The Affordable Care Act’s Impact on Medicaid Eligibility for Families

The Affordable Care Act (ACA) has made it possible for more families to qualify for Medicaid, the government health insurance program for low-income individuals and families. In Florida, the state’s KidCare program is the Medicaid program for children.

How is Medicaid Eligibility Determined?
Medicaid eligibility is determined by your family’s income and assets. The income limit for Medicaid varies from state to state, but in general, families with incomes below a certain level are eligible for Medicaid.

What is the Income Threshold for Medicaid?
The income threshold for Medicaid is different for children and adults. In 2023, the income threshold for children in Florida is $59,160 for a family of five. This means that if your family’s income is below this amount, your children may be eligible for Medicaid.

How Does the ACA Affect Medicaid Eligibility?
The ACA has made it easier for families to qualify for Medicaid by expanding the income eligibility criteria. Prior to the ACA, families with incomes above the poverty level were not eligible for Medicaid. However, the ACA expanded Medicaid to include families with incomes up to 133% of the poverty level.

As a result of the ACA, many more families are now eligible for Medicaid. If you have children and your family’s income is below the income threshold, you should apply for Medicaid to see if your children qualify.

What if My Income Changes?
If your family’s income changes, you need to report the change to Medicaid. Your eligibility for Medicaid will be reviewed based on your new income. If your income increases, you may lose eligibility for Medicaid. However, if your income decreases, you may become eligible for Medicaid.

How Can I Apply for Medicaid?
You can apply for Medicaid through your state’s Medicaid agency. You can also apply for Medicaid online at HealthCare.gov.

If you have any questions about Medicaid eligibility, you can contact our licensed agent for help

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