Sources
By the MedicaidCalc Editorial Team · Updated
Every document behind a number on this site, with its vintage, the day we read it and what it supplies. Nothing is listed here that the site does not use. Federal documents set the poverty line, the SSI rate and the national rules; MACPAC supplies the baseline for all 51 jurisdictions; KFF’s survey is the cross-check; and state agency documents decide wherever they differ or where a state sets dollar amounts.
| Document | Vintage | Supplies | Read |
|---|---|---|---|
| Annual Update of the HHS Poverty Guidelines (2026) U.S. Department of Health and Human Services · 91 FR 1797, FR Doc. 2026-00755 | Published January 15, 2026; effective January 13, 2026 | 100% poverty line by household size for the 48 states and DC, Alaska and Hawaii | |
| MACStats Exhibit 35: Medicaid and CHIP Income Eligibility Levels for Children and Pregnant Women by State Medicaid and CHIP Payment and Access Commission (MACPAC) · MACStats: Medicaid and CHIP Data Book, February 2026 | Eligibility levels as of July 2025 | Children (by age band), separate CHIP, pregnancy and from-conception limits for every state | |
| MACStats Exhibit 36: Medicaid Income Eligibility Levels for Non-Aged, Non-Disabled, Non-Pregnant Adults by State Medicaid and CHIP Payment and Access Commission (MACPAC) · MACStats: Medicaid and CHIP Data Book, February 2026 | Eligibility levels as of July 2025 | Parent/caretaker and adult (expansion) limits; Basic Health Program notes for Minnesota and Oregon | |
| MACStats Exhibit 37: Medicaid Income Eligibility Levels for Individuals Age 65 and Older and Persons with Disabilities by State Medicaid and CHIP Payment and Access Commission (MACPAC) · MACStats: Medicaid and CHIP Data Book, February 2026 | 2025 levels (state websites and plans as of September 2025) | SSI/209(b) status, poverty-level, medically needy and special income level pathways | |
| Medicaid and CHIP income eligibility limits (children, pregnant individuals, adults), as of January 2026 KFF State Health Facts (survey with the Georgetown University Center for Children and Families) · KFF state indicators, timeframe "As of January 2026" | January 2026 | Independent cross-check of every MACPAC child, pregnancy and adult figure (all matched after adding the 5-point disregard, except the changes noted for DC and South Carolina) | |
| Status of State Medicaid Expansion Decisions KFF · Published October 1, 2026 | October 1, 2026: 41 states including DC have adopted the expansion; 10 have not | Which states have adopted the ACA adult expansion | |
| 42 CFR 435.603(d)(4) — the 5 percentage point MAGI disregard Electronic Code of Federal Regulations · 42 CFR 435.603; applied to CHIP by 42 CFR 457.315 | eCFR as of October 1, 2026 | How household income is counted and when the 5-point disregard applies | |
| 42 CFR 435.119 — adults age 19–64 at or below 133% FPL Electronic Code of Federal Regulations · 42 CFR 435.119 | eCFR as of October 1, 2026 | Who the expansion adult group covers (not pregnant, not on Medicare, age 19–64) | |
| Medicaid Program; Community Engagement Requirement for Certain Individuals (interim final rule) Centers for Medicare & Medicaid Services · 91 FR 33348, FR Doc. 2026-11094; 42 CFR 435.550–435.563 | Published June 3, 2026; effective July 31, 2026 | Work/community-engagement rules, exemptions, exclusions, start date January 1, 2027 and good-faith exemptions to December 31, 2028 | |
| Public Law 119-21 (2025 reconciliation act), sections 71107, 71109, 71112, 71119, 71120 U.S. Government Publishing Office · Pub. L. 119-21, 139 Stat. 72 | Enacted July 4, 2025 | Six-month renewals, retroactive-coverage limits, immigrant eligibility from October 1, 2026, cost sharing from October 1, 2028 | |
| Cost-of-Living Increase and Other Determinations for 2026 Social Security Administration · 90 FR 49047, FR Doc. 2025-19763 | Published November 3, 2025; 2026 amounts | SSI federal benefit rate: $994 individual, $1,491 couple (2026) | |
| Medicaid Director Letter MDL 25-02: D.C. Medicaid Income Eligibility Changes Effective January 1, 2026 DC Department of Health Care Finance · MDL 25-02, October 16, 2025 | Effective January 1, 2026 | DC parents and adults cut to 133% + 5% disregard; Healthy DC Plan 138–200% FPL | |
| Form 208 Medicaid Eligibility Handout Alabama Medicaid Agency · Form 208 (01/26), monthly income effective February 1, 2026 | February 1, 2026 | Parent/caretaker dollar table and 146% child/pregnancy limit (both include the 5% disregard) | |
| ESS Program Policy Manual, Appendix A-7: Family-Related Medicaid Income Limits Florida Department of Children and Families · Appendix A-7, updated February 2, 2026 | April 2026 standards | Parent/caretaker standard plus standard disregard by family size | |
| Medicaid Policy Manual, Appendix A2: Family Medicaid Financial Limits 2026 Georgia Division of Family and Children Services · Appendix A2, MT 80 | Effective March 1, 2026 | Parent/caretaker table with the 5% disregard, PeachCare for Kids 247%, Pathways 95% + 5% | |
| Georgia Pathways to Coverage: eligibility and H.R. 1 changes State of Georgia · pathways.georgia.gov | Read October 5, 2026 | Pathways income limit (100% FPL), 80-hour requirement and the January 1, 2027 changes | |
| Kansas Medical Assistance Standards (KEESM Appendix F-8, 04-26) Kansas Department of Health and Environment (KanCare) · F-8, updated April 1, 2026 — read from the Internet Archive copy captured May 20, 2026 because kancare.ks.gov refuses automated requests | April 1, 2026 | Caretaker 38% (incl. disregard), children and CHIP premium bands | |
| Income Limits for Medicaid and CHIP Programs Mississippi Division of Medicaid · medicaid.ms.gov | Effective March 1, 2026 | Parent/caretaker dollar table (includes the 5% disregard), child, pregnancy and CHIP limits | |
| Program Eligibility and Income Limits South Carolina Department of Health and Human Services · scdhhs.gov | Effective March 1, 2026 | Parent/Caretaker Relatives at 62% FPL (MACPAC lists 95%; the agency figure is used), Partners for Healthy Children 208%, pregnancy 194% | |
| TennCare Eligibility Reference Guide Tennessee Division of TennCare · eligibilityrefguide.pdf | 2026 poverty guidelines | Caretaker relative 100% FPL, children 195/142/133%, CoverKids and pregnancy 250% | |
| Texas Works Handbook C-131: Income Limits (Medical Programs) Texas Health and Human Services Commission · C-131.1 (Revision 26-2), C-131.2 (Revision 15-4), C-131.4 | 2026 FPL effective March 1, 2026; parent table effective October 1, 2015 | Parents and Caretaker Relatives (TP 08) one- and two-parent tables; children 198/144/133%, CHIP 201%, CHIP perinatal 202% | |
| Medicaid Income Requirements Wyoming Department of Health · health.wyo.gov | 2026 poverty guidelines | Family Care (parent) dollar table, children 154/133%, Kid Care CHIP 200% | |
| Medicaid: Federal Poverty Level Guidelines Wisconsin Department of Health Services · dhs.wisconsin.gov | Effective February 1, 2026 – January 31, 2027 | Date Wisconsin switched to the 2026 guidelines | |
| 26 CFR 1.36B-1(h) and 1.36B-2(b)(1) — poverty line and income floor for premium tax credits Electronic Code of Federal Regulations (Treasury / IRS) · 26 CFR 1.36B-1(h); 26 CFR 1.36B-2(b)(1) | eCFR as of October 1, 2026 | Marketplace credits require household income of at least 100% of the poverty line, measured with the guidelines in effect when open enrollment starts | |
| 42 CFR 435.916 — periodic renewal of Medicaid eligibility Electronic Code of Federal Regulations · 42 CFR 435.916 (as amended 91 FR 33480) | eCFR as of October 1, 2026 | 12-month renewal rule for MAGI groups, which the 2025 law overrides with 6-month renewals for expansion adults | |
| Status of State Medicaid Expansion Decisions — state indicator (implementation dates, ballot initiatives, trigger laws) KFF · State Health Facts, timeframe October 2026 | October 2026 | Each state’s expansion implementation date, whether voters adopted it by ballot initiative, and whether a trigger law is in place; state-by-state summaries of 2025–2026 waiver and legislative activity | |
| Medicaid Postpartum Coverage Extension Tracker KFF · Published July 15, 2026 | July 15, 2026 | Whether and how each state extended postpartum Medicaid to 12 months, with CMS approval dates |
Notes on access
Kansas’s KanCare website refuses automated requests, so its April 2026 standards (Appendix F-8) were read from the Internet Archive’s May 20, 2026 capture of the official kancare.ks.gov page; the figures match KFF’s January 2026 survey once the disregard is accounted for. Several other agency sites block automated link checks; their links point to the official agency domains and were confirmed by hand where possible.
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