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 2023 standards for MAGI Medicaid eligibility:
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 1-844-640-6446