WAG 25-03-02 (2) Medical FPLs

1. Program Standards
   1. 2023 Family Health Plans Income Standards
   2. Threshold at Which a Child or Tax Dependent is Expected to be Required to File a Tax Return (MAGI)
2. MAGI Deduction Limits
3. AABD Medical/Medicare Savings Programs/HBWD
4. Resources

Program Standards

2023 Family Health Plans Income Standards

# In Unit	Family Assist Effective 10/01/2023	Family Health Spenddown	All Kids Assist MAGI - 318% FPL (includes 5% disregard) (Children)	FamilyCare and ACA Adults MAGI - 138% FPL (includes 5% disregard) (Adults)	MPE and Moms & Babies MAGI - 213% FPL	Family Planning 213% FPL Household Size = 2*	Medical Extension 185% FPL (No Limit for first 6 months; limit for Adults after first 6 months only)
1	$425	$283	$3,864	$1,677	NA	NA	NA
2	575	375	5,226	2,268	$3,500	$3,500*	$3,040
3	725	508	6,588	2,859	4,413	NA	3,833
4	875	558	7,950	3,450	5,325	NA	4,625
5	1,025	650	9,312	4,041	6,237	NA	5,417
6	1,175	733	10,674	4,632	7,150	NA	6,210
7	1,325	767	12,036	5,223	8,062	NA	7,002
8	1,475	808	13,398	5,814	8,974	NA	7,795
9	1,625	850	14,761	6,406	9,887	NA	8,587
10	1,775	900	16,123	6,997	10,799	NA	9,380
Each add'l	See PM 15-06-01-a  for additional members in the household.	+ 67	+ 1,361	+ 591	+ 912	NA	+ 792

Threshold at Which a Child or Tax Dependent is Expected to be Required to File a Tax Return (MAGI)

Use "last year's" tax information.  The table below is updated for 2022.

Tax Year	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Monthly Earned Income	$508	$517	$525	$529	$1,000	$1,000	$1,000	$1,033	$1,046	$1,079
Monthly Unearned Income*	83	83	87	88	88	88	88	91	92	95

*Excluding SSA Income.  See PM 15-06-01-h.

MAGI Deduction Limits

The MAGI deductions listed below are the ones with limits.  To see all of the MAGI deductions, go to

PM 08-03-03.

MAGI Deductions that are Limited	For Tax Year 2022
Health Savings Account Contribution Limit IRS Form 8889	Single person:  $304 per month Family:  $608 per month
Moving Expense Limit Form 3903	The new workplace must be 50 miles or more further from the person's old home. No longer an allowable deduction beginning with tax year 2018 through 2025, except for Members of the Armed Forces.
Student Loan Interest Limit 1098E/1098T	$2,500 in a tax year.  Certain rules apply, see PM 08-03-03.
Educator Expense	Single Person: $300 per year Family: $600 per year
IRA Deduction	Age: less than 50: $6,500 greater than 50: $7,500
Tuition and Fees Limit Form 1098-T	$4,000 per year.  Annual MAGI income cannot be more than $80,000 for single or $160,000 for a joint return.  The Tuition and Fees Deduction Ended in Tax Year 2020.

AABD Medical/Medicare Savings Programs/HBWD

2023 Income Standards

# In Unit	AABD 100% FPL	QMB 100% FPL	SLIB Over 100% to $1 less than 120%	QI-1 120% to $1 less than 135% FPL	HBWD (LO 250) Less than or Equal to 350% FPL
1	$ 1,215	$ 1,215	$ 1,216 - 1,457	$ 1,458 - 1,639	$ 4,253
2	1,643	1,643	1,644 - 1,971	1,972 - 2,218	5,752
3	2,072	NA	NA	NA	7,251
4	2,500	NA	NA	NA	8,750
5	2,928	NA	NA	NA	10,249
6	3,357	NA	NA	NA	11,748
7	3,785	NA	NA	NA	13,248
8	4,213	NA	NA	NA	14,747
9	4,642	NA	NA	NA	16,246
10	5,070	NA	NA	NA	17,745
Each add'l	+428	NA	NA	NA	+1,498

ITEM	2015	2016	2017	2018	2019	2020	2021	2022	2023
Grant Adjustment Changes in January	554.90	554.90	556.90	571.90	592.90	604.90	615.90	662.90	735.90
Spousal Impoverishment Resources	109,560	109,560	109,560	109,560	109,560	109,560	109,560	109,560	120,780
Spousal Income (CSMNA)	2,739	2,739	2,739	2,739	2,739	2,739	2,739	2,739	3,715.50
Family Maintenance (MMMNA)	1,966.25	1,966.25	2,030	2,058	2,058	2,113.75	2,155	2,178	2,288.75
Home Equity Limit	NA	NA	NA	NA	585,000	595,000	603,000	636,000	688,000
SLP, Single - includes $90 PNA.	733	733	735	750	771	783	794	841	914
SLP, Shared Room - includes $90 PNA.	550	550	551.50	562.50	578.50	587.50	595.50	630.50	685.50
SSI - Individual	733	733	735	750	771	783	794	841	914
SSI - Couple	1,100	1,100	1,103	1,125	1,157	1,175	1,191	1,261	1,371

The Medicare Part B premium deduction is based on the individual's income as well as the initial year of enrollment.  Check SOLQ to confirm the correct amount for the Medicare Part B premium deduction.

Resources

Program	One person	2 people	More than 2
AABD Cash	$ 2,000	$ 3,000	Add $ 50 for each add'l
AABD Medical	17,500	17,500	NA
Medicare Savings Programs	$ 7,080 (2013) 7,160 (2014) 7,280 (2015) 7,280 (2016) 7,390 (2017) 7,560 (2018) 7,730 (2019) 7,730 (2020) 7,970 (2021) 8,400 (2022) 9,090 (2023)	$ 10,620 (2013) 10,750 (2014) 10,930 (2015) 10,930 (2016) 11,090 (2017) 11,340 (2018) 11,600 (2019) 11,600 (2020) 11,960 (2021) 12,600 (2022) 15,160 (2023)	$ 10,620 (2013) 10,750 (2014) 10,930 (2015) 10,930 (2016) 11,090 (2017) 11,340 (2018) 11,600 (2019) 11,600 (2020) 11,960 (2021) 12,600 (2022) 15,160 (2023)
HBWD (see PM 06-24-05)	$ 25,000	$ 25,000	$ 25,000

*Family Health Plans & TANF - Resources not considered.