eligibility Tests, for Medical Programs, Step 3.

Determine if a person is required to file a federal income tax return by comparing the specified income types to the IRS thresholds in the following table.

Type of
Income
2025
Threshold
Apply Threshold Value in Form H1042,
Modified Adjusted Gross Income (MAGI)
Worksheet: Medicaid and CHIP
Unearned Income$108.33
  • Page 4-6, Step 3, Part 7
  • Page 4-6, Step 3, Part 9
Earned Income$1,216.67 
  • Page 4-6, Step 3, Part 8