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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.
Return to text
6. When evaluating eligibility, the
District of Columbia compares gross income net child care expenses to 200% of poverty.
Return to text
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.
Return to text
8. Massachusetts compares gross income
to 133% of the poverty level under its 1115 waiver.
Return to text
9. Texas's TANF gross income test
varies for caretaker versus non-caretaker families and for families with one or two
parents.
Return to text
10. Families that participate in
Virginia's "VIEW" program have a higher TANF gross income standard than families
that are exempt from VIEW participation.
Return to text
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