C—131 Income Limits

Revision 13-3; Effective July 1, 2013

 

C—131.1 Federal Poverty Level (FPL)

Revision 24-2; Effective April 1, 2024

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
(3-1-24)
TP 44, 34, TA 76
144% FPL
(3-1-24)
TP 48, 33, TA 75
198% FPL
(3-1-24)
TP 40, 42, 43, 36, 35, TA 74
1$1,670$1,808$2,485
2$2,266$2,453$3,373
3$2,862$3,099$4,261
4$3,458$3,744$5,148
5$4,055$4,390$6,036
6$4,651$5,036$6,924
7$5,247$5,681$7,812
8$5,844$6,327$8,699
9$6,440$6,972$9,587
10$7,036$7,618$10,475
11$7,632$8,264$11,362
12$8,229$8,909$12,250
13$8,825$9,555$13,137
14$9,421$10,200$14,025
15$10,018$10,846$14,913
For each additional person$597$646$888

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 Size201% FPL
(3-1-24)
TA 84
202% FPL
(3-1-24)
TA 85
204.2% FPL
(3-1-24)
TA 41
400% FPL
(3-1-24)
TA 77
413% FPL
(3-1-24)
TP 70
1$2,523$2,536$2,563$5,020$5,184
2$3,424$3,441$3,479$6,814$7,035
3$4,325$4,347$4,394$8,607$8,887
4$5,226$5,252$5,310$10,400$10,738
5$6,128$6,158$6,225$12,194$12,590
6$7,029$7,064$7,141$13,987$14,442
7$7,930$7,969$8,056$15,780$16,293
8$8,831$8,875$8,972$17,574$18,145
9$9,732$9,781$9,887$19,367$19,997
10$10,633$10,686$10,803$21,160$21,848
11$11,534$11,592$11,718$22,954$23,700
12$12,436$12,498$12,634$24,747$25,551
13$13,337$13,403$13,549$26,540$27,403
14$14,238$14,309$14,465$28,334$29,255
15$15,139$15,215$15,380$30,127$31,106
For each additional person$902$906$916$1,794$1,852

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 24-2; Effective April 1, 2024

TP 07

Family Size185% FPL
(3-1-23)
TP 07
1$2,322
2$3,152
3$3,981
4$4,810
5$5,640
6$6,469
7$7,299
8$8,128
9$8,958
10$9,787
11$10,616
12$11,446
13$12,275
14$13,105
15$13,934
For each additional person$830

C—131.4 Standard MAGI Income Disregard

Revision 23-2; Effective April 1, 2023

Five Percentage Points of FPL
Family Size2023 Monthly
Disregard Amount

1

$60.75

2

$82.15

3

$103.60

4

$125.00

5

$146.45

6

$167.85

7

$189.25

8

$210.70

9

$232.10

10

$253.50

11

$274.95

12

$296.35

13

$317.75

14

$339.20

15

$360.60

For each additional person

$21.45

C—131.5 IRS Monthly Income Thresholds

Revision 24-2; Effective April 1, 2024

Each year, the Internal Revenue Service (IRS) establishes income thresholds for earned and unearned income. The IRS expects people whose income, earned, unearned, or a combination, exceeds the federal income tax filing threshold, 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.

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
2024
Threshold
Apply Threshold Value in Form H1042,
Modified Adjusted Gross Income (MAGI)
Worksheet: Medicaid and CHIP
Unearned Income$104.17
  • Page 4-6, Step 3, Part 7
  • Page 4-6, Step 3, Part 9
Earned Income$1,154.17
  • Page 4-6, Step 3, Part 8