What is the income limit for Medicaid eligibility in Utah?
How much can I earn and still qualify for Medicaid in Utah?
The amount you can earn and still qualify for Medicaid in Utah depends on your household size and the specific Medicaid category you fall under. Medicaid eligibility is determined based on your income in relation to the Federal Poverty Level (FPL). Here’s a breakdown of how much you can earn and still qualify for Medicaid.
1. Income Limits Based on Federal Poverty Level (FPL)
The income limits for Medicaid in Utah are calculated as a percentage of the Federal Poverty Level (FPL) and vary by different Medicaid categories, including coverage for children, pregnant women, adults without dependent children, and parents/caretakers. The FPL is updated annually and is used to determine eligibility for various government assistance programs.
A. Medicaid Income Limits by Category
Here are the income limits based on FPL percentages for different groups eligible for Medicaid in Utah:
Children (CHIP and Medicaid): Up to 200% of the FPL.
Pregnant Women: Up to 138% of the FPL.
Parents/Caretakers: Up to 60% of the FPL.
Adults without dependent children (Medicaid expansion): Up to 138% of the FPL.
B. Income Limits by Household Size
The FPL and income eligibility vary depending on the size of your household. Here’s an example of the annual income limits based on household size for 2024:
Household Size138% of FPL200% of FPL1$20,120$29,1602$27,214$39,4403$34,307$49,7204$41,400$60,000
For larger households, the income limits increase accordingly. These thresholds allow you to estimate how much income you can earn and still qualify for Medicaid based on your household size.
2. Medicaid Expansion in Utah
With Medicaid expansion, adults without dependent children can qualify for Medicaid if their household income is at or below 138% of the FPL. This expansion makes Medicaid more accessible for low-income individuals, even if they are working, as long as their income meets the threshold.
3. How to Calculate Your Income for Medicaid Eligibility
When applying for Medicaid in Utah, your Modified Adjusted Gross Income (MAGI) is used to determine eligibility. This includes:
Wages from employment.
Social Security benefits (but not Supplemental Security Income).
Unemployment benefits.
Any other sources of income.
It’s important to calculate your total household income and compare it to the FPL guidelines to determine if you qualify.
4. Reporting Changes in Income
If you are currently enrolled in Medicaid and your income changes, you must report these changes to Utah Medicaid. A significant increase in income may affect your eligibility, while a decrease could allow you to remain covered or even qualify for expanded services.
Key Takeaways:
Income limits for Medicaid in Utah are based on your household size and your category of eligibility, with thresholds calculated as a percentage of the Federal Poverty Level (FPL).
With Medicaid expansion, adults without dependent children can qualify with incomes up to 138% of the FPL.
You’ll need to calculate your Modified Adjusted Gross Income (MAGI) to determine your eligibility for Medicaid.
For help determining if your income qualifies you for Medicaid in Utah, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.
