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Medicaid and State Funded Coverage Income Eligibility Limits for Low-Income Adults, 2009

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 Medicaid or Medicaid Look-AlikeMore Limited Than MedicaidPremium Assistance with Work-Related Eligibility Requirements
 ParentsChildless AdultsParentsChildless AdultsParentsChildless Adults
United StatesNANANANANANA
Alabama24%NANANANANA
Alaska81%NANANANANA
Arizona106%110%NANANANA
Arkansas17%NANANA200%1200%1
California106%NANANANANA
Colorado66%NANANANANA
Connecticut191%NA300%2,3300%2,3NANA
Delaware121%110%NANANANA
District of Columbia207%NANA211%2,4NANA
Florida53%NANANANANA
Georgia50%NANANANANA
Hawaii100%5100% (closed)5200%5200%5NANA
Idaho27%NANANA185%6185%6
Illinois185%NANANANANA
Indiana25%NA200%7200%7NANA
Iowa83%NA250%8250%8NANA
Kansas32%NANANANANA
Kentucky62%NANANANANA
Louisiana25%NANANANANA
Maine206%NA300%2,9100% (closed)/300%*2,9NANA
Maryland116%NANA116% (primary care only)NANA
Massachusetts133%10NA300%10100%/300%10NANA
Michigan64%NANA45%NANA
Minnesota215%11NA275%11250%2,11NANA
Mississippi44%NANANANANA
Missouri25%NANANANANA
Montana56%NANANANANA
Nebraska58%NANANANANA
Nevada88%NANANA200%12NA
New Hampshire49%NANANANANA
New Jersey200%NANANANANA
New Mexico67%NA250% (closed)13250% (closed)13250%13250%13
New York150%100%NANANANA
North Carolina49%NANANANANA
North Dakota59%NANANANANA
Ohio90%NANANANANA
Oklahoma47%NANANA200%14200%14
Oregon40%NA100% (closed) / 185% (closed)*15100% (closed) / 185% (closed)*15185%15185%15
Pennsylvania34%NA208% (closed)2,16213% (closed)2,16NANA
Rhode Island181%NANANANANA
South Carolina89%NANANANANA
South Dakota52%NANANANANA
Tennessee129%NANANA$55,000/year$55,000/year
Texas26%NANANANAna
Utah44%NA150% (primary care only, closed)17150% (primary care only, closed)17150%17150%17
Vermont191%18160%18300%18300%18NANA
Virginia29%NANANANANA
Washington74%NA200% (closed)2,19200% (closed)2,19NANA
West Virginia33%NANANANANA
Wisconsin200%20NANA200% (closed)20NANA
Wyoming52%NANANANANA
(show/hide notes)
Notes: 

Income thresholds are for working parents and childless adults and take earnings disregards, when applicable, into account. Computations are based on a family of three with one earner. States may use additional disregards in determining eligibility.

Sources: 

Based on Where Are States Today: Medicaid and State-Funded Coverage Eligibility Levels for Low-Income Adults, Kaiser Commission on Medicaid and the Uninsured analysis of state policies through program websites and contacts with state officials, December 2009. Available at: http://www.kff.org/medicaid/upload/7993.pdf.

Definitions: 

NA: Program not offered.

Closed: Enrollment closed for eligible adults at any time between January 2009 and December 2009.

Footnotes: 
  1. Parents and childless adults up to 200% FPL are eligible for the ARHealthNetworks waiver premium assistance program; individuals must meet income eligibility requirements and work for a qualifying, participating employer.
  2. Programs are funded solely with state dollars.
  3. Parents and childless adults up to 300% FPL are eligible for the fully state-funded premium subsidy program called Charter Oak.
  4. Childless adults are eligible for more limited coverage through the fully district-funded DC Healthcare Alliance program. In addition, the District has a Medicaid waiver for non-disabled childless adults age 50-64 with income below 50% FPL. Enrollment in the waiver program closed in 2005.
  5. Parents and childless adults up to 100% FPL are covered under the QUEST Medicaid managed care waiver program. Enrollment in QUEST is currently closed except for limited groups. Parents and childless adults up to 200% FPL are eligible for more limited coverage under the QUEST-ACE waiver program. Further, adults previously enrolled in Medicaid whose income increases above 200% FPL can purchase limited QUEST-NET coverage by paying a monthly premium.
  6. Parents and childless adults up to 185% FPL are eligible for premium assistance under a waiver. Individuals must meet income eligibility requirements and work for a qualified small employer.
  7. Parents and childless adults up to 200% FPL are eligible for limited coverage that resembles a Health Savings Account under the Healthy Indiana waiver program. Enrollment in the program is closed as of 2009.
  8. Parents and childless adults up to 250% FPL are eligible for more limited coverage under the IowaCare waiver program.
  9. Childless adults up to 100% FPL are eligible for more limited coverage under the MaineCare waiver program. Enrollment was closed as of 2009. The state also offers a fully state-funded premium subsidy program, called Dirigo Health, to parents and childless adults up to 300% FPL.
  10. Parents up to 133% FPL are covered under the MassHealth Medicaid waiver and long-term unemployed childess adults up to 100% are eligible for more limited MassHealth Essential coverage under the Medicaid waiver. Additionally, the state offers a premium subsidy program, called Commonwealth Care, to parents and childless adults up to 300% FPL.
  11. Parents receive coverage under the MinnesotaCare waiver program, and childless adults receive coverage under the fully state-funded portion of MinnesotaCare. Parents up to 215% FPL and childless adults are categorized as receiving more limited coverage because they have a $10,000 annual limit on inpatient hospital care.
  12. Parents up to 200% FPL are eligible for premium assistance under the Check Up Plus waiver program. Parents must meet income eligibility requirements and work for a qualified small business.
  13. Parents and childless adults up to 250% FPL are eligible for premium assistance under the State Coverage Insurance waiver program. Individuals must meet income requirements and work for a participating employer; if they do not work for a participating employer; they can obtain coverage as an individual by covering both the employer and employee share of premium costs. Enrollment is closed as of 2009, except for those working for a qualified employer.
  14. Parents up to 208% FPL and childless adults up to 213% FPL are eligible for premium assistance under the Insure Oklahoma waiver program. In addition to meeting income requirements, adults must also work for a small employer, be self-employed, be unemployed and seeking work, be working disabled, be a full-time college student, or be the spouse of a qualified worker.
  15. Parents and childess adults up to 100% FPL are eligible for limited coverage under the OHP Standard waiver program and parents and childless adults up to 185% FPL are eligible for premium assistance for individual or employer-sponsored insurance (ESI) under the Family Health Insurance Assistance Program (FHIAP). OHP Standard enrollment has been closed since July 1, 2004 except for a limited open enrollment period in January 2008. As of 2009, FHIAP enrollment is closed except for those with access to ESI.
  16. Parents up to 208% FPL and childless adults up to 213% FPL are eligible for the fully state-funded adultBasic program. Enrollment in the program is closed as of 2009.
  17. Parents and childless adults up to 150% FPL are eligible for coverage of primary care services under the Primary Care Network waiver program or can receive premium assistance through the Utah Premium Partnership for Health Insurance waiver program if they meet work-related eligibility requirements. Enrollment in the Primary Care Network is closed except for limited open enrollment periods.
  18. Parents up to 191% FPL and childless adults up to 160% FPL are covered under the Vermont Health Access Plan (VHAP) waiver program. Additionally, the state offers a premium subsidy plan, called Catamount Health, to parents and childless adults up to 300% FPL.
  19. Parents and childless adults up to 200% FPL are eligible for the fully state-funded Basic Health program. Enrollment in the program is closed as of 2009.
  20. Parents up to 200% FPL are covered under the BadgerCare Plus waiver program. Childless adults receive more limited coverage under the BadgerCare Plus Core Plan for Childless Adults.
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