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Compare Household Income and Size Against Income Eligibility Levels 117 Final step to determine Medicaid/CHIP eligibility: Compare household’s current monthly income to Federal Poverty Level (FPL) guidelines for appropriate household size for each individual. Use most recently published FPL level in effect in month during which someone applies for coverage (your agency will continue to provide the year’s FPL level by family size as they have in the past). Apply 5% of FPL-equivalent income disregard if it will impact an individual’s eligibility for a program. Generally, automated rules engines will be used to determine eligibility. The system will do this work as long as it has the right inputs. Comparing Results to Eligibility Levels Determining Household Income Constructing a Household Purpose