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Title 8: Medicaid Page 75 Iowa Department of Health and Human Services Employees’ Manual Chapter E: Income Income Policies for MAGI-Related Coverage… Revised April 11, 2025 MAGI-Related Income Limits MAGI-Related Income Limits Legal reference: 441 IAC 75 (Rules in Process) Effective January 1, 2014, the following income limits apply to the MAGI-related Medicaid coverage groups specified below, as identified by the legal references provided:

Coverage Group Legal Reference Household Size (persons) Income Limit (per month) Family Medical Assistance Program 441 IAC 75.3(1); 42 C.F.R. Part 435.110 and 435.118; Title XIX of the Social Security Act, Section 1931 1 $447 2 $716 3 $872 4 $1,033 5 $1,177 6 $1,330 7 $1,481 8 $1,633 9 $1,784 10 $1,950 over 10 $1,950 plus $178 for each additional person Mothers and Children, for pregnant women 441 IAC 75.3(2); 42 C.F.R. Part 435.116 and 435.118; Title XIX of the Social Security Act, Section 1902 215% of the federal poverty level for the household Mothers and Children, for infants under one year of age

300% of the federal poverty level for the household Mothers and Children, for children aged 1 through 18 year 441 IAC 75.3(2); 42 C.F.R. Part 435.118; Title XIX of the Social Security Act, Section 1902 167% of the federal poverty level for the household