MAGI MEDICAID INCOME ELIGIBILITY STANDARDS – FPL BASED
Effective 4/01/2016
Pregnant Women
Children-Under age 19
With Insurance
Children-Under
age 19
Without Insurance
Expansion Group
1
200% of FPL
n/a
177% of FPL
$2,189
203% of FPL
$2,511
133% of FPL
$1,645
2
$3,337
$2,953
$3,387
$2,219
3
$4,200
$3,717
$4,263
$2,793
4
$5,064
$4,482
$5,140
$3,368
5
$5,927
$5,246
$6,016
$3,942
6
$6,790
$6,010
$6,892
$4,516
7
8
$7,654
$6,774
$7,769
$5,090
$8,520
$7,541
$8,648
$5,666
Each Additional
$867
$767
$880
$577
Household Size
MAGI MEDICAID INCOME ELIGIBILITY STANDARDS – FPL BASED
Effective 3/01/2015 – 3/31/16
Household Size
Pregnant Women
Children-Under age 19
With Insurance
Children-Under
age 19
Without Insurance
Expansion Group
added 9/1/15
1
200% of FPL
$2,454
177% of FPL
$2,172
203% of FPL
$2,491
133% of FPL
$1,632
2
$3,320
$2,939
$3,370
$2,208
3
$4,187
$3,706
$4,250
$2,785
4
$5,054
$4,473
$5,130
$3,361
5
$5,920
$5,240
$6,009
$3,937
6
$6,787
$6,007
$6,889
$4,514
7
$7,654
$6,774
$7,769
$5,090
8
$8,520
$7,541
$8,648
$5,666
Each Additional
$867
$767
$880
$577
HISTORICAL MAGI MEDICAID INCOME ELIGIBILITY STANDARDS – FPL BASED
Effective 3/01/14 – 2/28/15
Pregnant Women
Children-Under age 19
With Insurance
Children-Under age 19
Without Insurance
1
200% of FPL
$2,430
177% of FPL
$2,151
203% of FPL
$2,467
2
$3,277
$2,900
$3,326
3
$4,124
$3,650
$4,186
4
$4,970
$4,399
$5,045
5
$5,817
$5,148
$5,904
6
$6,664
$5,898
$6,764
7
$7,510
$6,647
$7,623
8
$8,357
$7,396
$8,483
Each Additional
$847
$750
$860
Household Size
rev 08/2016
FPL = Federal Poverty Level for Alaska
2014 – 2016 MAGI MEDICAID INCOME ELIGIBILITY STANDARDS – COLA BASED
Parents / Caretaker Relatives and Under 21
Household Size
Income Standard
Effective 1/01/14
Income Standard
Effective 1/01/15
Income Standard
Effective 1/01/16
1
$1,352
$1,487
$1,487
2
$2,110
$2,370
$2,370
3
$2,525
$2,904
$2,904
4
$2,939
$3,437
$3,437
5
$3,354
$3,972
$3,972
6
$3,768
$4,505
$4,505
7
8
$4,182
$5,038
$5,038
$4,596
$5,571
$5,571
9
$5,011
$6,105
$6,105
10
$5,425
$6,638
$6,638
Each Additional
$390
$534
$534
2014 – 2016 MAGI MEDICAID INCOME DISREGARD
5% of FPL
Household Size
Monthly Income Limit
03/01/2014 – 2/28/15
Monthly Income Limit
3/01/2015 – 3/31/2016
Monthly Income Limit
Effective 4/01/2016
1
$61
$62
$62
2
$82
$83
$84
3
$104
$105
$105
4
$125
$127
$127
5
$146
$148
$149
6
$167
$170
$170
7
8
$188
$192
$192
$209
$213
$213
9
$231
$235
$235
10
$252
$257
$257
Each Additional
$22
$22
$22
2014 – 2016 NON-MAGI MEDICAID INCOME ELIGIBILITY STANDARDS
Adult Not Included (Institutionalized Children)
Household Size
Income Standard
Effective 1/01/2014
Gross
Net
$763
Income Standard
Effective 1/01/2015
Gross
Net
$1,433
$776
Income Standard
Effective 1/01/2016
Gross
Net
$1,433
1
$1,411
2
$1,733
$937
$1,761
$952
$1,761
$952
3
$2,057
$1,112
$2,090
$1,130
$2,090
$1,130
4
$2,380
$1,287
$2,419
$1,308
$2,419
$1,308
5
$2,702
$1,461
$2,747
$1,485
$2,747
$1,485
6
$3,024
$1,635
$3,074
$1,662
$3,074
$1,662
7
$3,346
$1,809
$3,402
$1,839
$3,402
$1,839
Each Additional
$323
$175
$329
$178
$329
$178
rev 08/2016
FPL = Federal Poverty Level for Alaska
$776
OLD AGE AND DISABLED INCOME ELIGIBILITY STANDARDS
Effective 4/01/2016
HOUSEHOLD SIZE
WORKING DISABLED
QMB
SLMB BASE
SLMB PLUS
QDWI
1
250% of FPL
$3,092
100% of FPL
$1,237
120% of FPL
$1,484
135% of FPL
$1,670
200% of FPL
$2,474
2
$4,171
$1,669
$2,002
$2,253
$3,337
3
$5,250
4
5
$6,330
$7,409
6
$8,488
7
$9,567
8
$10,650
Each Additional
$1,084
OLD AGE AND DISABLED INCOME ELIGIBILITY STANDARDS
Effective 3/01/2015 – 3/31/2016
HOUSEHOLD SIZE
WORKING DISABLED
QMB
SLMB BASE
SLMB PLUS
QDWI
1
250% of FPL
$3,067
100% of FPL
$1,227
120% of FPL
$1,472
135% of FPL
$1,656
200% of FPL
$2,454
2
$4,150
$1,660
$1,992
$2,241
$3,320
3
$5,234
4
5
$6,317
$7,400
6
$8,484
7
$9,567
8
$10,650
Each Additional
$1,084
2014 - 2016 SELF-EMPLOYMENT INCOME ANNUALIZATION STANDARDS (185% of FPL)
Household
Size
1
Income Standard
Effective 3/01/2014
$26,973
$36,371
Income Standard
Effective 3/01/2015
$27,232
$36,852
Income Standard
Effective 4/01/2016
$27,454
$37,037
2
3
$45,769
$46,472
$46,620
4
$55,167
$56,092
$56,203
5
$64,565
$65,712
$65,786
6
$73,963
$75,332
$75,369
7
$83,361
$84,952
$84,952
8
$92,759
$94,572
$94,572
Each Additional
$9,398
$9,620
$9,620
rev 08/2016
FPL = Federal Poverty Level for Alaska
2014 – 2016 SSI PAYMENT STANDARDS
SSI COLA INCREASE
HOUSEHOLD TYPE
1.5%
1/01/2014
1.7%
1/01/2015
0.0%
1/01/2016
A Individual
$721
$733
$733
B Individual
A Couple, Both Eligible
B Couple, Both Eligible
NH Personal Needs Allowance
$480.67
$1,082
$721
$30
$488.67
$1,100
$733
$30
$488.67
$1,100
$733
$30
1/01/2015
$2,199
$200
$1,656
$1,396
$119,220
$2,980.50
$993.50
1/01/2016
$2,199
$200
$1,656
$1,396
$119,220
$2,980.50
$993.50
2014 – 2016 LONG TERM CARE STANDARDS
NH, HCB Waiver, TEFRA Income Standard
Alaska NH Personal Needs Allowance
Alaska HCB Personal Needs Allowance
Alaska ALH Personal Needs Allowance
Maximum Community Spouse Resource Allowance
Community Spouse Monthly Income Maintenance Standard
Monthly Income Standard for Additional Household Members
1/01/2014
$2,163
$200
$1,656
$1,396
$117,240
$2,931
$977
HISTORICAL OLD AGE AND DISABLED INCOME ELIGIBILITY STANDARDS
Effective 3/01/14 – 2/28/15
HOUSEHOLD SIZE WORKING DISABLED
QMB
SLMB Base
SLMB Plus
QDWI
250% of FPL
100% of FPL
120% of FPL
135% of FPL
200% of FPL
1
$3,038
$1,215
$1,458
$1,641
$2,430
2
$4,096
$1,639
$1,966
$2,212
$3,277
3
$5,155
4
$6,213
5
$7,271
6
$8,330
7
$9,388
8
$10,446
Each Additional
$1,059
HISTORICAL OLD AGE AND DISABLED INCOME ELIGIBILITY STANDARDS
Effective 3/01/13 – 2/28/2014
HOUSEHOLD SIZE WORKING DISABLED
1
2
3
250% of FPL
$2,990
$4,038
$5,086
4
5
6
7
8
Each Additional
$6,134
$7,182
$8,230
$9,278
$10,326
$1,048
rev 08/2016
QMB
SLMB Base
SLMB Plus
QDWI
100% of FPL
$1,196
$1,615
120% of FPL
$1,435
$1,938
135% of FPL
$1,615
$2,181
200% of FPL
$2,392
$3,230
FPL = Federal Poverty Level for Alaska