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net income may not exceed the standards in order for financial eligibility to exist. The following sections list the standards to be used in the consideration of income.

3010.30.05 INCOME STANDARDS/LOW-INCOME PARENTS OR CARETAKERS, AND CHILDREN IN

PSYCHIATRIC FACILITIES (MED 3)

This chart lists the monthly income standards to be used for low-income parents or caretakers (MAGF), and Children Age 18 and under 22 (MA O).

AG SIZE NET INCOME STANDARD AG SIZE NET INCOME STANDARD 1 $152.00 6 $498.00 2 $247.00 7 $561.00 3 $310.00 8 $624.00 4 $373.00 9 $687.00 5 $435.00 10 $750.00 For each additional member, add $63.00

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 1 $1769.00 5 $4288.00 2 $2399.00 6 $4917.00 3 $3028.00 7 $5547.00 4 $3658.00 8 $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