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A-03-2026

STATE OF DELAWARE DELAWARE HEALTH AND SOCIAL SERVICES DIVISION OF MEDICAID & MEDICAL ASSISTANCE POLICY & PLANNING UNIT ADMINISTRATIVE NOTICE A-03-2026

TO: DMMA and DSS Staff

DATE: February 4, 2026

PROGRAM(S): MAGI and Non-MAGI Medicaid, and Delaware Healthy Children Program (DHCP)

SUBJECT: 2026 Federal Poverty and Medicaid Assistance Levels

BACKGROUND

The U.S. Department of Health & Human Services, Office of the Assistant Secretary for Planning and Evaluation, announced the 2026 Federal Poverty Level (FPL) guidelines on January 16, 2026. The Centers for Medicare & Medicaid Services released the 2026 Federal Poverty Level Standards on January 23, 2026. Both guidelines are used to compute income eligibility standards for:

• Parents/Caretaker Relatives • Pregnant Women • Infants • Children • Adults • Delaware Healthy Children Program (DHCP) • Qualified Medicare Beneficiary (QMB) • Specified Low Income Medicare Beneficiary (SLMB) • Qualifying Individual 1 (QI-1) • Qualified Disabled Working Individual (QDWI)

DISCUSSION

The monthly countable income limits are effective January 1, 2026, for parents/caretaker relatives, pregnant women, infants, children, adults, the Delaware Healthy Children Program, and QDWIs.

The income limits are effective April 1, 2026, for QMBs, SLMBs, and QI-1s who have Title II income. Docusign Envelope ID: 4C24504D-3858-486F-8AB2-80022EC1F181