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Last updated: May 30, 2024. 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. Additionally, there are state-specific details.
Medicaid is a health insurance program based on income. In addition to meeting certain income levels, you need to meet specific eligibility requirements to receive Medicaid coverage. The following are some of these general requirements: A child under the age of 21; A parent living with a child under the age of 18; A woman who is pregnant
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.
As of 2024, the annual FPL for an individual is $15,060 ($1,255 / month), and for a married couple is $20,440 ($1,703 / month). Alternatively, some states use the Federal Benefit Rate to determine income eligibility for Medicaid.
These annual updates account for the increase in the Census Bureau’s current official poverty thresholds by the relevant percentage change in the Consumer Price Index for All Urban Consumers (CPI–U). The 2024 guidelines reflect the 4.1 percent price increase between calendar years 2022 and 2023.
The 2024 federal poverty level (FPL) income numbers below are used to calculate eligibility for Medicaid and the Children's Health Insurance Program (CHIP). 2023 numbers are slightly lower, and are used to calculate savings on Marketplace insurance plans for 2024.
2024 Poverty Guidelines: 48 Contiguous States (all states except Alaska and Hawaii) Dollars Per Year. Household/ Family Size. Note: Each individual program--e.g., SNAP, Medicaid--determines how to round various multiples of the poverty guidelines, what income is to be included, and how the eligibility unit is defined.
Public benefit programs (such as Medicaid or “Medical Assistance” as it is called in Pennsylvania) use the federal poverty income guidelines to determine who qualifies for coverage.The 2024 guidelines were published January 17, 2024.
While eligibility requirements vary by state, most states that have expanded Medicaid under the Affordable Care Act (ACA) set the income limit at 138% of the Federal Poverty Level (FPL). For 2024, this means an income limit of about $20,120 annually for an individual, while for a family of four, the threshold is around $41,400.
The 2024 poverty guidelines are in effect as of January 17, 2024. Federal Register Notice, January 17, 2024. The Poverty Guidelines API is now available with the 2024 data. U.S. Federal Poverty Guidelines Used to Determine Financial Eligibility for Certain Programs. HHS Poverty Guidelines for 2024.