C-130, Medical Programs

Body

C–131 Income Limits

Revision 13-3; Effective July 1, 2013

C–131.1 Federal Poverty Level (FPL)

Revision 26-2; Effective April 1, 2026

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
March 1, 2026
TP 44, 34, TA 76
144% FPL
March 1, 2026
TP 48, 33, TA 75
198% FPL
March 1, 2026
TP 40, 42, 43, 36, 35, TA 74
1$1,769$1,916$2,634
2$2,399$2,597$3,571
3$3,028$3,279$4,508
4$3,658$3,960$5,445
5$4,288$4,642$6,383
6$4,917$5,324$7,320
7$5,547$6,005$8,257
8$6,176$6,687$9,194
9$6,806$7,368$10,131
10$7,435 $8,050$11,069
11$8,065$8,732$12,006
12$8,694$9,413$12,943
13$9,324$10,095$13,880
14$9,953$10,776$14,817
15$10,583$11,458$15,755
For each additional person$630$682$938

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 Size201% FPL
March 1, 2026
TA 84
202% FPL
March 1, 2026
TA 85
204.2% FPL
March 1, 2026
TA 41
400% FPL
March 1, 2026
TA 77
413% FPL
March 1, 2026
TP 70
1$2,674$2,687$2,716$5,320$5,493
2$3,625$3,643$3,683$7,214$7,448
3$4,577$4,599$4,649$9,107$9,403
4$5,528$5,555$5,616$11,000$11,358
5$6,479$6,512$6,583$12,894$13,313
6$7,431$7,468$7,549$14,787$15,268
7$8,382$8,424$8,516$16,680$17,223
8$9,334$9,380$9,482$18,574$19,177
9$10,285$10,336$10,449$20,467$21,132
10$11,236$11,292$11,415$22,360$23,087
11$12,188$12,248$12,382$24,254$25,042
12$13,139$13,205$13,348$26,147$26,997
13$14,091$14,161$14,315$28,040$28,952
14$15,042$15,117$15,281$29,934$30,907
15$15,993$16,073$16,248$31,827$32,862
For each additional person$952$957$967$1,894$1,955

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 26-2; Effective April 1, 2026

TP 07

Family Size185% FPL
March 1, 2026
TP 07
1$2,461
2$3,337
3$4,212
4$5,088
5$5,964
6$6,839
7$7,715
8$8,591
9$9,466
10$10,342
11$11,218
12$12,093
13$12,969
14$13,845
15$14,720
For each additional person$876



C–131.4 Standard MAGI Income Disregard

Revision 26-2; Effective April. 1, 2026

Five Percentage Points of FPL

Family Size2026 Monthly
Disregard Amount
1$66.50
2$90.20
3$113.85
4$137.50
5$161.20
6$184.85
7$208.50
8$232.20
9$255.85
10$279.50
11$303.20
12$326.85
13$350.50
14$374.20
15$397.85
For each additional person$23.70



C–131.5 IRS Monthly Income Thresholds

Revision 26-2; Effective April 1, 2026

Each year, the Internal Revenue Service (IRS) establishes income thresholds for earned and unearned income. People whose earned, unearned or combined income exceeds the federal income tax filing threshold must file a federal income tax return under federal law. Use the IRS monthly income thresholds to determine if a person’s income must be counted when calculating Modified Adjusted Gross Income (MAGI) financial eligibility. This is explained under Medical Programs, Step 3, in A-1341, Income Limits and Eligibility Tests.

Determine if a person must file a federal income tax return by comparing the specified income types to the IRS thresholds in the following table.

Type of Income2026 ThresholdApply Threshold Value in Form H1042,
Modified Adjusted Gross Income (MAGI)
Worksheet: Medicaid and CHIP
Unearned Income$112.50
  • Page 4-6, Step 3, Part 7
  • Page 4-6, Step 3, Part 9
Earned Income$1,312.50Page 4-6, Step 3, Part 8