Page 14

Page | 12 12-MONTH EXTENDED MEDICAID INCOME LIMITS Last Section Revision Date: January 2026

NOTE: The income chart in this section is associated with Chapter M15 – Entitlement Policy & Procedures of the Medical Assistance Eligibility Manual. Income Chart Name: Twelve Month Extended Medicaid Income Limits – 185% of Federal Poverty Limits: All Localities

Effective 1/13/26 # of Persons in Family Unit / Budget Unit 185% FPL Monthly Limit 1 $616.05 2 $923.15 3 $1,176.60 4 $1,428.20 5 $1,676.10 6 $1,890.70 7 $2,127.50 8 $2,388.35 Each additional, add $260.85