Medicaid Income Limits

Find income limits for Medicaid programs.

Program Income Limits

Click on the program below to view the income limits. Most programs have additional eligibility requirements such as resource limits, age, or disability status. To find out more about each program, and for instructions on how to apply, click on the link within each program tab below, or visit our Medicaid and Health programs.

Income is only one piece of the eligibility criteria. If you have any questions, think you may be eligible, or are ready to apply, contact us today!

Doctor consulting with patients
Medicaid & Health Programs
For more eligibility information and instructions on how to apply, visit our Medicaid and Health pages.
Adult Medicaid (including Expansion)

Effective March 2020

HOUSEHOLD SIZE INCOME
1 $1,468
2 $1,983
3 $2,498
4 $3,013
5 $3,529
6 $4,044
7 $4,559
8 $5,074
Each additional member $515


The unborn child(ren) of a pregnant adult counts as part of the household size.

For more eligibility information and instructions on how to apply, visit Adult Medicaid.

Pregnancy Coverage

Effective March 2020

HOUSEHOLD SIZE* MONTHLY INCOME
2 $1,983
3 $2,498
4 $3,013
5 $3,529
6 $4,044
7 $4,559
8 $5,074
Each additional member (+)$515

 

The unborn child(ren) of a pregnant adult counts as part of the household size.

For more eligibility information and instructions on how to apply, visit Pregnancy Coverage.

Medicare Savings Program

Effective March 2020

   INCOME  RESOURCES
PROGRAM INDIVIDUAL  COUPLE INDIVIDUAL  COUPLE
Qualified Medicare Beneficiary - QMB
(Income between 0-100% FPL)
$1,083 $1,457 $7,860 $11,800
Specified Low-Income Medicare Beneficiary - SLMB I
(Income between 100-120% FPL)
$1,296 $1,744 $7,860 $11,800
Qualified Individual - QI
(Income between 120-135%
$1,456 $1,960 $7,860   $11,800

 

For more eligibility information and instructions on how to apply, visit Medicare Savings.

Children's Health Insurance Plan (CHIP)

Effective March 2020

HOUSEHOLD SIZE MONTHLY INCOME
2 $2,730
3 $3,439
4 $4,149
5 $4,858
6 $5,567
7 $6,277
8 $6,986
Each additional member + $709

 

Disabled Children: Income and resource guidelines for disability are best explained by staff, so please contact us. 

For more eligibility information and instructions on how to apply, visit CHIP.

Katie Beckett Program

Effective March 2020

Income Limit
INDIVIDUAL COUPLE       
$2,333 N/A

 

 

Resource Limit
INDIVIDUAL COUPLE       
$2,000 N/A
   

 

For more eligibility information and instructions on how to apply, visit Katie Beckett

Home and Community Based Services

Effective January 2020

   INCOME  RESOURCES
PROGRAM INDIVIDUAL  COUPLE INDIVIDUAL  COUPLE
Home and Community Based Services - HCBS $2,369 $4,718 $2,000 $2,000 (ea)**

 

For more eligibility information and instructions on how to apply, visit Home and Community Based Services

Medicaid for Workers with Disabilities

Effective March 2020

   INCOME  RESOURCES
INCOME LEVEL INDIVIDUAL  COUPLE INDIVIDUAL  COUPLE
Between 0-133% $0-1,434
$0 Premium
$0-1,931
$0 Premium
$10,000 $15,000
Between 133-250% $1,434-2,678
$10 Premium
$1,1931-3,613
$10 Premium
$10,000 $15,000
Between 250-500% $2,678-5,334
$10-200 Premium depending on income
$3,613-7,205
$10-270 Premium depending on income
$10,000  $15,000

 

For more eligibility information and instructions on how to apply, visit Medicaid for Workers with Disabilities

Long Term Care (Nursing Home Coverage)

Effective March 2020

   INCOME  RESOURCES
PROGRAM INDIVIDUAL  COUPLE INDIVIDUAL  COUPLE
Long-Term Facility Care $2,369 $4,718 $2,000  $2,000 (ea)**

 

For more eligibility information and instructions on how to apply, visit Nursing Home Coverage

Advance Payment of Premium Tax Credit (APTC)

The application requires you to estimate your taxable income for the upcoming tax year. Most often this amount is considered your Adjusted Gross Income.

Tax Year 2020 Annual Income limits

HOUSEHOLD SIZE MINIMUM INCOME MAXIMUM INCOME
1 $12,490

$49,960

2 $16,910 $67,640
3 $21,330 $85,320
4 $25,750 $103,000
5 $30,170 $120,680
6 $34,590 $138,360
7 $39,010 $156,040
8 $43,430 $173,720
Each additional member $4,420 $17,680

 

Tax Year 2021 Annual Income limits

HOUSEHOLD SIZE MINIMUM INCOME MAXIMUM INCOME
1 $12,760

$51,040

2 $17,240 $68,960
3 $21,720 $86,880
4 $26,200 $104,800
5 $30,680 $122,720
6 $35,160 $140,640
7 $39,640 $158,560
8 $44,120 $176,480
Each additional member $4,480 $17,920

 

For more eligibility information and instructions on how to apply, visit Private Insurance Tax Credit.