| Notes: | * denotes state provides premium assistance with employment-related eligibility requirements. See Footnotes for further details.
Medicaid income thresholds for parents 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. |
| Footnotes: | - 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.
- Programs are funded solely with state dollars.
- Parents and childless adults up to 300% FPL are eligible for the fully state-funded premium subsidy program called Charter Oak.
- 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; as of 2009, there were about 1,000 adults enrolled.
- 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.
- 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.
- 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.
- Parents and childless adults up to 200% FPL are eligible for more limited coverage under the IowaCare waiver program.
- Childless adults up to 100% FPL are eligible for more limited coverage under the MaineCare waiver program. The state also offers a fully state-funded premium subsidy program, called Dirigo Health, to parents and childless adults up to 300% FPL.
- 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.
- 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 receive full Medicaid benefits with the exception of some optional services and institutionally-based long-term care services. If parents were in need of long-term services, they would likely get switched to a different Medicaid eligibility category that covers these services. Parents above 215% FPL and childless adults are categorized as receiving more limited coverage because they have a $10,000 annual limit on inpatient hospital care.
- 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.
- Parents and childless adults up to 200% FPL are eligible for premium assistance under the State Coverage Insurance waiver program. Individuals must meet income eligibility requirements and work for a participating employer; if they do not work for a participating employer; they must cover both the employer and employee share of premium costs.
- Parents and childless adults up to 200% FPL are eligible for premium assistance under the Insure Oklahoma waiver program. In addition to meeting income eligibility 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.
- 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 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. FHIAP enrollment has been closed since November 2007.
- Parents and childless adults up to 200% FPL are eligible for the fully state-funded adultBasic program.
- The state offers a premium subsidy program, called CoverTN, to workers of qualified businesses, self-employed individuals, and recently unemployed workers earning (or who earned) up to $55,000 per year. For businesses to qualify, at least 50% of employees must earn $55,000 or less per year. Once a business qualifies, all eligible employees, regardless of income may enroll. Eligible local county governments and their employees may also enroll as well as spouses of enrollees.
- 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 program. Enrollment in the Primary Care Network is closed except for limited open enrollment periods.
- Parents up to 191% FPL and childless adults up to 150% 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.
- Parents and childless adults up to 200% FPL are eligible for the fully state-funded Basic Health program.
- 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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