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Medicaid and CHIP Eligibility Levels

These documents depict the new MAGI-based eligibility levels that states have in place for Medicaid and the Children’s Health Insurance Program (CHIP) as of July 1, 2014. The first document expresses these standards as a percentage of the federal poverty level (FPL); and the additional documents provide the eligibility levels in dollar amounts for annual income and calculated for a family size of one, two, three and four. CMS has worked with states to “convert” their Medicaid and CHIP eligibility levels to be based on modified adjusted gross income (MAGI) as required by the Affordable Care Act. Not all populations that are enrolled in Medicaid and CHIP will have their eligibility determined based on MAGI, but these documents depict the key groups – children, pregnant women, parents/caretaker relatives and other adults – whose eligibility is MAGI-based beginning in 2014.