Your feedback ensures we stay focused on the facts that matter to you most—take our survey.

CHIP income limits for eligibility

From Ballotpedia
Jump to: navigation, search
Healthcare Policy Logo.png
Healthcare policy in the U.S.
Obamacare overview
Obamacare lawsuits
Medicare and Medicaid
Healthcare statistics
Public Policy Logo-one line.png
Obamacare glossary • Effect of Obamacare • Centers for Medicare and Medicaid Services

This page is outside of Ballotpedia's current coverage scope and does not receive scheduled updates. If you would like to help our coverage grow, please consider donating to Ballotpedia.

The Children's Health Insurance Program (CHIP) is a public healthcare program for low-income children who are ineligible for Medicaid. Low-income children whose families earn too much to be eligible for Medicaid may be enrolled in CHIP, and states have some flexibility in determining the upper income limits for eligibility to enroll. However, under the ACA, states were prohibited from reducing the eligibility thresholds for CHIP from the date of the law's enactment through 2019.[1]

CHIP eligibility limits are expressed as a percentage of the federal poverty level and vary across the country. For instance, children in North Dakota may be enrolled in CHIP if their parents earn incomes between 138 percent and 175 percent of the FPL. At the other end of the spectrum, New York allows CHIP enrollment for children with families earning incomes up to 405 percent of the FPL.[2]

However, states also have flexibility in the administration of the program. States may use federal CHIP dollars to serve enrollees through Medicaid, through a separate program, or a combination of both. In programs that serve enrollees through Medicaid, income limits may vary by the child's age, while separate CHIP programs have the same income limit for children ages 0 to 18.[1]

The tables below display income limits for Medicaid and CHIP eligibility by state. For programs that serve enrollees through Medicaid, the eligibility limits are divided by age and further divided by the limits using Medicaid funding and the limits using CHIP funding. The tables also display the eligibility limit for separate CHIP programs and the highest eligibility limit for each state, whether that be through Medicaid or a separate CHIP program.

2017

Click here to view a table displaying various percentages of the 2017 federal poverty level as dollar amounts.

Medicaid and CHIP eligibility limits for children as a percentage of the federal poverty level, 2017
State Medicaid Separate CHIP, children ages 0-18 Upper income limit
Infants ages 0-1 Children ages 1-5 Children ages 6-18
Medicaid funded CHIP funded Medicaid funded CHIP funded Medicaid funded CHIP funded
Alabama 146% N/A 146% N/A 146% 146% 317% 317%
Alaska 177% 208% 177% 208% 177% 208% N/A 208%
Arizona 152% N/A 146% N/A 138% 138% 205% 205%
Arkansas 147% N/A 147% N/A 147% 147% 216% 216%
California 208% 266% 142% 266% 133% 266% N/A 266%
Colorado 147% N/A 147% N/A 147% 147% 265% 265%
Connecticut 201% N/A 201% N/A 201% N/A 323% 323%
Delaware 217% 217% 147% N/A 138% 138% 217% 217%
Florida 211% 211% 145% N/A 138% 138% 215% 215%
Georgia 210% N/A 154% N/A 138% 138% 252% 252%
Hawaii 191% 313% 139% 313% 133% 313% N/A 313%
Idaho 147% N/A 147% N/A 138% 138% 190% 190%
Illinois 147% N/A 147% N/A 147% 147% 318% 318%
Indiana 218% 218% 165% 165% 165% 165% 262% 262%
Iowa 380% 380% 172% N/A 172% 172% 307% 307%
Kansas 171% N/A 154% N/A 138% 138% 243% 243%
Kentucky 200% N/A 142% 164% 133% 164% 218% 218%
Louisiana 142% 217% 142% 217% 142% 217% 255% 255%
Maine 196% N/A 162% 162% 162% 162% 213% 213%
Maryland 194% 322% 138% 322% 133% 322% N/A 322%
Massachusetts 205% 205% 155% 155% 155% 155% 305% 305%
Michigan 195% 217% 160% 217% 160% 217% N/A 217%
Minnesota 275% 288% 280% N/A 280% N/A N/A 288%
Mississippi 199% N/A 148% N/A 138% 138% 214% 214%
Missouri 201% N/A 148% 155% 148% 155% 305% 305%
Montana 148% N/A 148% N/A 138% 148% 266% 266%
Nebraska 162% 218% 145% 218% 133% 218% N/A 218%
Nevada 165% N/A 165% N/A 138% 138% 205% 205%
New Hampshire 196% 323% 196% 323% 196% 323% N/A 323%
New Jersey 199% N/A 147% N/A 147% 147% 355% 355%
New Mexico 240% 305% 240% 305% 190% 245% N/A 305%
New York 223% N/A 154% N/A 154% 154% 405% 405%
North Carolina 215% 215% 215% 215% 138% 138% 216% 216%
North Dakota 152% N/A 152% N/A 138% 138% 175% 175%
Ohio 156% 141%-211% 156% 211% 156% 211% N/A 211%
Oklahoma 210% 210% 210% 210% 210% 210% N/A 210%
Oregon 190% 190% 138% N/A 138% 138% 305% 305%
Pennsylvania 220% N/A 162% N/A 138% 138% 319% 319%
Rhode Island 190% 266% 142% 266% 133% 266% N/A 266%
South Carolina 194% 213% 143% 213% 133% 213% N/A 213%
South Dakota 187% 187% 187% 187% 187% 187% 209% 209%
Tennessee 195% 216% 142% 216% 133% 216% 255% 255%
Texas 203% N/A 149% N/A 138% 138% 206% 206%
Utah 144% N/A 144% N/A 138% 138% 205% 205%
Vermont 317% 317% 317% 317% 317% 317% N/A 317%
Virginia 148% N/A 148% N/A 148% 148% 205% 205%
Washington 215% N/A 215% N/A 215% N/A 317% 317%
West Virginia 163% N/A 146% N/A 138% 138% 305% 305%
Wisconsin 306% N/A 191% N/A 133% 156% 306% 306%
Wyoming 159% N/A 159% N/A 138% 138% 205% 205%
Source: The Henry J. Kaiser Family Foundation, "Medicaid and CHIP Income Eligibility Limits for Children as a Percent of the Federal Poverty Level"

Federal poverty levels as dollar amounts

Incomes as percentage of 2017 federal poverty level
Family size 100% FPL 138% FPL 200% FPL 250% FPL 300% FPL 400% FPL
1 $12,060 $16,643 $24,120 $30,150 $36,180 $48,240
2 $16,240 $22,411 $32,480 $40,600 $48,720 $64,960
3 $20,420 $28,180 $40,840 $51,050 $61,260 $81,680
4 $24,600 $33,948 $49,200 $61,500 $73,800 $98,400
Source: Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services, "Poverty Guidelines"
Amounts above 100 percent FPL calculated by Ballotpedia.

2016

Click [show] on the red bar below to view the table. Click here to view a table displaying various percentages of the 2016 federal poverty level as dollar amounts.

Federal poverty levels as dollar amounts

Click [show] on the red bar below to view the table.

See also

External links

Footnotes

  1. ↑ 1.0 1.1 The Henry J. Kaiser Family Foundation, "Children’s Health Coverage: Medicaid, CHIP and the ACA," March 26, 2014
  2. ↑ The Henry J. Kaiser Family Foundation, "Medicaid and CHIP Income Eligibility Limits for Children as a Percent of the Federal Poverty Level," accessed May 25, 2016
Retrieved from "https://ballotpedia.org/wiki/index.php?title=CHIP_income_limits_for_eligibility&oldid=8850077"