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* MNIL, SSI: Applicable income standards for these groups. ** FPL: Federal Poverty Level

2026 MAGI-EXCEPTED INCOME STANDARDS (Effective: 01/13/2026) Coverage Group Medically Needy (MN) (Aged, Blind, Disabled) §17-1719-11 Mandatory Categorically Needy (MCN) (Aged, Blind, Disabled) §17-1719-11 Optional Categorically Needy (OCN) (Aged, Disabled) QMB/BHH §§17-1719-11 17-1722-10 17-1722.3-9 SLMB §17-1722-18 QI-1 §17-1722-70 QDWI §17-1722-26 Medically Needy Spenddown (Pregnant Women/ Children) §17-1730.1-11 HH Size MNIL* SSI Income Standard* 100%** 120%** 135%** 200%** 300%** 1 $469 $994 $1,530 $1,836 $2,066 $3,060 $4,590 2 $632 $1,491 $2,075 $2,490 $2,801 $4,149 $6,223 3 $795 $1,989 $2,619 $3,142 $3,535 $5,237 $7,855 4 $958 $2,487 $3,163 $3,795 $4,270 $6,325 $9,488 5 $1,121 $2,985 $3,707 $4,448 $5,004 $7,414 $11,120 6 $1,284 $3,483 $4,251 $5,102 $5,739 $8,502 $12,753 7 $1,447 $3,981 $4,795 $5,754 $6,474 $9,590 $14,385 8 $1,610 $4,479 $5,340 $6,407 $7,208 $10,679 $16,018 9 $1,773 $4,977 $5,884 $7,061 $7,943 $11,767 $17,650 10 $1,936 $5,475 $6,428 $7,713 $8,678 $12,855 $19,283 Add’l Member $163 $498 $544 $653 $734 $1,088 $1,632 2026 MAGI-EXCEPTED ASSET LIMITS COVERAGE GROUP AGED, BLIND OR DISABLED, SPENDDOWN QDWI QMB, SLMB, QI-1 HH-1 $2,000 $4,000 $9,950 HH-2 $3,000 $6,000 $14,910 Add'l Individual $250 $500 $500