Appendix A2 Family Medicaid Financial Limits 2025

Georgia State Seal

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