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How could an individual or a family member with dependent children apply for Medicaid?

Who is Eligible?

Individuals or families with dependent children may be eligible for Medicaid if they meet the following requirements:

  • A pregnant woman;
  • A dependent child under age 19. (The child does not have to live with a parent or close relative in order to receive Medicaid);
  • Parent(s) (one or both) of the dependent child if one parent has left the home, cannot work due to sickness or disability, or has died;
  • Parents (both) living with the dependent child, if the parent who earned the most income in the last 24 months is unemployed.
What are Income and Resource Requirements?

The income and resources of the family members who may receive Medicaid coverage must be within Medicaid program guidelines.  If a parent is under age 21 and lives with her/his parent(s), her/his parent's income is considered in the Medicaid eligibility determination.  The income limits are based on family size.  For pregnant women, an additional family member is added for each unborn child.

The family's income, after deductions, cannot be more than the following income limits.  (Deductions include a work expense deduction up to $90 and a dependent child care deduction for child care cost.  The maximum dependent child care deduction for family members under two years of age is $200 for family members over two years of age is $175 for full-time employment and $150 for part-time employment.)

Monthly Income Amounts for Families

Size of Family

Monthly Income

1

$217

2

$267

3

$308

4

$383

5

$450

For each additional member add $60 to the monthly income amount.

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For pregnant women and children up to age one, the limit is 185% of the federal poverty levels as follows:

Size of Family

Monthly Income

1

$1,511

2

$2,035

3

$2,560

4

$3,084

5

$3,608

For each additional member add $525 to the monthly income amount.

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For children up to the age of 19, the limit is 200% of the federal poverty level as follows:

Size of Family

Monthly Income

1

$1,634

2

$2,200

3

$2,767

4

$3,334

5

$3,900

For each additional member add $567 to the monthly income amount.

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Resources (checking and savings accounts, cash on hand, stocks, bonds, CD'S, etc.) are considered in the Medicaid determination and must not be more than $2,000 for a family size of one and $4,000 for a family size of two.  Fifty dollars is added to the resource limit for each additional family member.

Note: Resources are not considered in the Medicaid determination for pregnant women and children.

How can I apply?

An application for Medicaid or KCHIP may be filed at your local Department for Community Based Services Office.  At the time of application, an individual or family should be advised to bring proof of:

  • Social Security Number;
  • Proof of Identity (Drivers License);
  • Proof of Citizenship (Birth Certificate); 
  • Health Insurance;
  • Pregnancy (Doctor statement verifying pregnancy and expected date of delivery), if applicable;
  • Income
  • Non-pregnant parents should bring proof of resources (last three months bank statements,checking or savings account, life insurance polices, stocks and bonds), if they want Medicaid Coverage for themselves.

A Medicaid application is more likely to be processed sooner if the individual or family provides the above information.

 

Last Updated 12/5/2006
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