Appendix A2 Family Medicaid Financial Limits 2025 | Medicaid

Georgia Division of Family and Children Services
Medicaid Policy Manual

Policy Title:

Family Medicaid Financial Limits 2025 (effective 03/01/2025)

Effective Date:

03/01/2025

Chapter:

Appendix A2

Policy Number:

Appendix A2

Previous MT Number(s):

Updated or Reviewed in MT:

MT 75

2025 Income Limits

Percentage of the Federal Poverty Level (FPL)
Family Size	Parent / Caretaker with Children	Plus 5%	247% PCK	Plus 5%	205% Child 0-1 TMA	Plus 5%	211% P4HB	Plus 5%	149% Child 1-5	Plus 5%	133% Child 6-19	Plus 5%
1	310	376	3223	3289	2675	2741	2753	2819	1944	2010	1735	1801
2	457	546	4354	4443	3614	3703	3719	3808	2626	2715	2344	2433
3	551	662	5483	5594	4551	4662	4684	4795	3307	3418	2952	3063
4	653	787	6617	6751	5491	5625	5652	5786	3991	4125	3563	3697
5	752	909	7748	7905	6430	6587	6619	6776	4674	4831	4172	4329
6	826	1006	8879	9059	7369	7549	7585	7765	5356	5536	4781	4961
7	903	1106	10013	10216	8310	8513	8553	8756	6040	6243	5391	5594
8	970	1196	11144	11370	9249	9475	9520	9746	6722	6948	6000	6226
9	1034	1283	12275	12524	10188	10437	10486	10735	7405	7654	6610	6859
10	1113	1385	13407	13679	11127	11399	11453	11725	8087	8359	7219	7491
11	1194	1489	14538	14833	12066	12361	12419	12714	8770	9065	7828	8123
12	1244	1562	15669	15987	13005	13323	13385	13703	9452	9770	8437	8756
For each additional member, add:	$150	$173	$1132	$1131	$939	$962	$967	$990	$683	$706	$610	$633

A Budget Group of One does not exist for Parent/Caretaker with Child(ren) Medicaid or Pregnant Woman Medicaid.

Percentage of the Federal Poverty Level (FPL) (continued)
Family Size	95% Pathways	Plus 5% Pathways	220% PGW Newborn	Plus 5%	200% WHM	235% ELE/CU19	FAMILY MEDICAID MNIL
1	1239	1305	2871	2937	2610	3066	208
2	1674	1763	3878	3967	3526	4143	317
3	2109	2220	4884	4995	4440	5217	375
4	2545	2679	5893	6027	5358	6295	442
5	2980	3137	6901	7058	6274	7371	508
6	3415	3595	7909	8089	7190	8448	550
7	3851	4054	8918	9121	8108	9526	600
8	4286	4512	9926	10152	9024	10603	633
9	4721	4970	10934	11183	9940	11679	667
10	5156	5428	11941	12213	10856	12755	708
11	5591	5886	12949	13244	11772	13832	758
12	6026	6344	13956	14274	12688	14908	808
For each additional member, add:	$435	$458	$1008	$1031	$916	$1077	(+) PER ADDITIONAL BG MEMBER $50

A Budget Group of One does not exist for Parent/Caretaker with Child(ren) Medicaid or Pregnant Woman Medicaid.

Regarding Express Lane Eligibility, if child is in an active SNAP or TANF case, and they are over the 235%, but under 247% FPL (PCK Limits), the child ELE PCK.

2025 Resource Limits

FAMILY MEDICAID MEDICALLY NEEDY (FM-MN) RESOURCE LIMIT
NUMBER OF INDIVIDUALS IN FM-MN BG
1	2	3	4	5	6	7	8	9	10	11	12
$2000	4000	4100	4200	4300	4400	4500	4600	4700	4800	4900	5000

FM-MN Allowable Mileage Reimbursement

70.0 CENTS PER MILE EFFECTIVE 01/01/2025