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MA-2252, NON- MAGI MEDICAID INCOME/RESERVE LIMITS Effective: April 1, 2026 Revised 4/1/2026

` 1 2 3 4 5 6 7 8 Add’l MAF-M Reserve Limit: $3000 242 317 367 400 433 467 500 525

9 10 11 12 13 14

542 575 600 633 667 700

33 Adult Medicaid 1 2

MAABD-N 1330 1804

MAABD-N 1/3 reduced 887 1203

MAABD-M 242 317

MAABD-M 1/3 reduced 161 211

HCWD 150% (unearned) 1995 2705

HCWD 150% 1/3 reduced 1331 1804

HCWD 200% 2660 3607 Above 200% - Premium must be paid. HCWD 200% 1/3 reduced 1774 2405

MQB-Q 100% 1330 1804 2277 2750 3224 3697 4170 4644 474 MQB-Q 1/3 reduced 887 1203 1518 1834 2149 2465 2781 3096 316 MQB-B 100% - 120% 1330.01- 1596 1804.01- 2164 2277.01- 2732 2750.01- 3300 3224.01- 3868 3697.01- 4436 4170.01- 5004 4644.01- 5572 Add 474 to previous minimum and 568 to 120% MQB-B 1/3 reduced 887.01- 1065 1203.01- 1443 1518.01- 1822 1834.01- 2201 2149.01- 2579 2465.01- 2958 2781.01- 3337 3096.01- 3715 Add 316 to previous minimum and 379 to 120% MQB-E 120% - 135% 1596.01- 1796 2164.01- 2435 2732.01- 3074 3300.01- 3713 3868.01- 4352 4436.01- 4991 5004.01- 5630 5572.01- 6269 Add 568 to previous minimum and 639 to 135% MQB-E 1/3 reduced 1065.01- 1198 1443.01- 1624 1822.01- 2050 2201.01- 2476 2579.01- 2902 2958.01- 3328 3337.01- 3754 3715.01- 4180 Add 379 to previous minimum and 427 to 135% MWD 200% 2660 3607

MWD 1/3 reduced 1774 2405

TBI 300% 3990 5410

Reserve: MAABD 2000 3000

Reserve: MQB-Q/B/E 9950 14910

Reserve: HCWD 32532 32532

Reserve: MWD 4000 6000