3010.30.10 INCOME STANDARDS HIP

This chart lists the monthly income standards to be used for uninsured adults who are at least 19 years old and less than 65 years old (MASP, MARP, MANA, MAPC, and MAHL). The income standard is based on 133% of the Federal Poverty Level (FPL), effective March 1, 2026. AG SIZE NET INCOME STANDARD AG SIZE NET INCOME STANDARD $1769.00 $4288.00 $2399.00 $4917.00 $3028.00 $5547.00 $3658.00 $6176.00 For each additional member, add $630.00 This chart lists the monthly income standards to be used for uninsured adults who are at least 19 years old and less than 65 years old (MASB and MARB) who fail to make required financial contribution to a POWER Account and are eligible for HIP Basic coverage. MASB for Transitional Medical Assistance (TMA) members are exempt from this chart. The income standard is based on 100% of the FPL, effective March 1, 2026. AG SIZE NET INCOME STANDARD AG SIZE NET INCOME STANDARD $1330.00 $3224.00 $1804.00 $3697.00 $2277.00 $4170.00 $2750.00 $4644.00 3010.30.10.05 INCOME STANDARDS LOW-INCOME PARENT CARETAKER This chart lists the monthly income standards to be used for Low-Income Parent Caretakers aged between 19 and 64 (MASP and MASB) and for low-income parent caretakers who are eligible for Medicare or eligible to receive an HCBS Waiver (MAGF). Low Income Parent Caretakers refugees who are within their first 12 months in the country will be placed into MAGF instead of MA Q. These members will be able to remain in MAGF for 12 months. AG SIZE NET INCOME STANDARD AG SIZE NET INCOME STANDARD $152.00 $435.00 $247.00 $498.00 $310.00 $561.00 $373.00 $624.00 For each additional member, add $63.00 3010.30.10.10 INCOME STANDARDS HIP TMA For HIP TMA adults aged at least 19 years old and less than 65 years old (MASP and MASB), refer to 3010.26.00.