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REV. MAY 8, 2026 NEBRASKA DEPARTMENT OF MEDICAID ELIGIBILITY HEALTH AND HUMAN SERVICES 477-000-012

477-000-012 – Income Levels/Federal Poverty Levels and Resources

Program Standards, Federal Poverty Levels, and Maximum Income (Unless otherwise noted figures are effective 1/1/2026) Figures listed are representative of dollar amounts

Income Limits for MAGI Based Programs and Transitional Medical Assistance

F P L 23% 51% 58% 194% 185% 133% 162% 145% 133% 197% 213% HH SIZE SAGA FORMER WARD/ IMD PARENT/ CARETAKE R RELATIVE PREGNANT WOMEN TMA Heritage Health Adult (HHA) NEWBORN TO AGE 1 CHILDREN AGES 1-5 CHILDREN AGES 6-18 599 CHIP CHIP 1 306 679 772 2,581 2,461 1,769 2,155 1,929 1,769 2,621 2,833 2 415 920 1,046 3,499 3,337 2,399 2,922 2,615 2,399 3,553 3,842 3 524 1,162 1,321 4,417 4,212 3,028 3,689 3,302 3,028 4,486 4,850 4 633 1,403 1,595 5,335 5,088 3,658 4,455 3,988 3,658 5,418 5,858 5 742 1,644 1,870 6,254 5,964 4,288 5,222 4,674 4,288 6,350 6,866 6 851 1,886 2,145 7,172 6,839 4,917 5,989 5,361 4,917 7,283 7,874 7 960 2,127 2,419 8,090 7,715 5,547 6,756 6,047 5,547 8,215 8,883 8 1,068 2,369 2,694 9,009 8,591 6,176 7,523 6,733 6,176 9,148 9,891 9 1,177 2,610 2,968 9,927 9,466 6,806 8,290 7,420 6,806 10,080 10,899 10 1,286 2,851 3,243 10,845 10,342 7,435 9,056 8,106 7,435 11,013 11,907

Resource and Income Limits for Aged, Blind and Disabled Programs

MIWD and MIWD with Premium Income Limits

FPL 200% 250% HH MIWD MIWD PREMIUM 1 2,660 3,325 2 3,607 4,509