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How could an individual or family member with dependent children apply for Medicaid?

Individuals or families with dependent children may be eligible for Medicaid if they meet the following requirements:

  • A pregnant woman;
  • A dependent child younger than 19. (The child does not have to live with a parent or close relative to receive Medicaid);
  • Parent(s) (one or both) of the dependent child if one parent has left the home, cannot work due to sickness or disability, or has died;
  • Parents (both) living with the dependent child, if the parent is unemployed or underemployed.
What are Income and Resource Requirements?

The income and resources of the family members who may receive Medicaid coverage must be within Medicaid program guidelines. If a parent is younger than 21 and lives with her/his parent(s), her/his parent's income is considered in the Medicaid eligibility determination. The income limits are based on family size. For pregnant women, an additional family member is added for each unborn child.

The family's income, after deductions, cannot be more than the following income limits.(Deductions include a work expense deduction up to $90 and a dependent child care deduction for child care cost. The maximum dependent child care deduction for family members under two years of age is $200 for family members over two years of age is $175 for full-time employment and $150 for part-time employment.)

Parents and Children Applying

Monthly Income Amounts for Families using Spenddown

Size of Family

Monthly Income

1

$217

2

$267

3

$308

4

$383

5

$450

6

$508

7

$567

8

$627

For each additional member add $60 to the monthly income amount.

KTAP and AFDC Related

Size of Family

Gross Income Scale

1

$742

2

$851

3

$974

4

$1,096

5

$1,218

6

$1,340

7 or more

$1,462


Resources (checking and savings accounts, cash, stocks, bonds, etc) are considered in the eligibility determination process and cannot exceed $2,000 for a family of one and $4,000 for a family of two. Fifty dollars is added to the resource limit for each additional family member.

Pregnant women and children

Pregnant Women

For pregnant women and children up to age one, the limit is 185 percent of the federal poverty levels as follows:

Size of Family

Monthly Income

1

$1,772

2

$2,392

3

$3,011

4

$3,631

5

$4,251

6

$4,871

7

$5,490

8

$6,110

For each additional member add $620 to the monthly income amount.

Note: Resources are not considered in Medicaid eligibility determination for pregnant women and children.

Income limits change annually based on the publication of the Federal Poverty Levels (FPL).

Children

For children younger than 19, the limit is 200 percent of the federal poverty level as follows:

Size of Family

Monthly Income

1

$1,915

2

$2,585

3

$3,255

4

$3,925

5

$4,595

6

$5,265

7

$5,935

8

$6,605

For each additional member add $670 to the monthly income amount.

Note: Resources are not considered in Medicaid eligibility determination for pregnant women and children.

Income limits change annually based on the publication of the Federal Poverty Levels (FPL).

 

See Also...
  How do I apply  

Last Updated 4/3/2013
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