Appendix A2 Family Medicaid Financial Limits 2026 | Medicaid

Georgia Division of Family and Children Services
Medicaid Policy Manual

Policy Title:

Family Medicaid Financial Limits 2026 (effective 03/01/2026)

Effective Date:

03/01/2026

Chapter:

Appendix A2

Policy Number:

Appendix A2

Previous MT Number(s):

Updated or Reviewed in MT:

MT 80

2026 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	3285	3351	2726	2792	2806	2872	1981	2047	1769	1835
2	457	546	4455	4545	3698	3788	3806	3896	2688	2778	2399	2489
3	551	662	5624	5737	4667	4780	4804	4917	3392	3505	3028	3141
4	653	787	6792	6929	5637	5774	5802	5939	4097	4234	3657	3794
5	752	909	7963	8124	6609	6770	6802	6963	4803	4964	4288	4449
6	826	1006	9131	9315	7578	7762	7800	7984	5508	5692	4917	5101
7	903	1106	10300	10508	8548	8756	8798	9006	6213	6421	5546	5754
8	970	1196	11470	11702	9520	9752	9798	10030	6919	7151	6176	6408
9	1034	1283	12639	12894	10489	10744	10796	11051	7624	7879	6805	7060
10	1113	1385	13807	14086	11459	11738	11794	12073	8329	8608	7437	7716
11	1194	1489	14975	15278	12429	12732	12793	13096	9033	9336	8063	8366
12	1244	1562	16144	16470	13398	13724	13791	14117	9738	10064	8692	9018
For each additional member, add:	$150	$173	$1169	$1192	$970	$993	$998	$1021	$705	$728	$630	$653

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	1263	1330	2926	2992	2660	3125	208
2	1713	1803	3968	4058	3608	4239	317
3	2163	2276	5009	5122	4554	5351	375
4	2612	2750	6050	6187	5500	6462	442
5	3062	3223	7092	7253	6448	7576	508
6	3512	3697	8133	8317	7394	8688	550
7	3961	4170	9174	9382	8340	9799	600
8	4411	4643	10216	10448	9288	10913	633
9	4861	5117	11257	11512	10234	12025	667
10	5310	5590	12298	12577	11180	13136	708
11	5759	6063	13338	13641	12126	14248	758
12	6209	6537	14379	14705	13072	15359	808
For each additional member, add:	$449	$473	$1041	$1064	$946	$1111	(+) 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.

2026 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

72.5 CENTS PER MILE EFFECTIVE 01/01/2026

Appendix A2 Family Medicaid Financial Limits 2026 | Medicaid

​2026 Income Limits

​2026 Resource Limits

2026 Income Limits

2026 Resource Limits