SPDP

  State Policy Documentation Project

 

 

 

Table 4: States' Use of Child Care Deductions When Determining Eligibility for TANF and for Medicaid Under the Family Coverage Category

Table 4 describes how states' treat child care expenses when they evaluate whether or not a family is eligible for Medicaid under the family coverage category. It also compares these Medicaid policies to states' treatment of child care expenses under the eligibility rules for their TANF programs.

When evaluating a family's eligibility for Medicaid, states minimally are required to disregard the amount of child care expenses that they disregarded when evaluating AFDC eligibility on July 16, 1996. (In general, most states on July 16, 2023 disregarded up to $175 per month per child age two or older in actual child care costs and $200 per month per child under the age of two). However, states also can adopt more generous disregards of child care expenses under their family coverage categories. States also have complete discretion to determine what child care disregards they will use when evaluating a family's TANF eligibility. Many states without child care disregards directly subsidize the child care assistance that is provided to low-income families (e.g., in the form of vouchers). Since many of these families consequently will incur little or no child care expenses, it reduces the significance of a state's child care disregard policies, at least for those families who receive the direct subsidy.

Column 1: Column 1 describes the child care disregards used by a state when evaluating a family's eligibility for Medicaid.

Column 2: Column 2 describes the child care disregards used by a state when evaluating a family's eligibility for TANF.

Column 3: Column 3 indicates whether or not a state's Medicaid and TANF child care disregards are identical.

Unless otherwise noted, Table 4 presents information on the child care deductions used by a state 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 4 reflects the policies used by the state to determine the eligibility of families with children under its medically needy or 1115 waiver rules.

 

Table 4
States' Use of Child Care Deductions When Determining Eligibility
for TANF and for Medicaid Under the Family Coverage Category

  Medicaid child care deductions TANF child care deductions Are the Medicaid and TANF child care deductions the same?
Totals     27 Yes
22 No
2 Not available
Alabama Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child in actual costs ($200 for children <2) Yes
Alaska Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child in actual costs ($200 for children <2) Yes
Arizona Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child in actual costs ($200 for children <2) Yes
Arkansas No child care disregard No child care disregard Yes
California Disregard up to $175 per month per child in actual costs ($200 for children <2) No child care disregard No
Colorado Disregard up to $175 per month per child in actual costs ($200 for children <2) No child care disregard No
Connecticut No childcare disregard No childcare disregard Yes
Delaware Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child in actual costs ($200 for children <2) Yes
District of Columbia Disregard all child care expenses Disregard up to $175 per month per child in actual costs ($200 for children <2) No
Florida Disregard up to $175 per month per child in actual costs ($200 for children <2) No child care disregard No
Georgia Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child in actual costs ($200 for children <2) Yes
Hawaii ** No child care disregard No child care disregard Yes
Idaho Disregard up to $175 per month per child in actual costs ($200 for children <2) No child care disregard No
Illinois Disregard up to $175 per month per child in actual costs ($200 for children <2) No child care disregard No
Indiana Disregard up to $175 per month per child in actual costs ($200 for children <2) No child care disregard No
Iowa Disregard up to $175 per month per child in actual costs ($200 for children <2) No child care disregard No
Kansas Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child in actual costs ($200 for children <2) Yes
Kentucky Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child in actual costs ($200 for children <2) Yes
Louisiana Disregard up to $175 per month per child in actual costs ($200 for children <2) Not available Not available
Maine Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child age 2 to 12 in actual costs ($200 for children <2) No
Maryland Disregard up to $100 per month per child in actual costs for part-time workers and $200 per month for full-time workers Disregard $200 per child if parent works 100 or more hours. Disregard $100 per child for less than 100 hours worked No
Massachusetts** Not disregarded under Section 1115 Medicaid waiver Disregard up to $175 per month per child in actual costs ($200 for children <2) No (but, MA also provides Medicaid to all TANF recipients)
Michigan Disregard up to $175 per month per child in actual costs ($200 for children <2) No child care disregard No
Minnesota Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child in actual costs ($200 for children <2) Yes
Mississippi Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child in actual costs ($200 for children <2) Yes
Missouri Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child age 2 to 13 in actual costs ($200 for children <2) No
Montana Disregard up to $200 in actual expenses per dependent child age 0-13 (also includes care for older individuals who are disabled) Disregard up to $200 in actual expenses per dependent child age 0-13 (also includes care for older individuals who are disabled) Yes
Nebraska* Disregard all actual out of pocket child care expenses Disregard all actual out of pocket child care expenses Yes
Nevada Disregard actual "out of pocket"child care expenses if verified Disregard actual "out of pocket" child care expenses if verified Yes
New Hampshire Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child in actual costs ($200 for children <2) Yes
New Jersey Disregard up to $175 per month per child in actual costs ($200 for children <2) No child care disregard No
New Mexico Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child in actual costs ($200 for children <2) Yes
New York Disregard up to $175 per month per child in actual costs ($200 for children <2) No child care disregard No
North Carolina Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child in actual costs ($200 for children <2) Yes
North Dakota Disregard reasonable child care expenses Disregard up to $400 per month per child age 2 to 18 in actual costs ($440 for children <2) No
Ohio Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child in actual costs ($200 for children <2) Yes
Oklahoma Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child age 2 to 12 in actual costs ($200 for children <2) No
Oregon Disregard up to $175 per month per child in actual costs ($200 for children <2) No child care disregard No
Pennsylvania Disregard up to $175 per month per child in actual costs ($200 for children <2) No child care disregard No
Rhode Island Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child in actual costs ($200 for children <2) Yes
South Carolina Disregard up to $200 per month per child in actual costs (up to age 12) No child care disregard No
South Dakota No child care disregard No child care disregard Yes
Tennessee Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child age 2 to 12 in actual costs ($200 for children <2) Yes
Texas* Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child in actual costs ($200 for children <2) Yes
Utah* Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child in actual costs ($200 for children <2) Yes
Vermont

Disregard up to $175 per month per child in actual costs ($200 for children <2)

Not available Not available
Virginia Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child in actual costs ($200 for children <2) Yes
Washington Disregard all actual expenses No child care disregard No
West Virginia Disregard up to $175 per month per child in actual costs ($200 for children <2) Disregard up to $175 per month per child in actual costs ($200 for children <2) Yes
Wisconsin Disregard up to $175 per month per child in actual costs ($200 for children <2) No child care disregard No
Wyoming No child care disregard No child care disregard Yes
 

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This page last updated September 02, 2023

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