Determining your Income Limit

Determining your Income Limit

Determining your Income Limit

Overview

To determine your monthly maximum income limit, you must first determine:

  • Your Medicaid Coverage Group; and
  • Your Household Size.

Step 1: Determine Your Coverage Group

Which of these Coverage Groups describes the person applying for Medicaid?

  • Parents, Caretakers, Children 19 & 20
  • Pregnant Women
  • Infants under the age of 1
  • Children aged 1 through 5
  • Children aged 6 through 18

Step 2: Determine Your Household Size

To determine your Household Size, answer the following questions:

A. Are you a child who is not filing a tax return?

If YES, then your Household Size includes all of these individuals:

  • You, and
  • Your parents who live in the same household with you (including stepparents and adoptive parents), and
  • Your siblings who live in the same household with you and are under 19 or are full-time students under 21. This includes stepsiblings, half-siblings, and adopted siblings.

Proceed to Step 3.

If NO, go to the next question.

B. Will a parent or spouse claim you as a dependent for the current tax year?

If YES, then your Household Size includes all of these individuals:

  • You, and
  • Your spouse, and
  • The individual filing the tax return (also called the tax filer), and
  • The tax filer’s spouse, and
  • All of the tax filer’s other tax dependents.

Proceed to Step 3.

If NO, go to the next question.

C. Do you expect to file a tax return for the current tax year?

If YES, then your Household Size includes all of these individuals: 

  • You, and
  • Your spouse, and
  • Your tax dependents.

Proceed to Step 3.

If NO, then your Household Size includes all of these individuals:

  • You, and
  • Your spouse, if your spouse lives in the same household with you, and
  • Any of your children who live in the same household with you and are under 19 or are full-time students under 21. This includes stepchildren and adopted children.

Overview

Once you know your Coverage Group and your Household Size, you can use this table to determine your maximum monthly income limit:

Household Size Family Related MedicaidCoverage Groups
Under Age 1 Ages 1 to 5 Ages 6 to 18 Ages 19 & 20 and
Parents and Caretakers		 Pregnant Women
1 $2,807 $1,930 $1,836 $356 $2,608
2 $3,807 $2,617 $2,490 $478 $3,537
3 $4,805 $3,302 $3,142 $600 $4,463
4 $5,803 $3,989 $3,796 $723 $5,391
5 $6,803 $4,676 $4,4450 $846 $6,320
6 $7,801 $5,361 $5,102 $968 $7,246
7 $8,800 $6,048 $5,756 $1,091 $8,175
8 $9,799 $6,735 $6,409 $1,214 $9,103
9 $10,798 $7,421 $7,062 $1,335 $10,030
10 $11,796 $8,107 $7,715 $1,459 $10,958
11 $12,795 $8,794 $8,369 $1,583 $11,886
12 $13,794 $9,479 $9,021 $1,706 $12,813
13 $14,792 $10,166 $9,675 $1,830 $13,741
14 $15,792 $10,852 $10,328 $1,954 $14,670
15 $16,790 $11,538 $10,981 $2,077 $15,596
16 $17,788 $12,225 $11,634 $2,201 $16,524
17 $18,788 $12,912 $12,288 $2,325 $17,453
18 $19,786 $13,597 $12,940 $2,448 $18,379
19 $20,784 $14,284 $13,594 $2,572 $19,307
20 $21,784 $14,970 $14,247 $2,696 $20,236
21 $22,782 $15,656 $14,900 $2,819 $21,162
22 $23,781 $16,342 $15,553 $2,943 $22,091
23 $24,780 $17,030 $16,207 $3,067 $23,019
24 $25,779 $17,715 $16,859 $3,190 $23,946

Effective April 2026

This webpage is provided for general informational purposes only. It does not constitute legal advice and should not be relied upon as a substitute for legal advice or for independent research into applicable law or policy.