C—131 Income Limits
Revision 13-3; Effective July 1, 2013
C—131.1 Federal Poverty Level (FPL)
Revision 22-2; Effective April 1, 2022
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 Size | 133% FPL (3-1-22) TP 44, 34, TA 76 |
144% FPL (3-1-22) TP 48, 33, TA 75 |
198% FPL (3-1-22) TP 40, 42, 43, 36, 35, TA 74 |
---|---|---|---|
1 | $1,510 | $1,631 | $2,243 |
2 | $2,034 | $2,198 | $3,022 |
3 | $2,559 | $2,764 | $3,800 |
4 | $3,083 | $3,330 | $4,579 |
5 | $3,607 | $3,897 | $5,358 |
6 | $4,132 | $4,463 | $6,137 |
7 | $4,656 | $5,030 | $6,916 |
8 | $5,180 | $5,596 | $7,694 |
9 | $5,705 | $6,162 | $8,473 |
10 | $6,229 | $6,729 | $9,252 |
11 | $6,753 | $7,295 | $10,031 |
12 | $7,278 | $7,862 | $10,810 |
13 | $7,802 | $8,428 | $11,588 |
14 | $8,326 | $8,994 | $12,367 |
15 | $8,851 | $9,561 | $13,146 |
For each additional person | $525 | $567 | $779 |
Note: See 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 Size | 201% FPL (3-1-22) TA 84 |
202% FPL (3-1-22) TA 85 |
204.2% FPL (3-20-22) TA 41 |
400% FPL (3-1-22) TA 77 |
413% FPL (3-1-22) TP 70 |
---|---|---|---|---|---|
1 | $2,277 | $2,288 | $2,313 | $4,530 | $4,678 |
2 | $3,067 | $3,083 | $3,116 | $6,104 | $6,302 |
3 | $3,858 | $3,877 | $3,919 | $7,677 | $7,927 |
4 | $4,649 | $4,672 | $4,723 | $9,250 | $9,551 |
5 | $5,439 | $5,466 | $5,526 | $10,824 | $11,176 |
6 | $6,230 | $6,261 | $6,329 | $12,397 | $12,800 |
7 | $7,020 | $7,055 | $7,132 | $13,970 | $14,425 |
8 | $7,811 | $7,850 | $7,935 | $15,544 | $16,049 |
9 | $8,602 | $8,644 | $8,739 | $17,117 | $17,673 |
10 | $9,392 | $9,439 | $9,542 | $18,690 | $19,298 |
11 | $10,183 | $10,233 | $10,345 | $20,264 | $20,922 |
12 | $10,973 | $11,028 | $11,148 | $21,837 | $22,547 |
13 | $11,764 | $11,823 | $11,951 | $23,410 | $24,171 |
14 | $12,555 | $12,617 | $12,754 | $24,984 | $25,796 |
15 | $13,345 | $13,412 | $13,558 | $26,557 | $27,420 |
For each additional person | $791 | $795 | $804 | $1,574 | $1,625 |
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 Size | TP 32 and TP 56 | One Parent | Two Parents | |
1 | $104 | $103 | N/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 22-2; Effective April 1, 2022
TP 07
Family Size | 185% FPL (3-1-22) TP 07 |
---|---|
1 | $2,096 |
2 | $2,823 |
3 | $3,551 |
4 | $4,279 |
5 | $5,006 |
6 | $5,734 |
7 | $6,462 |
8 | $7,189 |
9 | $7,917 |
10 | $8,645 |
11 | $9,372 |
12 | $10,100 |
13 | $10,828 |
14 | $11,555 |
15 | $12,283 |
For each additional person | $728 |
C—131.4 Standard MAGI Income Disregard
Revision 22-2; Effective April 1, 2022
Five Percentage Points of FPL |
|
---|---|
Family Size | 2022 Monthly Disregard Amount |
1 |
$56.65 |
2 |
$76.30 |
3 |
$96.00 |
4 |
$115.65 |
5 |
$135.30 |
6 |
$155.00 |
7 |
$174.65 |
8 |
$194.30 |
9 |
$214.00 |
10 |
$233.65 |
11 |
$253.30 |
12 |
$273.00 |
13 |
$292.65 |
14 |
$312.30 |
15 |
$332.00 |
For each additional person |
$19.70 |
C—131.5 IRS Monthly Income Thresholds
Revision 22-2; Effective April 1, 2022
Each year, the Internal Revenue Service (IRS) establishes income thresholds for earned and unearned income. People whose income (earned, unearned, or a combination) exceeds the federal income tax filing threshold are expected by the IRS to file 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, as explained in A-1341, Income Limits and Eligibility Tests, for Medical Programs, Step 3.
Determining whether a person is required to file a federal income tax return is determined by comparing the specified income types to the IRS thresholds in the following table.
Type of Income |
2022 Threshold |
Apply Threshold Value in Form H1042, Modified Adjusted Gross Income (MAGI) Worksheet: Medicaid and CHIP |
---|---|---|
Unearned Income | $91.67 |
|
Earned Income | $1,045.83 |
|