Medicaid (Annual and Monthly) Income Levels for Pregnant Women and Children

January 1, 2009

Household Income
% FPL Period Household Size Period
Two Three Four Five Six Seven Eight Each Additional Person
100% Annual 14,570 18,310 22,050 25,790 29,530 33,270 37,010 +3,740 Annual
Monthly 1,215 1,526 1,838 2,150 2,461 2,773 3,085 +312 Monthly
133% Annual 19,379 24,353 29,327 34,301 39,275 44,250 49,224 +4,975 Annual
Monthly 1,615 2,030 2,444 2,859 3,273 3,688 4,102 +415 Monthly
200% Annual 29,140 36,620 44,100 51,580 59,060 66,540 74,020 +7,480 Annual
Monthly 2,429 3,052 3,675 4,299 4,922 5,545 6,169 +624 Monthly
  • Pregnant women and infants under age one are eligible at 200%
  • A pregnant woman counts as two
  • Children 1-5 years of age are eligible at 133%
  • Children 6-18 years of age are eligible at 100%