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Income Eligibility Levels for Children's Regular Medicaid and Children's SCHIP-funded Medicaid Expansions by Annual Incomes and as a Percent of Federal Poverty Level (FPL), 2008
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| Medicaid Infants Ages 0-1 | Medicaid Children Ages 1-5 | Medicaid Children Ages 6-19 | ||
| Medicaid Infants Ages 0-1 | Medicaid Children Ages 1-5 | Medicaid Children Ages 6-19 | ||
| United States | 133% 1 | 133% 1 | 100% 1 | |
| Alabama | 133% | 133% | 100% | |
| Alaska | 175% | 175% | 175% | |
| Arizona | 140% | 133% | 100% | |
| Arkansas | 200% | 200% | 200% | |
| California | 200% 2 | 133% | 100% | |
| Colorado | 133% | 133% | 100% | |
| Connecticut | 185% | 185% | 185% | |
| Delaware | 200% | 133% | 100% | |
| District of Columbia | 300% | 300% | 300% | |
| Florida | 200% | 133% 3 | 100% 3 | |
| Georgia | 200% 4,7 | 133% 4 | 100% 4 | |
| Hawaii | 300% | 300% | 300% | |
| Idaho | 133% | 133% | 133% | |
| Illinois | 200% 7,8 | 133% 8 | 133% 8 | |
| Indiana | 200% | 150% | 150% | |
| Iowa | 200% | 133% | 133% | |
| Kansas | 150% | 133% | 100% | |
| Kentucky | 185% | 150% | 150% | |
| Louisiana | 200% | 200% | 200% | |
| Maine | 200% | 150% | 150% | |
| Maryland | 300% 9 | 300% 9 | 300% 9 | |
| Massachusetts | 200% 8 | 150% 8 | 150% 8 | |
| Michigan | 185% | 150% | 150% | |
| Minnesota | 280% 10 | 275% | 275% | |
| Mississippi | 185% | 133% | 100% | |
| Missouri | 185% 11 | 150% 11 | 150% 11 | |
| Montana | 133% | 133% | 100% | |
| Nebraska | 185% | 185% | 185% | |
| Nevada | 133% | 133% | 100% | |
| New Hampshire | 300% | 185% | 185% | |
| New Jersey | 200% 7 | 133% | 133% | |
| New Mexico | 235% | 235% | 235% | |
| New York | 200% | 133% | 100% | |
| North Carolina | 200% | 200% | 100% | |
| North Dakota | 133% | 133% | 100% | |
| Ohio | 200% | 200% | 200% | |
| Oklahoma | 185% | 185% | 185% | |
| Oregon | 133% | 133% | 100% | |
| Pennsylvania | 185% | 133% | 100% | |
| Rhode Island | 250% | 250% | 250% | |
| South Carolina | 185% 12 | 150% 12 | 150% 12 | |
| South Dakota | 140% | 140% | 140% | |
| Tennessee | 185% 5,13 | 133% 5,13 | 100% 5,13 | |
| Texas | 185% | 133% | 100% | |
| Utah | 133% 6 | 133% 6 | 100% 6 | |
| Vermont | 300% 14 | 300% 14 | 300% 14 | |
| Virginia | 133% | 133% | 133% | |
| Washington | 200% | 200% | 200% | |
| West Virginia | 150% | 133% | 100% | |
| Wisconsin | 250% 15 | 250% 15 | 250% 15 | |
| Wyoming | 133% | 133% | 100% | |
| Notes: | Data as of January 2008 unless otherwise noted. |
| Sources: | Source 1: Health Coverage for Children and Families in Medicaid and SCHIP: State Efforts Face New Hurdles. Data based on a national survey conducted by the Center on Budget and Policy Priorities for the Kaiser Commission on Medicaid and the Uninsured, January 2008. Available at http://www.kff.org/medicaid/7740.cfmhttp://www.kff.org/medicaid/7740.cfm. |
| Definitions: | The Federal Poverty Level (FPL) was established to help government agencies determine eligibility levels for public assistance programs such as Medicaid. FPL is represented in this resource as poverty guidelines as opposed to the slightly different poverty thresholds. |
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1. US Figure is the federal minimum eligibility level based on the CMS Eligibility Report; 2008.
2. In California, infants born to women on the Access for Infants and Mothers (AIM) program are automatically enrolled in SCHIP unless the child is enrolled in employer-sponsored insurance or no-cost full scope Medi-Cal. The income guideline for these infants, through their second birthday, is 300 percent of the federal poverty line.
3. Florida operates two SCHIP-funded separate programs. Health Kids covers children ages five through 19, as well as younger siblings in some locations. Medi-Kids covers children ages one through four.
4. Georgia stopped enrolling eligible children in its SCHIP program in March 2007. The state re-opened enrollment in July 2007.
5. In Tennessee, enrollment under the state's waiver program, called TennCare Standard, is closed to new applicants. The only children currently receiving TennCare Standard are children losing Medicaid who have no access to insurance and have income below 200 percent of federal poverty line, or who are medically eligible (have a health problem that prevents them from getting health insurance). In 2007 the state created a separate SCHIP program for children in families with income up to 250 percent of the federal poverty line. Eligible children may have access to health insurance but must be uninsured.
6. Utah stopped enrolling children in its SCHIP program in September 2006 and re-opened enrollment in July 2007.
7. Georgia, Illinois, and New Jersey cover infants in families with income at or below 200 percent of the federal poverty line who are born to mothers enrolled in Medicaid.Georgia and New Jersey cover infants not born to Medicaid enrolled mothers in families with income at or below 185 percent of the federal poverty line. Illinois covers infants not born to Medicid-enrolled mothers in families with income at or below 133 percent of the federal poverty line.
8. Illinois and Massachusetts provide state-financed coverage to children with incomes above SCHIP levels.
9. Maryland eliminated it separate SCHIP program in 2007. All children are now covered under Medicaid.
10. In Minnesota, the infant category under "regular" Medicaid includes children up to age 2. Under "regular" Medicaid, income eligibility for infants is up to 275 percent of the federal poverty line, and under SCHIP, eligibility for infants is between 275 percent and 280 percent of the federal poverty line. Under "regular" Medicaid, income eligibility for children ages 2-19 is up to 150 percent of the federal poverty line, and under the Section 1115 waiver, income eligibility for children in this age group is between 150 and 275 percent of the federal poverty line. The Section 1115 waiver provides coverage for children up to age 21.
11. Missouri created a separate SCHIP program in 2007.
12. South Carolina plans to create a separate SCHIP program for children with income between 150 and 200 percent of the federal poverty line in early 2008.
13. For Tennessee, the Medicaid figures shown represent the income eligibility guidelines under "regular" Medicaid. Enrollment under the state's waiver program is closed to new applicants; some children losing Medicaid can enroll. In 2007 the state created a separate SCHIP program for children in families with income up to 250 percent of the federal poverty line. Children not eligible for regular Medicaid and children closed out of TennCare Standard who meet the SCHIP income guidelines can enroll in the separate SCHIP program.
14. In Vermont, Medicaid covers uninsured children in families with income at or below 225 percent of the federal povery line; uninsured children in families with income between 226 and 300 percent of the federal poverty line are covered under a separate SCHIP program. Underinsured children are covered under Medicaid up to 300 percent of the federa poverty line. This expansion of coverage for underinsured children was achieved through an amendment to the state's Medicaid Section 1115 waiver.
15. Wisconsin's expansion program was implemented in February 2008.
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