To determine your monthly maximum income limit, you must first determine:

  • Your Coverage Group; and
  • Your Family Size.

Step 1: Determine Your Coverage Group

Which of these Coverage Groups describes the person applying for Medicaid?

  • Under age 1.
  • Ages 1 to 5.
  • Ages 6 to 18.
  • Age 19 or 20.
  • Parent or caretaker.
  • Pregnant woman.

Step 2: Determine Your Family Size

To determine your Family Size, answer the following questions:

  1. Are you a child who is not filing a tax return?

If yes, then your Family Size includes all of these individuals:

  • You, and
  • Your parents who live in the same household with you (including step-parents and adoptive parents), and
  • Your siblings who live in the same household with you and are under 19 or are full-time students under 21. This includes step-siblings, half-siblings, and adopted siblings.

Now go to Step 3.

If no, then go to the next question.

  1. Will a parent or spouse claim you as a dependent for the current tax year?

If yes, then your Family Size includes all of these individuals:

  • You, and
  • Your spouse, and
  • The individual filing the tax return (also called the tax filer), and
  • The tax filer's spouse, and
  • All of the tax filer's other tax dependents.

Now go to Step 3.

If no, then go to the next question.

  1. Do you expect to file a tax return for the current tax year?

If yes, then your Family Size includes all of these individuals:

  • You, and
  • Your spouse, and
  • Your tax dependents.

Now go to Step 3.

If no, then your Family Size includes all of these individuals:

  • You, and
  • Your spouse, if your spouse lives in the same household with you, and
  • Any of your children who live in the same household with you and are under 19 or are full-time students under 21. This includes step-children and adopted children.