Lorain County Job & Family Services

Menu

MAGI Medicaid for Adults, Children, & Families

What does MAGI mean? 

  • MAGI stands for Modified Adjusted Gross Income
  • MAGI-based budgeting is used to calculate a person's household size and income, using federal income tax rules and a tax filer's family size to determine eligibility for Medicaid
  • The MAGI Medicaid program started January 1, 2014, as part of the Affordable Care Act (ACA)

Who is potentially eligible for MAGI Medicaid?

  • Single,  childless adults
  • Married, childless couples
  • Families with children ages 19 and under
  • Children up to age 19

What are the income guidelines?

It depends.  There are different categories of MAGI Medicaid.  All guidelines are based on gross (before taxes) income:

  • Parents and Caretaker Relatives (grandparents raising grandchildren, aunts raising nieces/nephews, etc.):  up to 90% of the federal poverty level for their household size
  • Expansion Adults (all adults, including Parents and Caretaker Relatives who are not eligible at the step above): up to 133% of the federal poverty level for their household size
  • Children with Insurance:  up to 156% of the federal poverty level for their household size
  • Pregnant Women:  up to 200% of the federal poverty level for their household size
  • Children without Insurance:  up to 206% of the federal poverty level for their household size

Below is a chart showing the 2017 standards for MAGI Medicaid eligibility: 

Medicaid HH Size

Parents & Caretakers

Expansion Adults

Children with Insurance

Pregnant Women

Children without Insurance

1

$891

$1317

$1545

$1980

$2040

2

$1202

$1776

$2083

$2670

$2751

3

$1512

$2235

$2621

$3360

$3461

4

$1823

$2694

$3159

$4050

$4172

5

$2133

$3153

$3698

$4740

$4883

6

$2444

$3611

$4236

$5430

$5593

7

$2755

$4071

$4775

$6122

$6306

8

$3067

$4532

$5316

$6815

$7020

How do I apply for MAGI Medicaid?

Where can I go for more information?

  • Ohio Department of Medicaid's Frequently Asked Questions page
  • Call the Medicaid Consumer Hotline at 1-800-324-8680
  • If you currently have an open MAGI Medicaid case in Lorain County and have a specific question regarding your individual case, call the LCJFS Call Center at (440) 284-4300

 

 

 

Medicaid