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Medicaid - Eligibility

WHAT ARE THE BASIC ELIGIBILITY CRITERIA FOR CHILDREN?
For a child 18 and younger, Medicaid eligibility (MIC program) is based solely on the income of the financially responsible adult the child lives with. There are different income levels based on the age of the child as shown below in the income limit chart. There is no resource evaluation in this program. (Resources include money in the bank, vehicles, cash on hand, etc.) If the child does not meet the income guidelines in this program, then an evaluation can be made in another program with lower income limits, resource limits, and possibly a deductible.

PROGRAM

INCOME LIMIT (FAMILY OF TWO)

GROUP COVERED

BENEFITS OF PROGRAM

RESERVE (for two)

DEDUCTIBLE?

Medicaid-Infants and Children (Under 1 year old) 185% of poverty (MIC)

$2,247

Children Under 1 YR.

All needed medical care. No limit on prescriptions

NA

NO

Medicaid-Infants and Children (Ages 1-5) 133% of poverty (MIC)

$1,615

Children ages 1-5

All needed medical care. No limit on prescriptions

NA

NO

Medicaid-Infants and Children (Ages 6-18) 100% of poverty (MIC)

$1,215

Children ages 6-18

All needed medical care. No limit on prescriptions

NA

NO

Some allowances are made for child-care costs and other work related expenses so those individuals who make slightly more than the limit should still consider coming to Social Services and discussing Medicaid.

The above table is a very basic guideline.