Medicaid Policy                                                                 

 

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

Effective Date: March 1, 2026

Previous Table  

 

      MWI Program Limits

      See 462-1

 

Household Size

Monthly Amount

250% Poverty Guideline

Annual Amount at 100% of Federal Poverty Guideline

1

$3,325

$15,960

2

$4,509

$21,640

3

$5,692

$27,320

4

$6,875

$33,000

5

$8,059

$38,680

6

$9,242

$44,360

7

$10,425

$50,040

8

$11,609

$55,720

For households above 8, add $5,680 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 $1,330 and up to  $1,463

5%

Over 110% but not over 120%

over $1,463 and up to $1,596

10%

Over 120%

over $1,596

15%

2

(Couple's countable income)

Over 100% but not over 110%

over $1,804 and up to $1,984

5%

Over 110% but not over 120%

over $1,984 and up to $2,164

10%

Over 120%

over $2,164

15%