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COMBINED MEDICAID 002 Table of Standards: Medically Needy Income

Supersedes: CMA 002 (01/01/2025)

Reference: 42 CFR 435.811; ARM 37.82.101, .1106; 42 U.S.C. 415

Overview: ACA/Family: An individual or family that meets all the nonﬁnancial criteria for non-medically needy Family Medicaid assistance, but fails to meet the income standards, may qualify for medically needy Medicaid. Eligibility for medically needy Medicaid (with or without a spend down) is based on income received or reasonably anticipated for the month. Use the appropriate income level from the table on page 3 of this section.

The needs of parents/speciﬁed caretaker relatives are not covered under the Family medically needy Medicaid program, whether or not there is a spend down.

MEDICALLY NEEDY INCOME DEDUCTION:

ABD: Effective January 1, 2026, an additional $391 is deducted from a medically needy ﬁling unit’s total countable net income when calculating the spend down amount. See CMA 602-1 Income Disregards and Deductions for more information.

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Official source

COMBINED MEDICAID 002 Table of Standards: Medically Needy Income

Supersedes: CMA 002 (01/01/2025)

Reference: 42 CFR 435.811; ARM 37.82.101, .1106; 42 U.S.C. 415

Overview: ACA/Family: An individual or family that meets all the nonﬁnancial criteria for non-medically needy Family Medicaid assistance, but fails to meet the income standards, may qualify for medically needy Medicaid. Eligibility for medically needy Medicaid (with or without a spend down) is based on income received or reasonably anticipated for the month. Use the appropriate income level from the table on page 3 of this section.

The needs of parents/speciﬁed caretaker relatives are not covered under the Family medically needy Medicaid program, whether or not there is a spend down.

MEDICALLY NEEDY INCOME DEDUCTION:

ABD: Effective January 1, 2026, an additional $391 is deducted from a medically needy ﬁling unit’s total countable net income when calculating the spend down amount. See CMA 602-1 Income Disregards and Deductions for more information.