Michigan Pregnancy Medicaid Income Limits


Monthly Income Limit For Michigan Medicaid

What are the different types of Medicaid programs?

The Michigan Department of Community Health offers Medicaid to low income wage earners. Medicaid is a low cost health insurance program that gives people who cannot afford health insurance access to medical care. The MDCH imposes income limits when assessing an applicant’s eligibility for Medicaid insurance.

Michigans Medicaid Work Requirement Proposal Took Effect January 1 2020 But Was Soon Overturned By A Judge

Michigan proposed a Medicaid work requirement for the Medicaid expansion population that received federal approval in late 2018. The work requirement waiver is based on legislation the state enacted in 2018 , and it took effect as of January 2020 non-exempt Medicaid expansion enrollees had to complete at least 80 hours per month of activities that could include work, school, job training, etc., and begin reporting their work hours as of February 2020.

But in early March, a federal judge overturned the states work requirement, which immediately eliminated the work requirement and reporting requirements . Gov. Gretchen Whitmer who has long opposed the Medicaid work requirement but who took office after it had been enshrined in statute and approved by CMS had asked Michigan lawmakers to delay implementation of the Medicaid work requirement until the lawsuit was resolved, in order to avoid wasting taxpayer dollars. But they opted to allow it to continue as planned, although that only lasted a couple of months.

If the work requirement had remained in place in Michigan, the number of people covered under Healthy Michigan was expected to decline, but thats a feature, not a bug: The reduction in enrollment is a key element of Medicaid work requirements, and Governor Snyder noted when he signed the legislation that Healthy Michigan enrollment was far higher than had been predicted.

Additional Legislation Enacted In 2019 To Make It Easier For Enrollees To Comply With Work Requirement Reporting

SB362, which Governor Gretchen Whitmer signed into law in September 2019, made some changes to the impending work requirement in an effort to reduce the number of people who would inadvertently lose coverage under the program. The new legislation gives people until the last day of a month to report work hours for the previous month , and it also essentially gives people an extra 60 days to report compliance without the month in question being considered a non-compliance month. SB362 also exempts people from having to report their work hours if the state can verify their work activity through other data available to the department.

According to a fiscal analysis of SB362, the legislation was likely to reduce the number of people who will lose coverage under the work requirements , but only minimally.

And the GOP-leg legislature eliminated a provision in Whitmers proposed budget that would have provided $10 million for the state to use for outreach and education about the new work requirement, and to help people comply with it. Consumer advocates noted that although SB362 would help to make compliance with the work requirement easier than it would otherwise have been, its still almost certain to lead to inadvertent coverage losses , especially without the work supports funding that lawmakers removed from the proposed budget.

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What Do You Get With A Blue Cross Complete Card

The blue cross and blue shield are recognized and trusted symbols of quality coverage. We’re committed to getting and keeping Michigan well. We strive to be your complete resource for your health care needs.

With Blue Cross Complete, you get more than great medical benefits. You get the care and personal service Blues members have come to expect. We also offer tips to help keep you well and other support and services to make it easier to manage your health.

In addition to Michigan’s Medicaid benefits, your card provides:

  • Access to many of Michigan’s top doctors, specialists and facilities
  • Programs to help you prevent and manage illnesses, such as asthma and diabetes
  • Transportation services for rides to your medical appointments or to pick up prescriptions and durable medical equipment
  • Exclusive discounts on healthy products and services through our Blue365® discount program. Just log in to your account to view and redeem the discounts
  • Newsletters and reminders to keep you informed about your benefits, remind you of important health care screenings you may need and offer ideas for staying healthy

Member Resources

Michigan Medicaid Income Limits Summary

Where Are States Today? Medicaid and CHIP Eligibility ...

We hope this post on Michigan Medicaid Income Limits was helpful to you.

If you have any questions about Medicaid in the state of Michigan, you can ask us in the comments section below.

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Be sure to check out our other articles about Medicaid.

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Who Is Eligible For The Healthy Michigan Plan

  • Between the ages of 19-64 years
  • Have income at or below 133% of the Federal Poverty Level. See below table on income guidelines
  • Do not qualify for or are not enrolled in Medicare
  • Do not qualify for or are not enrolled in other Medicaid programs
  • Are not pregnant at the time of application
  • Are residents of the State of Michigan

Michigan Family Independence Program

The Family Independence Program provides cash assistance to families with children and pregnant women to help them pay for living expenses such as rent, heat, utilities, clothing, food and personal care items. FIP applicants and recipients may be assigned to Work First for assistance in finding a job or to develop needed job skills. Help with transportation, childcare and other needs related to employment and training may be provided.

To qualify for FIP your children must be under age 18, or age 18 or 19 and attending high school full-time and expected to graduate before age 20. There are also certain eligibility requirements regarding residency and income.

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What Are The Non

Health and medical-related assistance can be gained when Medicaid eligibility requirements in MI are met by an applicant living in Michigan. Designed to make healthcare accessible to people on a low income, the Medicaid Health Care Program is made available to an applicant who is pregnant, has a dependent aged 19 or younger or has a child with a disability.

To qualify for Medicaid, applicants must be an official resident of Michigan State. Furthermore, proof of permanent residency, citizenship or a U.S. national identification card needs to be presented when figuring out who is eligible for Michigan Medicaid.

A Social Security Card proving your Social Security number will also be accepted for Medicaid benefits in Michigan. Copies of original documents will not be accepted, however.

Michigan Medicaid Income Limit

What are the Michigan Medicaid Eligibility Guidelines/Requirements?

The Michigan Medicaid Income Limit is calculated as a percentage of the Federal Poverty Line.

To qualify, you must meet the Michigan Medicaid Income limits listed below.

Here is the Federal Poverty Level for 2021.

2021 Federal Poverty Levels for the 48 Contiguous States & D.C.
Household Size

Additionally, to be eligible for Medicaid, you cannot make more than the income guidelines outlined below:

  • Children up to age 1 with family income up to 212 percent of FPL
  • Any child age 1-5 with a family income up to 212 percent of FPL
  • Children ages 6- 18 with family income up to 212 percent of FPL
  • CHIP for children with family income up to 212 percent of FPL
  • Pregnant women with family income up to 195 percent of FPL
  • Parents of minor children with family income up to 54 percent of FPL
  • Individuals who are elderly, blind, and disabled with family income up to 100% of the FPL
  • Adults without dependents under Medicaid expansion with income up to 133% of the FPL

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Michigan Medicaid Eligibility Requirements

This page provides general guidelines for the Michigan Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is Michigan Department Community Health. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Michigan Medicaid office.

Is Your Income Low Enough For Income

These are the main income rules for income-based Medicaid:

  • If your familys income is at or under 138% of the Federal Poverty Guidelines , you may qualify.
  • If you are 18 or younger and your familys income is at or under 217% of FPG , you may qualify.
  • If you are pregnant and your familys income is at or under 200% of FPG , you may qualify. The unborn baby is counted as a family member.

Income-based Medicaid is based on your Modified Adjusted Gross Income , which includes most earned and unearned income. However, some income is not counted, including Supplemental Security Income benefits and some contributions to retirement accounts. Learn more about what types of income affect income-based Medicaid eligibility.

If you are 21 or older and your household’s income is between 100% of FPG and 138% of FPG, you may have to pay a small premium for income-based Medicaid . The Healthy Michigan Plan website has more information about premium amounts.

Note: There are no limits to how much money or other resources you can have for income-based Medicaid.

Your family size:

If your income is low enough and you meet all other requirements, you should sign up for Medicaid.

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Monthly Federal Poverty Levels

The MDCH uses federal poverty levels as a basis for monthly income limits when determining an applicant’s Medicaid eligibility. The current monthly income limits for Medicaid in Michigan is 185 percent of the federal poverty level for pregnant women and families with newborns up to age one. For children ages one to 19, the income limit is 150 percent of the federal poverty level. Federal poverty levels are subject to change.

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Learn About Medicaid Expansion In Mi

Healthy Michigan Medicaid Work Requirement Bill ...

What are the Medicaid application guidelines regarding expansion? The Medicaid program is referred to as the Healthy Michigan Plan.

In order to understand who is eligible for Medicaid expansions in MI, recipients ought to familiarize themselves with the plan and how it is helping newly eligible adults. Income up to 138 percent of the Federal Poverty Level can be earned by newly eligible adults who may be wondering how to qualify for Medicaid.

The reformed Healthy Michigan Plan saw 497,000 beneficiaries meet the Medicaid eligibility requirements by January 2015 and by September, more than 100,000 newly eligible recipients enrolled. It was on September 16, 2013, that the law came into effect.

Now that the number of people able to achieve Medicaid benefits eligibility in Michigan has broadened, the coverage gap is getting smaller.

Timelier healthcare can be offered as a result of broadening the application guidelines for Medicaid and peoples minds can be put at rest. The road to expansion has had some speed bumps though, with the process taking almost eight months to activate.

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What Is The Income Limit For Medicaid In Michigan

The Michigan Department of Human Services determines eligibility through the Modified Adjusted Gross Income methodology. Under those guidelines, enrollees between the ages of 19 and 64 are eligible for Michigan Medicaid if their annual income does not exceed $16,000 for a single person or $33,000 for a family of four.

What Does Medicaid Cover In Michigan

Michigan Medicaid covers a variety of medical services. However, the type and amount of services depend on the age of the beneficiary, the type of Medicaid program in which the beneficiary is enrolled.

Additionally, coverage depends on the type of services determined medically necessary by the beneficiarys Primary Care Provider.

However, in general Medicaid and MIChild cover medically necessary services such as:

  • ambulance

8:00 am 7:00 pm

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How Many People Are Enrolled In Expanded Medicaid In Michigan

Sign up for the program began April 1, 2014 , and enrollment in expanded Medicaid stood at nearly 652,000 people at the start of 2020. But enrollment climbed significantly in 2020, likely due in large part to the COVID-19 pandemic and the resulting job/income losses. As of the end of June 2020, there were 749,547 Michigan residents enrolled in Healthy Michigan.

As of April 2018, some Healthy Michigan enrollees were transitioned to private plans . This includes people with income above the poverty level who had been enrolled in Healthy Michigan coverage for 12 or more consecutive months, and who did not participate in the Healthy Behaviors Incentives Program or receive a medical exemption.

By March 2020, total enrollment in Medicaid in Michigan stood at 2,317,725, which was a 21% increase over the enrollment total at the end of 2013. This total includes people who were already eligible for Medicaid based on the pre-ACA guidelines, as well as the more than 650,000 people who had enrolled as a result of Medicaid expansion . The increase in total Michigan Medicaid/CHIP enrollment from 2013 to early 2020 was only about 406,000 people, however, which is considerably less than the total number of people covered under Medicaid expansion. But that has to be considered in light of the fact that traditional Medicaid enrollment declined between 2013 and 2015 due to an improving economy.

As of May 2021, 2,733,485 people are enrolled in Medicaid/CHIP programs in Michigan.

Can A Pregnant Woman Be Denied Medicaid In Your State

Medicaid Improvements! Increased Medically Needy Income Limits

Medicaid can deny coverage to pregnant women for several reasons. Learn about the guidelines before completing an application to avoid needless rejection.

Medicaid is a publicly-funded program designed to act as a safety net for low-income families, disabled individuals, senior citizens with few resources, and pregnant women.

The government must have a cutoff point because it cannot offer taxpayer-supported benefits to every applicant. Household income levels compared to size and citizenship status are the two primary eligibility criteria.

As always, the devil is in the details. Pay close attention to boost your approval odds.

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How To Apply For Medicaid

Enter your zip code to get started.

Medicaid in Michigan is administrated by the Michigan Department of Health and Human Services . Medicaid services are available to those who otherwise can’t afford to pay for their health. There are several programs available for children, pregnant women, adults and families who meet eligibility criteria. Service Description

MDHHS provide you with a systemized Medicaid programs that have income limits, and few of them have an asset limit. If you’re from Michigan and need help with past unpaid medical expenses, you need to contact a specialist, who can provide with further details. Michigan citizens are provided with an MIHealth card after passing the Eligibility Test. To get Medical services, you’ll have to show your MIhealth card and your health plan. In case MIHealth card is stolen, you need to report it by calling 1-800-642-3195

If You Have Any Questions

Please contact the UMHS Guest Assistance Program at if you have any questions about any of the programs described. In addition, Mott provides Patient Financial Counselors who can assist parents with their medical bills, including individual financial counseling for hospital and professional services, and assistance with insurance benefit questions, payment plans and charge estimates.

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Percent Federal Poverty Level Limits

An applicant’s monthly income cannot exceed 185 percent of the current monthly federal poverty levels for newborns up to age one . At the current federal poverty levels according to family size, 185 percent is: two family members-$2,267.79 three members-$2,856.71 four members-$3,445.63 five members-$4,034.54 six members-$4,623.46 seven members-$5,212.38: eight members-$5,801.29. Applicants may add $3,820 to their corresponding federal poverty guideline amount for each additional family member over eight people.

How Do I Apply For The Healthy Kids Program

TEXAS Medicaid Eligibility and Using Your Texas Benefits

There are three ways to apply for the Healthy Kids program:

You can apply online faster through http://healthcare4mi.com.

PO Box 30763Lansing, MI 48909

If you have questions about appeals, call the Michigan Office of Administrative Hearings and Rules for the Department of Health and Human Services at 1-800-648-3397.

Michigan Medicaid Eligibility Summary

We hope this post on Michigan Medicaid Eligibility was helpful to you.

If you have any questions about Medicaid in the state of Michigan, you can ask us in the comments section below.

Help us spread the word! If you found this post on Michigan Medicaid Eligibility helpful, help us spread the word by sharing it using the Share this button below.

Be sure to check out our other articles about Medicaid.

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What Happens After I Apply For Medicaid In Michigan

After you submit your Michigan Medicaid application, you may be required to attend an interview with a Department of Health and Human Services caseworker.

Whether you will be required to attend an interview depends on your situation:

If you are applying for Medicaid for your child alone, then no interview will likely be required.

If you are applying for any other benefits at the same time, then an interview will likely be required.

During this interview, you will be required to bring documents that prove the information that you provided on your initial Michigan Medicaid application.

Once you complete this interview, you will receive a call or a letter in the mail that will tell you whether you were approved or denied.

If you are denied benefits, you have the right to appeal but that appeal must be filed within a certain timeframe. As your caseworker for details.


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