Income Limits for Medicaid and CHIP Programs

Income Limits for Medicaid and CHIP Programs

Internal Revenue Service (IRS) rules for Modified Adjusted Gross Income (MAGI) are used to determine countable income and, in some instances, household size. Household gross income is then compared to the limits shown below based on household size for the applicable program. A 5% disregard based on the federal poverty level (FPL) is applied, if needed, and is reflected in the amounts shown below. Eligibility is determined for Medicaid first, then CHIP using the 5% FPL disregard. The limits below are effective March 1, 2024.

Medicaid for Infants from Birth to Age 1  |  194% FPL

*For more than eight members add $870 for each additional person

Medicaid for Children Age 1-6  |  143% FPL

*For more than eight members add $641 for each additional person

Medicaid for Children Age 6-19  |  133% FPL

*For more than eight members add $596 for each additional person

Parents and Caretaker Relatives with Dependent Children Under Age 18

*For more than eight members, add $78 for each additional person.

Pregnant Women (any age) and Family Planning Waiver (13-44 years old)  |  194% FPL

*For more than eight members add $870 for each additional person

Children’s Health Insurance Program (CHIP) Uninsured Children up to Age 19  |  209% FPL

*For more than eight members add $937 for each additional person