Medicaid Policy                                                                 

 

TABLE VII-A - Medicaid Work Incentive Income And Premium Tests

Effective Date: March 1, 2025

Previous Table  

 

              MWI Program Limits

               See 462-1

 

Household Size

Monthly Amount

250% Poverty Guideline

Annual Amount at 100% of Federal Poverty Guideline

1

$ 3,261

$ 15,650

2

$4,407

$ 21,150

3

$5,553

$26,650

4

$6,698

$32,150

5

$7,844

$37,650

6

$8,990

$43,150

7

$10,136

$48,650

8

$11,282

$54,150

For households above 8, add $5,500 for each additional person to the 100% of poverty annual amount for a family of 8. Then multiply that amount by 2.5 and divide by 12 to get the monthly 250% amount for the new household size. Round up only once at the end of the operation.

              

MWI Premium Calculation Rates

 

See Section 462-1 to determine which percentage rate to use to calculate the MWI client's premium.

Household Size

Countable Income as per 462-1

Income Limits

Premium Rate (multiply eligible client or eligible couple's income by)

1

(Client's countable income)

Over 100% but not over 110%

over $1,305 and up to  $1,435

5%

Over 110% but not over 120%

over $1,435 and up to $1,565

10%

Over 120%

over $1,565

15%

2

(Couple's countable income)

Over 100% but not over 110%

over $1,763 and up to $1,939

5%

Over 110% but not over 120%

over $1,939 and up to $2,115

10%

Over 120%

over $2,115

15%