The following guidelines provide general income criteria that are used in part to determine a person's eligibility for Medicaid programs and services. To become eligible, please visit your local county Department of Family and Children Services Office.
SSI Recipients
Aged, blind or disabled individuals who receive Supplemental Security Income (SSI) |
Income Limits |
Resource Limits |
- Individual - $623 per month ($7,476 per year)
- Couple - $934 per month ($11,208 per year)
|
- Individual - $2,000
- Couple - $3,000
|
Nursing Homes
Aged, blind or disabled individuals who live in nursing homes and have low income and limited assets. |
Income Limits |
Resource Limits |
- $1,869 per month ($22,428 per year)
|
- Individual - $2,000
- Couple - $3,000
|
Community Care
Aged, blind or disabled individuals who need regular nursing care and personal services but can stay at home with special community care services. |
Income Limits |
Resource Limits |
- $1,869 per month ($22,428 per year)
|
- Individual - $2,000
- Couple - $3,000
|
Qualified Medicare Beneficiaries (QMB)
Aged, blind or disabled individuals who have Medicare Part A (hospital) insurance, and have income less than 100 percent of the federal poverty level and limited resources. Medicaid will pay the Medicare premiums (A&B), coinsurance and deductibles only. |
Income Limits |
Resource Limits |
- Individual - $837per month ($10,044 per year)
- Couple - $1,120 per month ($13,440 per year)
|
- Individual - $4,000
- Couple - $6,000
|
Hospice
Terminally ill individuals who are not expected to live more than six months may be eligible for coverage. Recipients must agree to receive hospice services through a Medicaid participating hospice care provider. |
Income Limits |
Resource Limits |
- $1,869 per month ($22,428 per year)
|
- Individual - $2,000
- Couple - $3,000
|
Low-Income Medicaid (LIM)
Adults and children who meet the standards of the old AFDC (Aid to Families with Dependent Children) program. |
Family Size |
Income Limits |
1 |
$235 per month ($2,820 per year) |
2 |
$356 per month ($4,272 per year) |
3 |
$424 per month ($5,088 per year) |
4 |
$500 per month ($6,000 per year) |
|
Right from the Start Medicaid for Pregnant Women and their Infants (RSM Adults and Newborns)
Pregnant women and their infants with family income at or below 200% of the federal poverty level. |
Family Size |
Income Limits |
1 |
$1702 per month ($20,424 per year) |
2 |
$2282 per month ($27,384 per year) |
3 |
$2862 per month ($34,344 per year) |
4 |
$3442 per month ($41,304 per year) |
|
Right from the Start Medicaid (RSM Children) - 185 % FPL
Children under 1 whose family income is at or below 185% of the federal poverty level. |
Family Size |
Income Limits |
1 |
$1575 per month ($18,900 per year) |
2 |
$2111 per month ($25, 332 per year) |
3 |
$2648 per month ($31,776 per year |
4 |
$3184 per month ($38,208 per year) |
|
Right from the Start Medicaid (RSM Children) - 133% FPL
Children 1 to 5 whose family income is at or below 133% of the federal poverty level. |
Family Size |
Income Limits |
1 |
$1132 per month ($13, 584 per year) |
2 |
$1518 per month ($18, 216 per year) |
3 |
$1,840 per month ($22,080 per year) |
4 |
$2289 per month ($27,468 per year) |
|
Right from the Start Medicaid (RSM Children) - 100% FPL
Children 6 to 19 whose family income is at or below 100% of the federal poverty level. |
Family Size |
Income Limits |
1 |
$851 per month ($10, 212 per year) |
2 |
$1141 per month ($13,692 per year) |
3 |
$1431 per month ($17, 172 per year) |
4 |
$1721 per month ($20,652 per year) |
|
Medically Needy
Pregnant women, children, aged, blind, and disabled individuals whose family income exceeds the established income limit may be eligible under the Medically Needy program. The Medically Needy program allows a person to use incurred/unpaid medical bills to "spend down" the difference between their income and the income limit to become eligible. |
Pregnant Women and Children |
Income Limits |
Resource Limits |
Family Size |
|
1 |
$208 per month ($2,496 per year) |
2 |
$317 per month ($3,804 per year) |
3 |
$375 per month ($4,500 per year) |
4 |
$442 per month ($5,304 per year) |
|
Family Size |
|
1 |
$2,000 |
2 |
$4,000 |
(Add $100 per additional family member) |
Aged, Blind and Disabled |
Income Limits |
Resource Limits |
- Individual: $317 per month ($3,804 per year)
- Couple: $375 per month ($4,500 per year)
|
- Individual: $2,000
- Couple: $4,000
|
