C-130, Medical Programs | Texas Health and Human Services

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C—131 Income Limits

Revision 13-3; Effective July 1, 2013

C—131.1 Federal Poverty Level (FPL)

Revision 23-2; Effective April 1, 2023

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 (3-1-23) TP 44, 34, TA 76	144% FPL (3-1-23) TP 48, 33, TA 75	198% FPL (3-1-23) TP 40, 42, 43, 36, 35, TA 74
1	$1,616	$1,750	$2,406
2	$2,186	$2,367	$3,254
3	$2,756	$2,984	$4,102
4	$3,325	$3,600	$4,950
5	$3,895	$4,217	$5,799
6	$4,465	$4,834	$6,647
7	$5,035	$5,451	$7,495
8	$5,604	$6,068	$8,343
9	$6,174	$6,684	$9,191
10	$6,744	$7,301	$10,039
11	$7,313	$7,918	$10,887
12	$7,883	$8,535	$11,735
13	$8,453	$9,152	$12,583
14	$9,022	$9,768	$13,431
15	$9,592	$10,385	$14,280
For each additional person	$570	$617	$849

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 (3-1-23) TA 84	202% FPL (3-1-23) TA 85	204.2% FPL (3-1-23) TA 41	400% FPL (3-1-23) TA 77	413% FPL (3-1-23) TP 70
1	$2,443	$2,455	$2,482	$4,860	$5,018
2	$3,304	$3,320	$3,356	$6,574	$6,787
3	$4,165	$4,185	$4,231	$8,287	$8,556
4	$5,025	$5,050	$5,105	$10,000	$10,325
5	$5,886	$5,916	$5,980	$11,714	$12,095
6	$6,747	$6,781	$6,855	$13,427	$13,864
7	$7,608	$7,646	$7,729	$15,140	$15,633
8	$8,469	$8,511	$8,604	$16,854	$17,402
9	$9,330	$9,377	$9,479	$18,567	$19,171
10	$10,191	$10,242	$10,353	$20,280	$20,940
11	$11,052	$11,107	$11,228	$21,994	$22,709
12	$11,913	$11,972	$12,103	$23,707	$24,478
13	$12,774	$12,838	$12,977	$25,420	$26,247
14	$13,635	$13,703	$13,852	$27,134	$28,016
15	$14,496	$14,568	$14,727	$28,847	$29,785
For each additional person	$861	$866	$875	$1,714	$1,770

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 23-2; Effective April 1, 2023

TP 07

Family Size	185% FPL (3-1-23) TP 07
1	$2,248
2	$3,041
3	$3,833
4	$4,625
5	$5,418
6	$6,210
7	$7,003
8	$7,795
9	$8,588
10	$9,380
11	$10,172
12	$10,965
13	$11,757
14	$12,550
15	$13,342
For each additional person	$793

C—131.4 Standard MAGI Income Disregard

Revision 23-2; Effective April 1, 2023

Five Percentage Points of FPL
Family Size	2023 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 23-2; Effective April 1, 2023

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	2023 Threshold	Apply Threshold Value in Form H1042, Modified Adjusted Gross Income (MAGI) Worksheet: Medicaid and CHIP
Unearned Income	$95.83	Page 4-6, Step 3, Part 7 Page 4-6, Step 3, Part 9
Earned Income	$1,079.17	Page 4-6, Step 3, Part 8