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Arkansas Medicaid Income Limits 2023 : Medicaid provides health coverage to millions of Americans, including children, pregnant women, parents, seniors and individuals with disabilities. In some states the program covers all low-income adults below a certain income level. Note: Medicaid is sometimes referred to by state specific names. Regardless of the various names, the programs are still Medicaid and are governed by federal Medicaid law and regulations.
Who is eligible for Arkansas Medicaid Program?
To be eligible for Arkansas Medicaid, you must be a resident of the state of Arkansas, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. You must also be one of the following:
- Pregnant, or
- Be responsible for a child 17 years of age or younger, or
- Have a disability or a family member in your household with a disability.
Arkansas Medicaid Income Limits 2023
| Household Size* | Maximum Income Level (Per Year) |
|---|---|
| 1 | $19,392 |
| 2 | $26,228 |
| 3 | $33,064 |
| 4 | $39,900 |
| 5 | $46,737 |
| 6 | $53,573 |
| 7 | $60,409 |
| 8 | $67,245 |
*For households with more than eight people, add $6,836 per additional person. Always check with the appropriate managing agency to ensure the most accurate guidelines.
Arkansas has expanded coverage to low-income adults.
As of May 2023, Arkansas has enrolled 982,963 individuals in Medicaid and CHIP — a net increase of 76.52% since the first Marketplace Open Enrollment Period and related Medicaid program changes in October 2013. Arkansas has adopted one or more of the targeted enrollment strategies outlined in guidance CMS issued on May 17, 2013, designed to facilitate enrollment in Medicaid and CHIP.
In federal fiscal year (FFY) 2020, Arkansas voluntarily reported 16 of 20 frequently reported health care quality measures in the CMS Medicaid/CHIP Child Core Set. These counts do not include the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Health Plan Survey 5.0H – Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items (CPC-CH) or the Central Line-associated Bloodstream Infection (CLABSI-CH) measures.
Arkansas voluntarily reported 19 of 27 frequently reported health care quality measures in the CMS Medicaid Adult Core Set. These counts do not include the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Health Plan Survey 5.0H, Adult Version (Medicaid) (CPA-AD) measure.
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Arkansas Medicaid Eligibility 2023
Most Medicaid eligibility and all CHIP eligibility is based on modified adjusted gross income (MAGI). Income eligibility levels are tied to the federal poverty level (FPL). The following table provides a more detailed view of Arkansas’s MAGI-based eligibility levels, expressed as a percentage of the FPL, for several key groups: children, pregnant women, parents/caretaker relatives, and, other adults
Arkansas Medicaid Income Limits 2023 For Children
| Children | Eligibility Level |
|---|---|
| Medicaid Ages 0-12 | 142% |
| Medicaid Ages 1-52 | 142% |
| Medicaid Ages 6-182 | 142% |
| Separate CHIP3 | 211% |
Arkansas Medicaid Income Limits 2023 For Pregnant Women
| Pregnant Women | Eligibility Level |
|---|---|
| Medicaid | 209% |
| CHIP4 | N/A |
Arkansas Medicaid Income Limits 2023 For Adults (Medicaid)
| Adults (Medicaid) | Eligibility Level |
|---|---|
| Parent/Caretaker5 | 15%($) |
| Expansion to Adults | 133% |
This table reflects the principal but not all MAGI coverage groups. All income standards are expressed as a percentage of the federal poverty level (FPL). For the eligibility groups reflected in the table, an individual’s income, computed using the Modified Adjusted Gross Income (MAGI)-based income rules described in 42 CFR 435.603, is compared to the income standards identified in this table to determine if they are income eligible for Medicaid or CHIP. The MAGI-based rules generally include adjusting an individual’s income by an amount equivalent to 5% FPL disregard. Other eligibility criteria also apply, for example, with respect to citizenship, immigration status and residency.
These eligibility standards include CHIP-funded Medicaid expansions.
CHIP covers birth through age 18 unless otherwise noted in parentheses.
States have the option to cover pregnant women under CHIP. This table does not include notations of states that have elected to provide CHIP coverage of unborn children from conception to birth.
Reflects Medicaid state plan coverage of the eligibility group for parents and other caretaker relatives. Parents and caretaker relatives with income over the income standard for coverage under this group may be eligible for coverage in the adult group in states that have expanded to cover the adult group. In states that use dollar amounts based on household size, rather than percentages of the FPL, to determine eligibility for parents, we converted those amounts to a percentage of the FPL and selected the highest percentage to reflect the eligibility level for the group.
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Arkansas Medicaid Eligibility and Enrollment
Medicaid & CHIP Enrollment Data
The table below presents the most recent, point-in-time count of total Medicaid and CHIP enrollment in Arkansas for the last day of the indicated month, and is not solely a count of those newly enrolled during the reporting period. For purpose of comparison, the table also presents (a) the change in enrollment since the initial open of the Health Insurance Marketplaces, and (b) national counts and change statistics for the same period.
Arkansas Medicaid & CHIP Enrollment as of May 2023
| Metric | Arkansas | National Totals |
|---|---|---|
| Total Medicaid & CHIP Enrollment (Preliminary) | 982,963 | 93,815,749 |
| Net Change in Enrollment July-September 2013 | 426,112 | 35,897,066 |
| % Change in Enrollment July-September 2013 | 76.52% | -0.34% |
Arkansas Medicaid Eligibility Based on Household Size and Income
Access to healthcare is a fundamental right, and Medicaid plays a crucial role in ensuring that individuals and families with limited financial resources can receive necessary medical services. In Arkansas, the Medicaid program has specific income limits that determine eligibility for coverage.
These income limits are adjusted annually to account for changes in the cost of living. In 2023, the Arkansas Medicaid income limits are calculated based on the number of household members and their income. Let’s delve into the details to better understand who qualifies for Medicaid in the state of Arkansas this year.
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Arkansas Medicaid Basics
Medicaid is a joint federal and state program designed to provide healthcare coverage to low-income individuals and families. Eligibility criteria, including income limits, vary from state to state. In Arkansas, Medicaid is administered by the Arkansas Department of Human Services (DHS), and eligibility is primarily determined by income, household size, and other factors like age and disability.
Arkansas Medicaid Income Limits for 2023
For the year 2023, Arkansas Medicaid income limits are set based on the number of individuals in a household. It’s important to note that these limits include both earned and unearned income, such as wages, Social Security, pensions, and other sources of financial support. The income limits for different household sizes are as follows:
- Household Size of 1: Individuals living alone can qualify for Medicaid if their annual income is at or below $19,392.
- Household Size of 2: For a household of two, which may include a single parent and child or a couple, the income limit is $26,228.
- Household Size of 3: Families with three members, including parents and one child or three individuals living together, can qualify if their combined income does not exceed $33,064.
- Household Size of 4: A household of four, which might consist of two parents and two children or other combinations, must have an annual income of $39,900 or less to be eligible for Medicaid.
- Household Size of 5: Families or households with five members, including parents and three children or other configurations, should have a total annual income below $46,737.
- Household Size of 6: A household with six members, such as parents and four children or other combinations, is eligible if their annual income is $53,573 or less.
- Household Size of 7: For larger households with seven members, the income limit is $60,409.
- Household Size of 8: The maximum annual income for a household of eight individuals is $67,245.
How Income Is Calculated
When determining Medicaid eligibility in Arkansas, it’s essential to understand how income is calculated. The DHS considers all sources of income for every member of the household. This includes wages, self-employment income, Social Security, unemployment benefits, pensions, alimony, and child support, among others. Certain deductions are also applied to arrive at the countable income, which is compared to the income limits mentioned above.
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Application Process
To apply for Medicaid in Arkansas, individuals and families can use the state’s online portal or visit a local DHS office. It’s important to provide accurate and up-to-date financial information during the application process. The DHS will review the application and supporting documents to determine eligibility. The processing time can vary, but it’s crucial to follow up if there are any delays.
Medicaid Expansion
It’s worth noting that Arkansas has expanded Medicaid under the Affordable Care Act (ACA). This expansion allows individuals with incomes up to 138% of the federal poverty level to qualify for Medicaid. The income limits mentioned above are based on the ACA expansion guidelines.
What are the Arkansas Medicaid income limits for 2023 based on the number of household members and their income?
The Arkansas Medicaid income limits for 2023 vary depending on the number of household members. Here are the maximum annual income levels based on household size:
- Household Size of 1: The maximum income allowed for an individual living alone is $19,392 per year.
- Household Size of 2: For a household of two, such as a couple or a single parent and child, the income limit is $26,228 annually.
- Household Size of 3: Families with three members, which could include parents and one child or any other combination of three individuals, must have a total annual income of $33,064 or less to be eligible for Medicaid.
- Household Size of 4: A household of four, which might consist of two parents and two children or other combinations, can qualify if their combined annual income does not exceed $39,900.
- Household Size of 5: Families or households with five members, including parents and three children or other configurations, should have a total annual income below $46,737.
- Household Size of 6: A household with six members, such as parents and four children or other combinations, is eligible if their annual income is $53,573 or less.
- Household Size of 7: For larger households with seven members, the income limit is $60,409 per year.
- Household Size of 8: The maximum annual income for a household of eight individuals is $67,245.
These income limits determine eligibility for Medicaid coverage in Arkansas for the year 2023. Applicants must ensure that their total household income falls within these specified limits to qualify for the program.
Conclusion – arkansas medicaid eligibility income chart
Access to healthcare is a vital aspect of a person’s well-being, and Medicaid serves as a lifeline for many individuals and families in Arkansas who might not otherwise be able to afford necessary medical services. Understanding the income limits for 2023 based on household size is essential for those seeking Medicaid coverage. If you or someone you know is in need of healthcare coverage and meets the income criteria mentioned above, consider applying for Medicaid through the Arkansas Department of Human Services to ensure access to essential medical care and services.