Appendix A-7
Family 100%
MNIL MAGI Disregrd
(5% of 100% FPL)
Size FPL
6 through 18
*See Note Below
Parents,
Caretakers,
Children 19 & 20
Standard
Disregard
185%
FPL
Standard
Disregard
200%
FPL
Standard
Disregard
133%
FPL
Standard
Disregard
133% FPL
** See Note
Below
*** See Note Below
1 1,215 180 109 2,248 73 2,430 73 1,616 85 1,616 289 61
2 1,644 241 146 3,041 99 3,287 99 2,186 115 2,186 387 82
3 2,072 303 183 3,833 124 4,144 124 2,756 145 2,756 486 104
4 2,500 364 221 4,625 150 5,000 150 3,325 175 3,325 585 125
5 2,929 426 258 5,418 176 5,857 176 3,895 205 3,895 684 146
6 3,357 487 296 6,210 201 6,714 201 4,465 235 4,465 783 168
7 3,785 549 333 7,003 227 7,570 227 5,035 265 5,035 882 189
8 4,214 610 371 7,795 253 8,427 253 5,604 295 5,604 981 211
9 4,642 671 408 8,588 279 9,284 279 6,174 325 6,174 1079 232
10 5,070 733 446 9,380 304 10,140 304 6,744 355 6,744 1179 254
11 5,499 795 484 10,172 330 10,997 330 7,313 385 7,313 1279 275
12 5,927 857 522 10,965 356 11,854 356 7,883 415 7,883 1379 296
13 6,355 919 560 11,757 381 12,710 381 8,453 445 8,453 1479 318
14 6,784 981 598 12,550 407 13,567 407 9,022 475 9,022 1579 339
15 7,212 1,043 636 13,342 433 14,424 433 9,592 505 9,592 1,679 361
16 7,640 1,105 674 14,134 458 15,280 458 10,162 535 10,162 1,779 382
17 8,069 1,167 712 14,927 484 16,137 484 10,731 565 10,731 1,879 403
18 8,497 1,229 750 15,719 510 16,994 510 11,301 595 11,301 1,979 425
19 8,925 1,291 788 16,512 536 17,850 536 11,871 625 11,871 2,079 446
20 9,354 1,353 826 17,304 561 18,707 561 12,440 655 12,440 2,179 468
21 9,782 1,415 864 18,097 587 19,564 587 13,010 685 13,010 2,279 489
22 10,210 1,477 902 18,889 613 20,420 613 13,580 715 13,580 2,379 511
23 10,639 1,539 940 19,681 638 21,277 638 14,149 745 14,149 2,479 532
24 11,067 1,601 978 20,474 664 22,134 664 14,719 775 14,719 2,579 553
April April April April April April April April April January April
2023 1992 2023 2023 2023 2023 2023 2023 2023 2014 2023
NOTES:
*
Children aged 6 through 18
do not
receive the standard disregard. They do get the 5% MAGI disregard, if needed.
** MNIL--The Medically Needy Income Limit (MNIL) includes the appropriate standard disregard. No additional disregards should be applied to establish a share of cost.
(
formula is Adults plus Standard Disregard
*** MAGI--The 5% MAGI disregard is used in a budget
only
if it makes a "failing" individual "pass" a full coverage Medicaid group.
MAGI--The 5% MAGI disregard is never used in a Medically Needy budget.
Updated: 02/03/2023
Effective Date
+ 857 + 570 + 570 + 100
Including
Family Planning and
PEPW
< 1
1 through 5
Additional
Person
+ 429 + 62 + 793
Family Related Medicaid Income Limits
Adults Pregnant Women Infants Children
