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Kentucky Medicaid Income Limits 2023 : The Kentucky Medical Program is intended to provide medical and health-related assistance to low-income individuals and families who have no medical insurance or have inadequate medical insurance. Generally, the program serves: persons aged 65 or older; blind or permanently disabled persons; adults from 19-65; children up to age 19, and pregnant women.
Who is eligible for Kentucky Medicaid Program (KMP)?
To be eligible for Kentucky Medicaid, you must be a resident of the state of Kentucky, 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 18 years of age or younger, or
- Have a disability or a family member in your household with a disability.
Kentucky Medicaid Income Limits 2023 Chart
| 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.
Kentucky Medicaid Income Limits 2023: A Guide Based on Household Size
Access to quality healthcare is a fundamental right, and Medicaid plays a crucial role in ensuring that individuals and families with limited financial resources can receive the medical care they need. In Kentucky, Medicaid income limits are determined based on household size and income. As we step into 2023, let’s take a closer look at the Kentucky Medicaid income limits for this year.
Understanding Medicaid in Kentucky
Medicaid is a joint federal and state program that provides health insurance to low-income individuals and families. In Kentucky, the program is known as Medicaid, and it is administered by the Kentucky Cabinet for Health and Family Services (CHFS). To qualify for Medicaid, you must meet certain income and other eligibility criteria.
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Income Limits for Kentucky Medicaid in 2023
The income limits for Kentucky Medicaid in 2023 are based on the number of individuals in your household. It’s important to note that these limits are subject to change, so it’s advisable to check with the Kentucky CHFS or the official Medicaid website for the most up-to-date information. As of 2023, here are the income limits for Medicaid eligibility in Kentucky:
-
Household Size: 1
- Maximum Income Per Year: $19,392
-
Household Size: 2
- Maximum Income Per Year: $26,228
-
Household Size: 3
- Maximum Income Per Year: $33,064
-
Household Size: 4
- Maximum Income Per Year: $39,900
-
Household Size: 5
- Maximum Income Per Year: $46,737
-
Household Size: 6
- Maximum Income Per Year: $53,573
-
Household Size: 7
- Maximum Income Per Year: $60,409
-
Household Size: 8
- Maximum Income Per Year: $67,245
These income limits are set to ensure that Medicaid benefits are available to those who need them the most. If your household income falls within these limits, you may be eligible to enroll in Kentucky’s Medicaid program.
Applying for Medicaid in Kentucky
To apply for Medicaid in Kentucky, you can visit the Kentucky Health Benefit Exchange website or contact the CHFS. The application process may require you to provide documentation of your income, residency, and other eligibility criteria.
Medicaid Expansion in Kentucky
It’s worth noting that Kentucky expanded its Medicaid program under the Affordable Care Act (ACA) to cover more low-income adults. This expansion has allowed many previously ineligible individuals and families to access Medicaid benefits. If you’re unsure about your eligibility, it’s recommended that you apply or consult with a qualified Medicaid enrollment counselor.
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Kentucky Medicaid Long-Term Care Definition
Medicaid is a health care program for low-income individuals of all ages. While there are many different coverage groups, this page is focused on long-term care Medicaid eligibility for Kentucky senior residents (aged 65 and older). In addition to nursing home care, KY Medicaid pays for non-medical services and supports to help frail seniors remain living in their homes. There are three categories of Medicaid long-term care programs for which Kentucky seniors may be eligible.
Institutional / Nursing Home Medicaid : This is an entitlement program; anyone who is eligible will receive assistance. Benefits are provided only in nursing home facilities.
Medicaid Waivers / Home and Community Based Services (HCBS) : These are not entitlement programs; there are a limited number of participants and waiting lists may exist. Intended to delay nursing home admissions, services and supports are provided at home and in adult day care.
Regular Medicaid / Aged Blind and Disabled : This is an entitlement program; anyone who meets the requirements is able to receive benefits. Various long-term care services, such as personal care assistance or adult day care, may be available.
While Medicaid is jointly funded by the state and federal government, it is administered by the state under federally set parameters. The Kentucky Cabinet for Health and Family Services’ Department for Medicaid Services is the state’s administering agency.
Kentucky Medicaid Income & Asset Limits for Eligibility
The three categories of Medicaid long-term care programs have varying financial and medical requirements. Further complicating eligibility is that the financial criteria changes annually, varies with marital status, and that Kentucky offers multiple pathways towards eligibility.
Simplified Eligibility Criteria: Single Applicant for Nursing Home Care
Kentucky seniors must be financially and medically eligible for long-term care Medicaid. They must have limited income, limited assets, and a medical need for care. A single individual applying for Nursing Home Medicaid in 2023 in KY must meet the following criteria: 1) Have income under $2,742 / month 2) Have assets under $2,000 3) Require the level of care provided in a nursing home facility.
The table below provides a quick reference to allow seniors to determine if they might immediately meet all the criteria for long-term care from a Kentucky Medicaid program. Alternatively, persons might take the Medicaid Eligibility Test. IMPORTANT: If one does not meet all of the requirements, it does not mean they are ineligible or cannot become eligible for Medicaid in Kentucky.
what is the income limit for ky medicaid 2023
| 2023 Kentucky Medicaid Long-Term Care Eligibility for Seniors | |||||||||
| Type of Medicaid | Single | Married (both spouses applying) | Married (one spouse applying) | ||||||
| Income Limit | Asset Limit | Level of Care Required | Income Limit | Asset Limit | Level of Care Required | Income Limit | Asset Limit | Level of Care Required | |
| Institutional / Nursing Home Medicaid | $2,742 / month* | $2,000 | Nursing Home | $2,742 / month per spouse* | $4,000 | Nursing Home | $2,742 / month for applicant* | $2,000 for applicant & $148,620 for non-applicant | Nursing Home |
| Medicaid Waivers / Home and Community Based Services | $2,742 / month† | $2,000 | Nursing Home | $2,742 / month per spouse† | $4,000 | Nursing Home | $2,742 / month for applicant† | $2,000 for applicant & $148,620 for non-applicant | Nursing Home |
| Regular Medicaid / Aged Blind and Disabled | $235 / month‡ | $2,000 | Help with ADLs | $291 / month‡ | $4,000 | Help with ADLs | $291 / month‡ | $4,000 | Help with ADLs |
*All of a beneficiary’s monthly income, with the exception of a Personal Needs Allowance of $40 / month, Medicare premiums, and possibly a Spousal Income Allowance for a non-applicant spouse, must go towards nursing home costs.
†Based on one’s living setting, a program beneficiary may not be able to keep monthly income up to this level.
‡While the income limit is quite low, SSI recipients are automatically eligible for Regular Medicaid. In 2023, this means an individual can have income up to $914 / month, and a couple, up to $1,371 / month. The asset limit remains $2,000 for an individual, but is $3,000 for a couple.
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FAQ’s-Kentucky Medicaid Income Limits 2023
Q: What are the Kentucky Medicaid income limits for a household size of one in 2023?
Ans: The Kentucky Medicaid income limit for a household size of one in 2023 is $19,392 per year.
Q: If a household has two members, what is the maximum income they can have to qualify for Medicaid in Kentucky in 2023?
Ans: A household with two members in Kentucky can have a maximum annual income of $26,228 to qualify for Medicaid in 2023.
Q: What is the income limit for a household of three members to be eligible for Medicaid in Kentucky in 2023?
Ans: A household of three members must have a maximum annual income of $33,064 to be eligible for Medicaid in Kentucky in 2023.
Q: If a family has four members, what is the maximum annual income they can have to meet the Medicaid income limit in Kentucky for 2023?
Ans: A family of four in Kentucky must have an annual income below $39,900 to meet the Medicaid income limit for 2023.
Q: What is the income threshold for a household of five members to qualify for Medicaid in Kentucky in 2023?
Ans: A household of five members must have an annual income below $46,737 to qualify for Medicaid in Kentucky in 2023.
Q: What is the maximum income allowed for a household of six members to be eligible for Kentucky Medicaid in 2023?
Ans: In 2023, a household of six members can qualify for Kentucky Medicaid with an annual income of up to $53,573.
Q: What is the income limit for a household with seven members to be eligible for Medicaid in Kentucky in 2023?
Ans: To be eligible for Medicaid in Kentucky in 2023, a household with seven members must have an annual income below $60,409.
Q: What is the maximum annual income for a household of eight members to meet the Medicaid income limit in Kentucky for 2023?
Ans: In 2023, a household of eight members can qualify for Kentucky Medicaid with an annual income of up to $67,245.
Conclusion-Kentucky Medicaid Income Limits 2023
Access to healthcare is essential for maintaining a healthy and productive life. Kentucky’s Medicaid program plays a vital role in ensuring that eligible individuals and families have access to the medical care they need. As we navigate the challenges of 2023, it’s reassuring to know that these income limits are in place to support those who require assistance.
If you or someone you know falls within the specified income limits, consider applying for Kentucky Medicaid to secure the healthcare coverage you deserve. Remember to stay informed about any changes in Medicaid eligibility criteria and income limits to ensure you receive the necessary healthcare support.