Medicaid eligibility is defined by income as a percent of the Federal Poverty Line.

Medicaid eligibility is defined by income as a percent of the Federal Poverty Line.

• A. 100%
• B. 138%
• C. 200%
• D. 400%

Answer: (B)

Medicaid eligibility in the ACA era is defined by income as a share of the Federal Poverty Line, and the expansion sets the cutoff at 138% of the FPL. This threshold is designed to extend coverage to adults with incomes near or below twice the poverty level. The 138% figure comes from the policy design: a 133% FPL standard with an additional 5 percentage point disregard, which yields an effective eligibility limit around 138% of the FPL. This distinguishes the expansion group from traditional Medicaid limits, and from other ACA thresholds: 100% FPL is the baseline poverty line used for traditional Medicaid rules for certain groups, 200% FPL is commonly tied to other program requirements, and 400% FPL is the upper limit for premium subsidies on marketplace plans.

Medicaid eligibility in the ACA era is defined by income as a share of the Federal Poverty Line, and the expansion sets the cutoff at 138% of the FPL. This threshold is designed to extend coverage to adults with incomes near or below twice the poverty level. The 138% figure comes from the policy design: a 133% FPL standard with an additional 5 percentage point disregard, which yields an effective eligibility limit around 138% of the FPL. This distinguishes the expansion group from traditional Medicaid limits, and from other ACA thresholds: 100% FPL is the baseline poverty line used for traditional Medicaid rules for certain groups, 200% FPL is commonly tied to other program requirements, and 400% FPL is the upper limit for premium subsidies on marketplace plans.