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 2019 standards for MAGI Medicaid eligibility:
Medicaid HH Size |
Parents & Caretakers |
Expansion Adults |
Children with Insurance |
Pregnant Women |
Children without Insurance |
1 |
$911 |
$1346 |
$1579 |
$2024 |
$2085 |
2 |
$1235 |
$1825 |
$2140 |
$2744 |
$2826 |
3 |
$1559 |
$2304 |
$2702 |
$3464 |
$3568 |
4 |
$1883 |
$2782 |
$3263 |
$4184 |
$4309 |
5 |
$2207 |
$3261 |
$3825 |
$4904 |
$5051 |
6 |
$2531 |
$3740 |
$4387 |
$5624 |
$5793 |
7 |
$2855 |
$4219 |
$4948 |
$6344 |
$6534 |
8 |
$3179 |
$4698 |
$5510 |
$7064 |
$7276 |
How do I apply for MAGI Medicaid?
- The best way to apply is online at https://benefits.ohio.gov/
- Click here for a list of other ways to apply for 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