WAG 25-03-02 (2) Medical

  1. Program Standards
    1. Family Health Plans - 1
    2. 2022 Income Standard for MPE and Moms & Babies
  2. Threshold at Which a Child or Tax Dependent is Expected to be Required to File a Tax Return (MAGI)
  3. MAGI Deduction Limits
  4. AABD Medical/Medicare Savings Programs/HBWD
    1. Resources

Program Standards

Family Health Plans - 1

# In
Unit
Family Assist
Effective 10/01/2021
Family Health
Spenddown
updated manual textAll Kids Assist
MAGI - 147% FPL
(includes 5% disregard)
(Children)
updated manual textFamilyCare and ACA Adults
MAGI - 138% FPL
(includes 5% disregard)
(Adults)
1 $ 322 $ 283 $ 1,665 $ 1,563
2 435 375 2,243 2,106
3 549 508 2,821 2,648
4 662 558 3,399 3,191
5 776 650 3,978 3,734
6 890 733 4,556 4,277
7 1,003 767 5,134 4,820
8 1,116 808 5,712 5,362
9 1,230 850 6,290 5,905
10 1,343 900 6,868 6,448
Each
add'l
See
PM 15-06-01-a
 for additional members in the household.   
+ 67 + 578 + 543

2022 Income Standard for MPE and Moms & Babies

MAGI - 213% FPL

Family Size Monthly Income
2 updated manual text$ 3,250
3 4,088
4 4,926
5 5,763
6 6,601
7 7,439
8 8,277
9 9,115
10 9,953
Each
add'l
+ 838

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 2021.

Tax Year 2014 2015 2016 2017 2018 2019 2020 2021 updated manual text2022
Monthly Earned Income $ 508 $ 517 $ 525 $ 529 $ 1,000 $ 1,000 $ 1,000 $ 1,033 $ 1,046
Monthly Unearned Income* 83 83 87 88 88 88 88 91 92

*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 updated manual textFor Tax Year 2021
Health Savings Account contribution limit
IRS Form 8889
Single person:  $300 per month
Family:  $600 per month
Moving expense limit 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 $2,500 in a tax year.  Certain rules apply, see PM 08-03-03.
Educator Expense Single Person: $250 per year
Family: $500 per year
IRA Deduction Age: less than 50: $6,000
greater than 50: $7,000 
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 was set to end after 2017 but has been extended through 2020.

AABD Medical/Medicare Savings Programs/HBWD

updated manual text2022 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 $ 1,133 $ 1,133 $ 1,134 - 1,358 $ 1,359 - 1,528 $ 3,964
2 1,526 1,526 1,527 - 1,830 1,831 - 2,059 5,340
3 1,919 NA NA NA 6,717
4 2,313 NA NA NA 8,094
5 2,706 NA NA NA 9,470
6 3,099 NA NA NA 10,847
7 3,493 NA NA NA 12,224
8 3,886 NA NA NA 13,600
9 4,279 NA NA NA 14,977
10 4,672 NA NA NA 16,354
Each
add'l
+393 NA NA NA +1,377
ITEM 2013 2014 2015 2016 2017 2018 2019 2020 2021 updated manual text2022
Grant Adjustment
Changes in January
531.90 542.90 554.90 554.90 556.90 571.90 592.90 604.90 615.90 662.90
Spousal Impoverishment
Resources
109,560 109,560 109,560 109,560 109,560 109,560 109,560 109,560 109,560 109,560
Spousal Income 2,739 2,739 2,739 2,739 2,739 2,739 2,739 2,739 2,739 2,739
Family Maintenance (MMMNA)
1,891.25 1,938.75 1,966.25 1,966.25 2,030 2,058 2,058 2,113.75 2,155 2,178
Home Equity Limit NA NA NA NA NA NA 585,000 595,000 603,000 636,000
SLP, Single 710 721 733 733 735 750 771 783 794 841
SLP, Shared Room 533 541 550 550 551.50 562.50 578.50 587.50 595.50 630.50
SSI - Individual 710 721 733 733 735 750 771 783 794 841
SSI - Couple 1,066 1,082 1,100 1,100 1,103 1,125 1,157 1,175 1,191 1,261

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/Medical $ 2,000 $ 3,000 Add $ 50 for each add'l
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)

updated manual text8,400 (2022)

$ 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)

$ 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)

HBWD
(see PM 06-24-05)
$ 25,000 $ 25,000 $ 25,000

*Family Health Plans & TANF - Resources not considered.