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 10/01/2022		 Family Health
Spenddown		 Revised Text.All Kids Assist
MAGI - 318% FPL
(includes 5% disregard)
(Children)		 Revised Text.FamilyCare and ACA Adults
MAGI - 138% FPL
(includes 5% disregard)
(Adults)		 Revised.MPE and Moms & Babies MAGI - 213% FPL Revised.Family Planning 213% FPL
Household Size = 2*		 Revised.Medical Extension
185% FPL
(No Limit for first 6 months; limit for Adults after first 6 months only)
1 $340 $283 $3,864 $1,677 NA NA NA
2 458 375 5,226 2,268 $3,500 $3,500* $3,040
3 576 508 6,588 2,859 4,413 NA 3,833
4 694 558 7,950 3,450 5,325 NA 4,625
5 812 650 9,312 4,041 6,237 NA 5,417
6 930 733 10,674 4,632 7,150 NA 6,210
7 1,048 767 12,036 5,223 8,062 NA 7,002
8 1,166 808 13,398 5,814 8,974 NA 7,795
9 1,284 850 14,761 6,406 9,887 NA 8,587
10 1,402 900 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 Revised Text.2022.

Tax Year 2014 2015 2016 2017 2018 2019 2020 2021 2022 New Text.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 New Text.2022
Health Savings Account Contribution Limit
IRS Form 8889		 Single person:  Revised.$304 per month
Family:  Revised.$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
New Text.1098E/1098T		 $2,500 in a tax year.  Certain rules apply, see PM 08-03-03.
Educator Expense Single Person: Revised.$300 per year
Family: Revised.$600 per year
Revised extIRA 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.
 Revised Text.The Tuition and Fees Deduction Ended in Tax Year 2020.

AABD Medical/Medicare Savings Programs/HBWD

New Text.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 Amounts2023
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 Revised Text.(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 - Revised Text.includes $90 PNA. 733 733 735 750 771 783 794 841 914
SLP, Shared Room - Revised Text.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
New Text.AABD Cash $ 2,000 $ 3,000 Add $ 50 for each add'l
New Text.AABD Medical New Text.17,500 New Text.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)

New Text9,090 (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.