Kentucky Medicaid Income Limits

Updated August 2026

Kentucky uses MAGI (Modified Adjusted Gross Income) methodology for most eligibility groups. MAGI-based groups have no asset test. Non-MAGI groups — seniors, people with disabilities — face both income and asset limits. Figures below reflect kynect.ky.gov's published 2026 eligibility standards, which already include the mandatory 5-percentage-point MAGI income disregard.

138% FPL

Adults 19–64 (expansion)

200% FPL

Pregnant women & infants

147% FPL

Children ages 1–18

218% FPL

KCHIP ceiling

Kentucky expanded Medicaid in 2014 — adults at or below 138% FPL qualify for full coverage, no asset test

Kentucky was among the first states to expand Medicaid under the ACA, beginning January 1, 2014. Adults ages 19–64 with household income at or below 138% FPL qualify for Kentucky Medicaid without an asset test. Savings accounts, vehicles, and home equity are not counted for this group.

Kentucky Medicaid income limits by coverage group (2026)

Adults ages 19–64 (ACA expansion)

FPL %
138%
Approximate monthly limit (individual)
~$1,835/mo

Parents and caretaker relatives

FPL %
138%
Approximate monthly limit (individual)
No asset test

Children under age 1 — Medicaid

FPL %
Up to 200%
Approximate monthly limit (individual)
No asset test

Children ages 1–18 — Medicaid

FPL %
Up to 147%
Approximate monthly limit (individual)
No asset test

Pregnant women

FPL %
Up to 200%
Approximate monthly limit (individual)
No asset test; 12 months postpartum

KCHIP (children's and pregnant women's CHIP program)

FPL %
Up to 218%
Approximate monthly limit (individual)
No premium — KCHIP is free

Seniors 65+ / Aged, Blind, Disabled

FPL %
SSI-linked
Approximate monthly limit (individual)
Asset test applies

Nursing facility / HCBS waivers

FPL %
300% FBR
Approximate monthly limit (individual)
~$2,982/mo individual (2026)

No asset test for MAGI-based coverage groups

Adults in the expansion group, parents, pregnant women, and children with MAGI-based eligibility face no asset test in Kentucky. This is the standard rule in all ACA expansion states. Savings accounts, investment accounts, vehicles, and home equity do not affect eligibility for these groups.

Seniors age 65 and older and adults who are blind or disabled applying for SSI-linked Medicaid do face asset limits. Generally, the countable resource limit is $2,000 for a single individual and $3,000 for a couple, with the primary home, one vehicle, household goods, and certain burial funds excluded.

KCHIP income limit: 218% FPL with no premium

Kentucky splits children's Medicaid into two age bands: infants under age 1 qualify up to 200% FPL, while children ages 1 through 18 qualify up to 147% FPL. Children whose family income is too high for Medicaid but at or below 218% FPL — Kentucky's CHIP program, KCHIP — get coverage at no cost to the family. Per kynect.ky.gov, KCHIP is free health insurance for eligible families. This distinguishes KCHIP from many other state CHIP programs that charge monthly premiums.

KCHIP also covers pregnant women and women within 12 months postpartum whose income is too high for Medicaid (200% FPL) but at or below 218% FPL. This postpartum coverage mirrors the adult Medicaid postpartum benefit and provides continuity for new mothers who may transition between coverage types after delivery.

What counts as income under MAGI

MAGI includes wages and salary, self-employment income, unemployment compensation, most Social Security benefits, rental income, and most other taxable income. It excludes child support received, student loan proceeds, most needs-based benefits (SNAP, TANF, energy assistance), and certain other items. For households with variable income — seasonal work, self-employment, tips — DMS uses the current monthly income projection rather than prior-year tax data when the two differ significantly.

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