Determining your Income Limit

Determining your Income Limit

Determining your Income Limit

Determining your Income Limit

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

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.

Step 3: Determine Your Maximum Monthly Income Limit

Once you know your Coverage Group and your Household Size, you can use the below links to determine your maximum monthly Medicaid Income Limit: