Medicaid Eligibility Chart Page 3

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Quick Reference - Medicaid Eligibility
Family and Individuals Medicaid Categories (MAGI)
Earned Income
Resource
Program
Income Limit
Deductions
Limit
Excluded From Resources
Counted Toward Resource Limit
Other Requirements
Additional 5% Income
Children under age 19
Disregard if child has
Relationship/Living arrangement
142% of FPL
insurance:
No
criteria
Family Size
Income
147% of FPL
resource
NA
NA
Eligible for additional 5% Income
ARKids A
1
$1359.65
Family Size
Income
limit
Disregard if needed for eligibility and
2
$1835.35
1
$1407.53
child has insurance
3
$2311.05
2
$1899.98
4
$2786.75
3
$2392.43
5
$3262.45
4
$2884.88
5
$3377.33
Add $475.70 for each
Add $492.45 for each
additional member
additional member
Additional 5% Income
Children under age 19
Disregard if needed:
Children are not eligible if they
211% of FPL
216% of FPL
No
currently have or have had group or
ARKids B
Family Size
Income
Family Size
Income
resource
NA
NA
employer-sponsored health
Limited benefit package
1
$2020.33
1
$2068.20
limit
insurance within the past 3 months,
Co-pays required
2
$2727.18
2
$2791.80
unless insurance lost involuntarily
3
$3434.03
3
$3515.40
Relationship/Living arrangement
4
$4140.88
4
$4239.00
criteria
5
$4847.73
5
$4962.60
Eligible for additional 5% Income
Add $723.60 for each
Disregard if needed for eligibility
Add $706.85 for each
additional member
additional member
Additional 5% Income
Pregnant
Disregard if needed:
Prenatal, delivery, postpartum and
209% of FPL
214% of FPL
No
medical conditions that could
Family Size
Income
Family Size
Income
resource
NA
NA
complicate pregnancy only.
Limited Pregnant Women
2
$2701.33
2
$2765.95
limit
Coverage ceases at the end of the
(SOBRA)
3
$3401.48
3
$3482.85
month that the 60th day of
.
4
$4101.63
4
$4199.75
postpartum falls.
5
$4801.78
5
$4916.65
Number of expected babies is
The number of unborn
Add $716.90 for each
included in household size
child(ren) are counted
additional member
in the family size.
Pregnant
Family Size _ Income
No
Full Medicaid coverage
Full Pregnant Women
2
$220.00
No income disregards
resource
NA
NA
Number of expected babies is
3
$276.00
limit
included in household size
4
$334.00
5
$388.00
Division of County Operations
1/2014

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