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MAGI-Based Medicaid

2026 Monthly Federal Poverty Level Income Guidelines for MAGI-Based Programs Family Size Individuals Age 19 or 20 44% Parents or Caretaker Relatives 90% MAGI Adults 133% Coverage for Children 156%* Pregnant Women 200% Coverage for Children 206%** 1 $586 $1,197 $1,769 $2,075 $2,660 $2,740 2 $794 $1,623 $2,399 $2,814 $3,607 $3,715 3 $1,002 $2,049 $3,028 $3,552 $4,554 $4,690 4 $1,210 $2,475 $3,658 $4,290 $5,500 $5,665 5 $1,419 $2,901 $4,288 $5,029 $6,447 $6,641 6 $1,627 $3,327 $4,917 $5,767 $7,394 $7,616 *This standard is used for children with creditable insurance. **This standard is used for children without creditable insurance.

Medicaid Buy-in for Workers with Disabilities (MBIWD)/Ohio WorkAbility

Beginning March 1, 2026, the CDJFS must determine initial and ongoing eligibility for the MBIWD/Ohio WorkAbility individual using the updated 250% FPL income guideline below:

Individual Income Guideline 250% $3,325

Medicare Premium Assistance Programs (MPAP)

Beginning March 1, 2026, the CDJFS must determine eligibility for MPAP using the FPL guidelines below:

2026 Monthly Federal Poverty Level Income Guidelines for MPAP Family Size Qualified Medicare Beneficiary (QMB) 100% Specified Low- Income Medicare Beneficiary (SLMB) 120% Qualified Individual-1 (QI-1) 135% Qualified Disabled and Working Individual (QDWI) 200% 1 $1,330 $1,596 $1,796 $2,660 2 $1,804 $2,164 $2,435 $3,607 3 $2,277 $2,732 $3,074 $4,554 4 $2,750 $3,300 $3,713 $5,500 5 $3,224 $3,868 $4,352 $6,447 6 $3,697 $4,436 $4,991 $7,394