Page 15

15 of 15 Combined Standards 100-65796_DHS 5530 (10/2026) Health Systems Division (HSD) Medical Programs (continued) The 100% annual income test can be applied for individuals who meet certain requirements when their monthly income is above the monthly threshold. These limits are listed below: Family size 2026 100% Annual Income Threshold (2025 FPL used for 2026 determinations) 2027 100% Annual Income Threshold (2026 FPL used for 2027 determinations) 1 $15,650 $15,960 2 $21,150 $21,640 3 $26,650 $27,320 4 $32,150 $33,000 5 $37,650 $38,680 6 $43,150 $44,360 7 $48,650 $50,040 8 $54,150 $55,720 Add for each additional person $5,500 $5,680 Adults with monthly income above 138% FPL and annual income between 133% – 200% FPL can be evaluated for the OHP Bridge — Basic Health Program (BHP). The income ranges are listed below: Family size 2026 133% - 200% Annual Income Threshold (2025 FPL used for 2026 determinations) 1 $21,228 – $31,920 2 $28,788 – $43,280 3 $36,336 – $54,640 4 $43,896 – $66,000 5 $51,446 – $77,360 6 $59,004 – $88,720 7 $66,564 – $100,080 8 $74,112 – $111,440 Each additional person + $7,555 for the lower limit + $11,360 for the upper limit Return to Table of Contents