Medicaid income limits

Medicaid income limits vary by state and depend on factors such as marital status, type of Medicaid, and the specific program you’re applying for. Let’s explore the details:

1. Modified Adjusted Gross Income (MAGI):

• The Affordable Care Act introduced MAGI as the basis for determining Medicaid income eligibility for most children, pregnant women, parents, and adults 1.

• MAGI considers taxable income and tax filing relationships to assess financial eligibility.

1. Nursing Home Medicaid:

• In most states in 2024, the individual income limit for Nursing Home Medicaid and HCBS (Home and Community-Based Services) Waivers is $2,829/month 2.

• However, residents in Medicaid-funded nursing homes are not permitted to keep all of their income. Most of it, except for a Personal Needs Allowance (ranging from $30 to $200/month), goes toward paying for their care 3.

1. Medicaid HCBS Waiver:

• When receiving Medicaid long-term care at home or in the community through a Medicaid Waiver, beneficiaries can keep their monthly income (up to a certain amount) to pay for expenses like rent, food, and utilities 3.

1. State-Specific Limits:

• Each state has its own income limits. For example, in New York:

• Single applicants can have a maximum monthly income of $1,677.

• Married couples applying together can have a maximum monthly income of $2,268 4.

Remember that exceeding the income limit doesn’t necessarily disqualify you from Medicaid. States often have multiple pathways to eligibility, and there are strategies like Miller Trusts or Qualified Income Trusts that can help individuals become income eligible. Additionally, Spousal Protection Laws allow income and assets to be allocated to a non-applicant spouse 3.

If you need personalized assistance, consider working with a Medicaid Planner who can guide you through the eligibility process. 🌟