SPDP

  State Policy Documentation Project

 

 

 

Table 3: Gross Income Test Rules Applied to Families With Children Under Medicaid and TANF

Table 3 provides information on whether a state uses a gross income test when evaluating eligibility for Medicaid under the family coverage category, and, if so the gross income standard for a family of three. It also provides information on a state's gross income test policy under TANF and whether this varies from the gross income test policy for Medicaid.

In states with a gross income test, a family generally must have gross income (i.e., income before deductions and disregards are taken into account) below the gross income standard, as well as countable income (i.e., income after disregards and deductions are taken into account) below the countable income standard displayed in Table 2. A number of states, however, have elected to simplify their Medicaid eligibility rules by effectively eliminating the gross income test. States can effectively eliminate their gross income test by disregarding all income for purposes of the gross income test under the less restrictive methodologies option.

  • Column 1: Column 1 indicates whether or not a state has retained the gross income test under the family coverage category. States that have used the less restrictive methodologies option to disregard all income for purposes of the gross income test are recorded in this column as not using a gross income test.
  • Column 2: In states with a gross income test for their family coverage categories, column 2 shows the gross income standard that applies to a family of three. In states where the gross income standard varies by area, this column displays the gross income standard that applies to the part of the state with the greatest number of Medicaid beneficiaries.
  • Column 3: Column 3 indicates whether or not a state uses a gross income test when determining a family's eligibility for TANF.
  • Column 4: In states with a gross income test for TANF, column 4 shows the TANF gross income standard that applies to a family of three. In states where the gross income standard varies by area, this column displays the TANF gross income standard that applies to the part of the state with the greatest number of TANF beneficiaries.
  • Column 5: Column 5 indicates whether or not a state's TANF and Medicaid gross income rules are identical.

Unless otherwise noted, Table 3 presents information on the eligibility rules used by a state under TANF and under its Medicaid family coverage category. States marked with an "*" have not yet established such a category, but instead cover families with children not on welfare through a medically needy category. States marked with a "**" also have not established such a category, but instead cover such families under an 1115 waiver expansion. In these cases, Table 3 reflects the policies used by the state to determine the eligibility of families with children under its medically needy or 1115 waiver rules.

Table 3
Gross Income Test Rules Applied to Families
With Children Under Medicaid and TANF

  Medicaid
Does the state use a gross income test?
Medicaid
If yes, what is the monthly gross income cutoff for a family of 3?
TANF
Does the state use a gross income test?
TANF
If yes, what is the monthly gross income cutoff for a family of 3?
Are the TANF and Medicaid gross income test rules identical?
Totals 32 Yes
19 No
  36 Yes
15 No
  12 Yes
30 No
9 n/a
Alabama Yes $1,245 No n/a No
Alaska Yes $2,020 Yes $1,955 No
Arizona (5) Yes $1,783 Yes $1,783 Yes
Arkansas No n/a No n/a n/a
California No n/a No n/a n/a
Colorado Yes $779 Yes $779 Yes
Connecticut No n/a No n/a n/a
Delaware Yes $1,578 Yes $1,578 Yes
District of Columbia Yes $2,313 (6) Yes $1,317 No
Florida Yes $1,943 Yes $1,111 No
Georgia Yes $784 Yes $784 Yes
Hawaii ** No n/a Yes $1,140 No (but, HI also provides Medicaid to all TANF recipients)
Idaho Yes $1,833 No n/a No
Illinois No n/a Yes more than one No
Indiana Yes $533 Yes more than one No
Iowa Yes $1,570 Yes $1,570 Yes
Kansas No n/a No n/a n/a
Kentucky Yes $974 Yes $974 Yes
Louisiana Yes $1,108 No n/a No
Maine No n/a Yes

more than one(7)

No
Maryland Yes $956 No n/a No
Massachusetts ** (8) Yes $1,539 Yes more than one No (but, MA also provides Medicaid to all TANF recipients)
Michigan No n/a No n/a n/a
Minnesota No n/a No n/a n/a
Mississippi Yes $680 Yes $680 Yes
Missouri Yes $1,565 Yes $1,565 Yes
Montana Yes $1,085 Yes more than one No
Nebraska* No n/a No n/a n/a
Nevada Yes $1,532 Yes $1,532 Yes
New Hampshire No n/a No n/a n/a
New Jersey Yes $1,822 Yes (not applied to recipients) $636 No
New Mexico Yes $720 Yes $1,479 No
New York Yes $1,067 Yes $1,067 Yes
North Carolina No n /a Yes $1,006 No
North Dakota No n/a Yes $784 No
Ohio Yes $1,813 Yes (not applied to recipients) $630 No
Oklahoma No n/a Yes $1,193 No
Oregon Yes $1,157 Yes $616 No
Pennsylvania Yes $1,086 Yes $1,086 Yes
Rhode Island No n/a No n/a n/a
South Carolina No n/a Yes $1,069 No
South Dakota Yes $795 No n/a No
Tennessee Yes $1,478 Yes $1,478 Yes
Texas* Yes $1,389 Yes more than one(9) No
(but, TX also provides Medicaid to all TANF recipients)
Utah * No n /a Yes $1,050 No (but, UT also provides Medicaid to all TANF recipients)
Vermont No n/a Yes more than one No
Virginia Yes $595 Yes more than one(10) No
Washington No n/a Yes more than one No
West Virginia Yes $1,833 Yes $991 No
Wisconsin Yes $1,196 Yes $1,308 No
Wyoming Yes $790 No n/a No

  NOTES

5. Note that Arizona applies a gross income test of $1,122 to assistance units that are not obligated to pay shelter costs under TANF and its Medicaid family coverage category.
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6. When evaluating eligibility, the District of Columbia compares gross income net child care expenses to 200% of poverty.
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7. The TANF gross income test in Maine varies based on assistance units' circumstances. The gross income standard applied to the largest number of families is $1,023. Maine applies its gross income test to applicants and recipients at the time of their 6-month recertifications.
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8. Massachusetts compares gross income to 133% of the poverty level under its 1115 waiver.
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9. Texas's TANF gross income test varies for caretaker versus non-caretaker families and for families with one or two parents.
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10. Families that participate in Virginia's "VIEW" program have a higher TANF gross income standard than families that are exempt from VIEW participation.
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This page last updated September 02, 2023

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