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Medicaid Eligibility Programs Effective March 1, 2026 Coverage for Aged, Blind or Disabled Category Eligible Population Monthly Income Limits Resource Limits Benefits Aged, Blind or Disabled Aged (65+), blind or totally and permanently disabled 100% of federal poverty level (FPL): $1,330 per individual or $1,804 per couple $9,950 per individual, $14,910 per couple Medicaid benefits Qualified Disabled Working Individuals Disabled individuals who lost eligibility for Title II benefits and Social Security support of Medicare premiums because of wages Countable income must be at or below 200% of FPL $4,000 per individual Payment of monthly Medicare Part A premiums only, not eligible for other Medicaid benefits Qualifying Individual Must have Medicare Part A benefits Income level must be greater than 120% of FPL and less than 135% of the FPL: $1,796 for an individual, or $2,435 for a couple $9,950 per individual, $14,910 per couple Medicare Part B premiums only, not eligible for other Medicaid benefits Specified Low-income Medicare Beneficiary Must have Medicare Part A benefits Income level must be greater than 100% and less than 120% of FPL: $1,596 per individual or $2,164 per couple $9,950 per individual, $14,910 per couple Medicare Part B premiums only, not eligible for other Medicaid benefits Supplemental Security Income (SSI) Aged (65+), blind or totally and permanently disabled and working $994 per individual, $1,491 per couple $2,000 per individual, $3,000 per couple A cash payment individual with no income receives $794 per month, Medicaid benefits SSI Pass-Along Individuals who lost eligibility for SSI due to increase in receipt of certain Social Security benefits Follows SSI limits once Social Security Administration benefit increase is disregarded SSI resource limits (can we link to these?) Medicaid benefits TEFRA – Katie Beckett Disabled children under age 19 who meet level of care required in ICF-ID facility, nursing facility or hospital Parent’s income is not counted, child’s income limit is $2,982 $2,000 per child (parent’s income and resources not considered) Medicaid benefits Working Disabled Under age 65, totally and permanently disabled and working 250% of FPL: $3,325 if it is a household of one AND the individual’s unearned income must be at or below 100% of FPL: $1,330 $9,950 per individual Medicaid benefits