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The table below shows Medicaid’s monthly income limits by state for seniors. Income is not the only eligibility factor for Medicaid long-term care; there is also an asset limit and level of care requirement.
The new monthly income limits are: Qualified Medicare Beneficiaries (QMB): 185% of the Federal Poverty Level (FPL) or $2,322 (individuals)/$3,152 (couples) per month Qualifying Individual (QI): 250% of the FPL or $3,138 (individuals)/$4,259 (couples) per month
MAGI is the basis for determining Medicaid income eligibility for most children, pregnant women, parents, and adults. The MAGI-based methodology considers taxable income and tax filing relationships to determine financial eligibility for Medicaid.
Provider Resources - For providers who are enrolled. For assistance, email Provider Services or call 1-866-690-5585. TTY users dial 711. MaineCare provides health care coverage for Maine’s children and adults who are elderly, disabled, or with low incomes.
Because of the ACA, most Medicaid eligibility is determined by modified adjusted gross income (MAGI). Federal law specifies that you can qualify for Medicaid if your household income is below 133% of FPL.
2-step income test: 1. Unearned income must be under 100% of FPL. 2. Total earned and unearned income must be under 250% of FPL. Asset Limit: $8,000 per individual or $12,000 per couple Must be under the age of 65 and have a disabling condition per the criteria of the Social Security Administration and must have earnings. A premium up to
With the expansion of MaineCare in 2019, more individuals are now eligible. To see what health coverage options are available to you and to find out if you qualify for a free or low-cost health plan, go to CoverME.gov.