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A-03-2026

• Parents/Caretaker Relatives must have family income at or below 87% of poverty. • Pregnant women and infants under age 1 must have family income at or below 212% of poverty. Pregnant women count as 2 (or more) family members. • Children age 1 through age 5 (under age 6) must have family income at or below 142% of poverty. • Children age 6 through age 18 (under age 19) must have family income at or below 133% of poverty. • Adults must have family income at or below 133% of poverty. • Children in DHCP must have income at or below 212% of poverty. • A QMB must have income at or below 100% of poverty. • A SLMB must have income at or below 120% of poverty. • A QI-1 must have income that is over 120% of poverty but does not exceed 135% of poverty. • A QDWI must have income at or below 200% of poverty. • For a family size greater than 8, add $5,680.00* to the annual income for each family member. • The 5% FPL Income Disregard is used when determining eligibility for an individual who is over income under a MAGI-based group using the highest income standard available for the individual. • The tax filing thresholds for dependents are published annually in IRS Pub 501. The thresholds are updated in ASSIST Worker Web to be effective starting in January of each year. Single dependents are required to file a tax return if any of the following apply: o Countable MAGI based unearned income more than $1,350.00 annually; o Countable MAGI based earned income more than $15,750.00 annually. o Countable MAGI based self-employment income more than $400.00 annually.

Effective July 1, 2024, Delaware Medicaid removed the premium requirement for DHCP members.

The charts below show the income limits for the various medical assistance programs. Docusign Envelope ID: 4C24504D-3858-486F-8AB2-80022EC1F181