CMS Issues 2026 Federal Poverty Level Standards for Medicaid Eligibility
CMS released the 2026 Federal Poverty Level standards in an informational bulletin dated January 23, 2026. The updated income thresholds apply to Medicaid and CHIP eligibility determinations starting February 2026. States must update their eligibility systems and Modified Adjusted Gross Income (MAGI) conversion tables to reflect the new FPL amounts. The guidance affects income-based eligibility for millions of Medicaid and CHIP beneficiaries nationwide, requiring states to adjust eligibility thresholds and redetermination processes.
State Medicaid agencies must implement system changes and update eligibility criteria by February 2026 to ensure accurate eligibility determinations and maintain federal compliance.
CHIP · Managed Care · Finance
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