Mississippi Medicaid Income Limits 2024

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Mississippi Medicaid Income Limits 2023 : Mississippi Medicaid is a health care program that helps pay for medical services for low-income people. For those eligible for full Medicaid services, Medicaid is paid to providers of health care. Providers are doctors, hospitals and pharmacists who take Medicaid.

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Mississippi Medicaid Income Limits 2023

Who is eligible for Mississippi Medicaid?

To be eligible for Mississippi Medicaid, you must be a resident of the state of Mississippi, 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
  • Blind, or
  • Have a disability or a family member in your household with a disability, or
  • Be 65 years of age or older.

Mississippi Medicaid Income Limits 2023 For Seniors

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.

How do I apply for Mississippi Medicaid?

Applications for Medicaid for individuals who are aged or disabled may be filed at the Medicaid Regional Office that serves the county where the individual lives or the county where the individual resides in a nursing facility.

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Income Limits for Medicaid and CHIP Programs

Internal Revenue Service (IRS) rules for Modified Adjusted Gross Income (MAGI) are used to determine countable income and, in some instances, household size. Household gross income is then compared to the limits shown below based on household size for the applicable program. A 5% disregard based on the federal poverty level (FPL) is applied, if needed, and is reflected in the amounts shown below. Eligibility is determined for Medicaid first, then CHIP using the 5% FPL disregard. The limits below are effective March 1, 2023.

Medicaid for Infants from Birth to Age 1  |  194% FPL

Family Size 1 2 3 4 5 6 7 8
Monthly Income $2,419 $3,271 $4,124 $4,975 $5,827 $6,680 $7,532 $8,385

*For more than eight members add $831 for each additional person

Medicaid for Children Age 1-6  |  143% FPL

Family Size 1 2 3 4 5 6 7 8
Monthly Income $1,799 $2,432 $3,067 $3,700 $4,334 $4,969 $5,602 $6,237

*For more than eight members add $613 for each additional person

Medicaid for Children Age 6-19  |  133% FPL

Family Size 1 2 3 4 5 6 7 8
Monthly Income $1,677 $2,268 $2,860 $3,450 $4,041 $4,633 $5,224 $5,815

*For more than eight members add $570 for each additional person

Parents and Caretaker Relatives with Dependent Children Under Age 18

Family Size 1 2 3 4 5 6 7 8
Monthly Income $288 $388 $488 $587 $687 $787 $886 $986

*For more than eight members, add $78 for each additional person.

Pregnant Women (any age) and Family Planning Waiver (13-44 years old)  |  194% FPL

Family Size 1 2 3 4 5 6 7 8
Monthly Income $2,419 $3,271 $4,124 $4,975 $5,827 $6,680 $7,532 $8,385

*For more than eight members add $831 for each additional person

Children’s Health Insurance Program (CHIP) Uninsured Children up to Age 19  |  209% FPL

Family Size 1 2 3 4 5 6 7 8
Monthly Income $2,601 $3,517 $4,434 $5,350 $6,267 $7,184 $8,100 $9,017

*For more than eight members add $896 for each additional person

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What does Mississippi Medicaid cover for adults

Medicaid is a federal and state program created to provide medical assistance to eligible, low income populations. This service is in place to provide access to quality health care coverage for vulnerable Mississippians. Mississippi Medicaid health benefits are available for many populations including children, low income families, aged, blind or disabled, and pregnant women.

Individuals must meet certain requirements to receive benefits and services. The benefits you qualify for depends on your income, age, family size and situation. These factors also determine if you qualify for full Medicaid benefits, reduced coverage or limited benefits. Additionally, some extra services beyond basic Medicaid are available through waiver programs.

Basic Eligibility Requirements to Get Coverage

The basic requirements to qualify for any Medicaid benefits in Mississippi are:

  • You must be a citizen of the United States or a qualified alien.
  • You must be a resident of Mississippi.
  • You must meet requirements for age and/or disability, income and other Mississippi Medicaid eligibility requirements such as resources for certain aged, blind or disabled coverage groups.
  • You must file an application form.
  • You must provide requested verification within the allowed time limits.

For more information regarding eligibility, refer to the policies below:

Mississippi Medicaid and the Affordable Care Act

The Affordable Care Act (ACA) creates insurance affordability programs as a way to get health coverage at no cost or lower cost than purchasing coverage on your own. In Mississippi, these programs include Mississippi Medicaid health benefits (Medicaid and CHIP) and health coverage through a federally facilitated marketplace (FFM).

Federally Facilitated Marketplace

Individuals or families with income above the poverty level and below 400 percent of the federal poverty level (FPL) can purchase insurance through the FFM with premium tax credits that lower the cost of insurance. Certain households will also qualify for cost-sharing reductions for out-of-pocket expenses for insurance through the FFM. In order to qualify for insurance through the marketplace, an individual must not be eligible for Medicaid, CHIP or affordable job-based health coverage, as determined by the FFM.

Individuals who apply for health coverage through the FFM will be assessed for Medicaid and/or CHIP eligibility. If Medicaid or CHIP eligibility is a possibility for any family member, the marketplace will electronically transfer the individual’s account to the Division of Medicaid for a formal Medicaid decision. No separate application is needed to apply for Mississippi health benefits.

Notice of Privacy Practices

The Health Insurance Portability and Accountability Act (HIPAA) notice of privacy practices describes how medical information about you may be used and disclosed. It also explains how you can get access to this information. Find out more about the HIPAA notice of privacy practices.

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Civil Money Penalty (CMP) Grant Awards Program

The goal of the Mississippi Division of Medicaid Civil Money Penalty Grant program is to facilitate the use of Federally Imposed Civil Money Penalty Funds to support activities that support, protect and benefit residents living in nursing facilities. Only CMP fund applications that meet the statutory intent of the regulations, Federal law and policy will be considered.

Transition to Community Referral (TCR)

Effective April 5, 2021, the Mississippi Access to Care (MAC) Center is replacing Mississippi Division of Medicaid (DOM) as the designated Local Contact Agency to receive and distribute Transition to Community Referrals (TCR) to the appropriate case management agencies (CMA). Please see the following link for the new fillable form and instructions.  http://www.mdhs.ms.gov/aas-transition-to-community-referral.

Long Term Care Pre-Admission Screening

To enter a Long Term Care program (except Hospice and ICF/IID) , an eligible Beneficiary must have a Pre-Admission Screening Application completed by a health care professional . A score of 50 or above is the required threshold to be considered for entry into the Long Term Care programs of Nursing Homes; Elderly and Disabled Waiver, Independent Living Waiver and Traumatic Brain Injury/Spinal Cord Injury Waiver; and Assisted Living Waiver programs.  Any exceptions are noted in the Administrative Code Title 23 Medicaid, Part 207.

Pre-Admission Screening and Resident Review (PASRR)

Pre-Admission Screening and Resident Review (PASRR) is a process that ensures that an individual is appropriate for nursing facility placement and aids in determining whether an individual with an indication of Mental Illness, Intellectual Disability and/or a related condition could benefit from specialized or rehabilitative services. The screenings and resident reviews are conducted by the DOM PASRR Contractor and/or the Department of Mental Health.

Nursing Facilities and Case Mix Reimbursement : All Medicaid certified nursing facilities are surveyed and receive a case mix review annually.

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Mississippi Medicaid 2023 Income & Asset Limits

Mississippi Medicaid plays a crucial role in ensuring that residents of the state have access to essential healthcare services, regardless of their income level. To maintain the integrity of the program and determine eligibility, the state sets income limits based on household size. As of 2023, these income limits have been adjusted to accommodate varying household sizes. In this article, we will delve into the Mississippi Medicaid Income Limits for 2023, shedding light on the thresholds for different household sizes.

Understanding Mississippi Medicaid 2023 Income Limits

Medicaid is a joint federal and state program designed to provide healthcare coverage to eligible low-income individuals and families. In Mississippi, the program serves as a lifeline for those who may not have access to private health insurance. To ensure that Medicaid benefits reach those who need them most, the state establishes income limits that take into account the number of individuals living in a household.

Mississippi Medicaid Income Limits for 2023

The income limits for Mississippi Medicaid in 2023 are as follows, categorized by household size:

  • One-Member Household: Individuals living alone must have an annual income of no more than $19,392 to qualify for Medicaid.
  • Two-Member Household: For a household consisting of two individuals, such as a couple, the maximum allowable annual income is $26,228.
  • Three-Member Household: Families or households with three members can earn up to $33,064 annually while still being eligible for Medicaid.
  • Four-Member Household: The income limit for a four-member household, often a small family, is $39,900 per year.
  • Five-Member Household: Households with five members can have an annual income of up to $46,737 and qualify for Mississippi Medicaid.
  • Six-Member Household: For larger families of six members, the income limit is $53,573.
  • Seven-Member Household: Families with seven members can have an annual income of $60,409 and still be eligible for Medicaid.
  • Eight-Member Household: The maximum allowable income for an eight-member household is $67,245 per year.

Benefits of Mississippi Medicaid

Medicaid offers a range of essential healthcare services, including doctor visits, hospital care, prescription drugs, and preventive care. These services are crucial in maintaining the health and well-being of eligible individuals and families, especially those with limited financial resources. Medicaid can help cover the costs of medical care that might otherwise be unaffordable.

How to Apply For Mississippi Medicaid

To determine if you qualify for Mississippi Medicaid and apply for benefits, you can visit the Mississippi Division of Medicaid’s website or contact your local Division of Medicaid office. The application process typically involves providing information about your income, household size, and other relevant details.

FAQ’s-Mississippi Medicaid Income Limits 2023

Q: What are the maximum income limits for Mississippi Medicaid in 2023 for a household with one member?

Ans: The maximum income limit for a one-member household in Mississippi Medicaid in 2023 is $19,392 per year.

Q: What is the income threshold for a two-member household to qualify for Mississippi Medicaid in 2023?

Ans: A two-member household must have an annual income below $26,228 to qualify for Mississippi Medicaid in 2023.

Q: How much can a three-member household earn annually and still be eligible for Mississippi Medicaid in 2023?

Ans: A three-member household can have an annual income of up to $33,064 and still be eligible for Mississippi Medicaid in 2023.

Q: What is the maximum allowable income for a family of four to be eligible for Mississippi Medicaid in 2023?

Ans: The income limit for a four-member household to qualify for Mississippi Medicaid in 2023 is $39,900 per year.

Q: If a household has five members, what is the maximum annual income they can have to be eligible for Mississippi Medicaid in 2023?

Ans: A five-member household can have an annual income of up to $46,737 and still qualify for Mississippi Medicaid in 2023.

Q: What is the income threshold for a six-member household to be eligible for Mississippi Medicaid in 2023?

Ans: For a six-member household, the maximum annual income to qualify for Mississippi Medicaid in 2023 is $53,573.

Q: What is the maximum allowable income for a household with seven members to be eligible for Mississippi Medicaid in 2023?

Ans: A seven-member household can have an annual income of up to $60,409 and still be eligible for Mississippi Medicaid in 2023.

Q: What is the income limit for an eight-member household to qualify for Mississippi Medicaid in 2023?

Ans: The maximum income limit for an eight-member household to be eligible for Mississippi Medicaid in 2023 is $67,245 per year.

Conclusion-Mississippi Medicaid Income Limits 2023

Mississippi Medicaid Income Limits for 2023 are structured to ensure that those in need of healthcare coverage have access to it. By tailoring income thresholds to household size, the program aims to assist individuals and families across various socioeconomic backgrounds. These income limits serve as a lifeline for many Mississippi residents, offering them essential healthcare services and peace of mind. If you believe you qualify based on your household size and income, it’s crucial to explore your options and apply for Medicaid to access the healthcare services you and your family may need.

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