What are the income guidelines for KanCare 2024?
To be eligible for Medicaid coverage of long term care services (nursing home, HCBS, and PACE), an individual must have income at or below 300% of the SSI one-person standard (for 2024 that amount is $943/month X 3 = $2,829/month).
| Household Size* | Maximum Income Level (Per Year) |
|---|---|
| 1 | $19,392 |
| 2 | $26,228 |
| 3 | $33,064 |
| 4 | $39,900 |
| Household Size* | Maximum Income Level (Per Year) |
|---|---|
| 2 | $47,526 |
| 3 | $59,913 |
| 4 | $72,300 |
| 5 | $84,688 |
Qualifying When Over the Limits
In 2024, the Medically Needy Income Limit (MNIL), called the Protected Income Level in KS, is $475 / month for an individual, as well as a couple. The “spend down” amount is the difference between one's monthly income and the Protected Income Level.
For 2024 the COLA is 3.2% and the income limits for “Non-MAGI” Medicaid have increased from $1,563/ month for a single person and $2,106/ month for a couple in 2023, to $1,677/ month for a single person and $2,268/ month for a couple in 2024.
The protected income limit for the elderly and people with disabilities is $475.00 for one or two people and $480 for three people. For adults, only the income of the person needing coverage and their spouse is used. For children, the protected income limit is $475.00 for one or two people and $480.00 for three people.
KanCare is the name for the State of Kansas' Medicaid program. KanCare is managed care that combines health care (like doctor visits) with community long-term services and supports (like help in your home).
KanCare is available to adult, non-disabled, non-elderly parents or caregivers of children younger than 19. Benefits and coverage are the same as those for children in KanCare. Enrollment for adults is limited to those who meet Medicaid eligibility guidelines.
Individuals with approved renewals are divided into two categories: modified adjusted gross income (MAGI) and non-MAGI. The MAGI category contains family medical programs and non-MAGI contains long-term care (LTC) and elderly and disabled (E&D) programs. Some renewals are approved through an automated process.
After this inflation adjustment, the guidelines are rounded and adjusted to standardize the differences between family sizes. For 2023, the poverty guideline in Kansas is $14,580 for a one-person family/household and $19,720 for a two-person family/household.
What is high income in Kansas?
| Annual Salary | Hourly Wage | |
|---|---|---|
| Top Earners | $75,934 | $37 |
| 75th Percentile | $60,040 | $29 |
| Average | $48,064 | $23 |
| 25th Percentile | $34,435 | $17 |
The Tax Cuts and Jobs Act Reform of 2017, S. 2254-115th Congress lowered the value of the federal personal exemptions to $0 until 2025. The value of the Kansas personal exemption for 2023 is $2250.
The combined income approach is the computation by formula apportionment of the business income of a unitary trade or business properly reportable to Kanas by members of a unitary group.
The Medically Needy Asset Limit is $4,000 for an individual and $6,000 for a couple. 2) Qualified Income Trusts (QIT) – Also called Miller Trusts, QITs offer a way for persons over the Medicaid income limit to still become income-eligible for Nursing Home Medicaid or Home and Community Based Services.
The income range is $30,000 to $120,000 in 2024 for a family of four. (Income limits may be higher in Alaska and Hawaii because the federal poverty level is higher in those states.) The American Rescue Plan Act of 2021 also extended subsidy eligibility to some people earning more than 400% of the federal poverty level.
If it's not on your pay stub, use gross income before taxes. Then subtract any money the employer takes out for health coverage, child care, or retirement savings. Multiply federal taxable wages by the number of paychecks you expect in the tax year to estimate your income.
There are listings of the health plans available through the Health Insurance Marketplace at HealthCare.gov. People without access to the internet can call the customer service line for the Health Insurance Marketplace at 800-318-2596 or get help from an agent or another type of assistor.
The state with the highest income limits for both a family of three and individuals is Washington, D.C. If you live in this area, a family of three can qualify for Medicaid if their income is at 221% of the FPL. For other adults, the limit is set at 251% of the FPL.
| Family Size | Monthly Income (Eff. 03/01/2024) | Annual Income (Eff. 03/01/2024) |
|---|---|---|
| 1 | $2,510.00 | $30,120.00 |
| 2 | $3,407.00 | $40,880.00 |
| 3 | $4,304.00 | $51,640.00 |
| 4 | $5,200.00 | $62,400.00 |
Unfortunately, Kansas has some of the most strict Medicaid rules in the country. Adults without children who are not disabled usually do not qualify for Medicaid, regardless of income. Even for adults with children, the income guidelines are so low that most adults do not qualify for Kansas Medicaid.
Is sunflower KanCare Medicaid?
As a KanCare health plan, Sunflower Health Plan is a provider of Kansas Medicaid.
Sunflower Health Plan's Kansas Medicaid benefits cover vision services, including eye exams. Sunflower Health Plan members 21 years and older receive one complete eye exam and, if needed, one pair of eyeglasses each year.
Members don't have any copays for the services we cover. If a provider bills you, don't pay the bill.
(h) Elderly refers to a person age sixty (60) years or older. 9. Exploitation. “Exploitation” means the illegal or improper use of an incapacitated or dependent adult or that adult's resources for another's profit or advantage.
It covers people with limited income, which may include pregnant women, children up to age 19, adult caretaker of children, persons aged out of foster care, persons with disabilities and senior citizens to list a few. We provide Medicaid through many special programs.
