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Income Eligibility Levels for Pregnant Women by Annual Income and as a Percent of Federal Poverty Level (FPL), December 2009

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 Pregnant Women
United States133%
Alabama133%
Alaska175%
Arizona150%
Arkansas200%
California200%1
Colorado200%2
Connecticut250%
Delaware200%
District of Columbia300%
Florida185%
Georgia200%
Hawaii185%3
Idaho133%
Illinois200%
Indiana200%
Iowa300%
Kansas150%
Kentucky185%
Louisiana200%4
Maine200%
Maryland250%
Massachusetts200%
Michigan185%
Minnesota275%
Mississippi185%
Missouri185%
Montana150%
Nebraska185%
Nevada185%5
New Hampshire185%
New Jersey200%6
New Mexico235%7
New York200%8
North Carolina185%
North Dakota133%
Ohio200%
Oklahoma185%
Oregon185%9
Pennsylvania185%
Rhode Island250%10
South Carolina185%
South Dakota133%
Tennessee250%11
Texas185%
Utah133%
Vermont200%12
Virginia200%13
Washington185%
West Virginia150%
Wisconsin300%14
Wyoming133%
(show/hide notes)
Notes: 

Data as of December 2009.
The following states offer coverage to legal immigrants without a five year waiting period. These states have submitted a state plan amendment to adopt the new option to cover immigrant children who have been legally residing in the U.S. for less than five years: CA, CT, DC, HI, IL, IA, ME, MD, MA, NJ, NM, NY, OR, PA, RI, VA, WA. New Mexico and Rhode Island adopted the new option to expand coverage to immigrant children who have been legally residing in the U.S. for less than five years. Virginia provides coverage to legal immigrant children without requiring five-year wait for families with incomes up to 133% of the federal poverty line.
The following states have the unborn child option which permits states to consider the fetus a "targeted low-income child" for CHIP coverage: AR, CA, IL, LA, MA, MI, MN, NE, OK, OR, RI, TN, TX, WA, WI.
Eligibility levels shown as percent of the FPL. Currency figures based on FPL for a family of three in 2009: $18,310 for 48 contiguous states and District of Columbia, $22,890 for Alaska, $21,060 for Hawaii.

Sources: 

Source 1: A Foundation for Health Reform: Findings of a 50 State Survey of Eligibility Rules, Enrollment and Renewal Procedures, and Cost-Sharing Practices in Medicaid and CHIP for Children and Parents During 2009. Data based on a national survey conducted by the Center on Budget and Policy Priorities for the Kaiser Commission on Medicaid and the Uninsured, December 2009. Available at http://www.kff.org/medicaid/kcmu120809pkg.cfm. 2009 HHS Poverty Guidelines: http://aspe.hhs.gov/poverty/09poverty.shtml.
State data are from Source 1.

Source 2: Medicaid Eligibility, Department of Health and Human Services, Centers for Medicare and Medicaid Services.
US figures from Source 2.

Definitions: 

The Federal Poverty Level (FPL) was established to help government agencies determine eligibility levels for public assistance programs such as Medicaid. FPL is represented in this resource as poverty guidelines as opposed to the slightly different poverty thresholds.

Footnotes: 
  1. In California, the Access for Infants and Mothers (AIM) program is available to pregnant women with income between 201 and 300 percent of the federal poverty line. This program is funded using Title 21 (Unborn Child Amendment).
  2. In Colorado, coverage for pregnant women with income between 134 and 200 percent of the federal poverty line is provided under a HIFA waiver. The state adopted the option to cover immigrant pregnant women with incomes up to 133 percent of the federal poverty line who have been legally residing in the U.S. for less than five years. Colorado plans to expand income eligibility for pregnant women to 250 percent of the federal poverty line in 2010.
  3. In Hawaii, pregnant women enrolled in Medicaid whose income exceeds 185 percent of the federal poverty line can purchase Quest-Net coverage by paying a monthly premium. This coverage has an income eligibility limit of 300 percent of the federal poverty line. Limited coverage is available to persons already receiving Medicaid.
  4. In Louisiana, the income eligibility guideline is 185 percent of the federal poverty line, but the state disregards income between 185 and 200 percent of the federal poverty line.
  5. In Nevada, pregnant women with incomes between 134 and 185 percent of the federal poverty line are covered under a HIFA waiver.
  6. In New Jersey, coverage for women with income between 186 and 200 percent of the federal poverty line is provided under a Medicaid Section 1115 waiver. Under this coverage, pregnant women must be uninsured and there are no income deductions.
  7. In New Mexico, the income eligibility guideline is 185 percent of the federal poverty line, but the state disregards any income between 185 and 235 percent of the federal poverty line. New Mexico adopted the new option to cover immigrant pregnant women who have been legally residing in the U.S. for less than five years.
  8. In New York, pregnant women with incomes between 100 and 200 percent of the federal poverty line receive less comprehensive benefits than they would receive in Medicaid.
  9. In Oregon, pregnant teenagers covered through CHIP who become ineligible for coverage due to an increase in their family incomes can receive coverage through the CHIP unborn child option. The state implemented this change in October 2009.
  10. In Rhode Island, the Medicaid income eligibility limit for pregnant women is 250 percent of the federal poverty line. There is also a state-funded program for women with income between 251 and 350 percent of the federal poverty line. Under this program, which requires a premium, the state funds the cost of labor and delivery only.
  11. In Tennessee, women with incomes up to 185 percent of the federal poverty line are covered under Medicaid, and women with incomes between 185 and 250 percent of the federal poverty line are covered under CHIP.
  12. In Vermont, women with income above 185 percent of the federal poverty line are required to pay a premium.
  13. Virginia expanded income eligibility for pregnant women from 185 to 200 percent of the federal poverty line in July 2009.
  14. Wisconsin uses state funds to provide coverage for women with income between 251 and 300 percent of the federal poverty line. The state has submitted a state plan amendment to receive federal matching funds to cover pregnant women with incomes up to 300 percent of the federal poverty line.



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