C-130, Medical Programs

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

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

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

C–131.3 Transitional Medicaid

Revision 25-2; Effective April 1, 2025

TP 07

C–131.4 Standard MAGI Income Disregard

Revision 25-2; Effective April. 1, 2025

Five Percentage Points of FPL

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.