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 Size | 133% 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 Size | 201% 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 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 25-2; Effective April 1, 2025
TP 07
Family Size | 185% 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 Size | 2025 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 |
|
Earned Income | $1,216.67 |
|