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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MAGI MEDICAL GROUPS ACA MAGI Medical Groups Definition Income Limits Exceptions/Rules AM Parents & Caretakers 1 - $319 2 - $407 3 - $495 4 - $582 5 - $670 6 - $758 7 - $846 8 - $934 $88 each additional Parent/Caretaker must have a dependent child in the home; AM with Medicare Dual Eligible Parents & Caretakers 1 - $385 2 - $496 3 - $607 4 - $716 5 - $827 6 - $938 7 - $1,049 8 - $1,160 $111 each additional Parent/Caretaker must have a dependent child in the home; Buy-in Eligible; Dual eligible. Must meet resource limits under a Medicare Beneficiary program for dual eligibility. AM1 Expanded Parent & Caretakers AM Limit – 138% FPL Cannot be Medicare eligible; Children must be enrolled in coverage for parent to be eligible. Cannot be pregnant. CH Poverty Level Children & Pregnant Women *CH/J – Incarcerated children, including pregnant women. Children 6-18: < 122% FPL Children under 6: < 165% FPL Pregnant Women < 190% FPL Buy-In Eligible; Can be dual eligible. *Incarcerated children 0-18, including pregnant women who are eligible 30 days prior to their release date for limited Medicaid services. CH1 Expanded Children’s Group Ages 6 – 18 123% - 138% FPL Cannot be enrolled in Medicare. CH4 Expanded Pregnant Women Pregnant Women < 205% FPL Cannot be enrolled in Medicare. APPENDIX A INCOME RESOURCE CHARTS Division of Social Services Medical Assistance Manual 25 July MTL 06/25 MAGI MEDICAL GROUPS