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Indiana State Department of Health

CSHCS Home > What's New > Household Income Table Household Income Table

 

 

Income Eligibility for the Children's Special Health Care Services (CSHCS) Program
Based on Health and Human Service Poverty Income Guidelines

Effective January 22, 2014

To be financially eligible for CSHCS, the gross household income must be less than or equal to 250% of the federal poverty income guidelines.  Household means a group of related or non-related individuals who are not residents of an institution, but who are living as one economic unit.  The applicant must also be medically eligible to receive services.

Effective July 1, 2010, the CSHCS Program began counting Supplemental Security Income (SSI) and Adoption Assistance Program (AAP) payments as income to evaluate CSHCS participants initial and ongoing financial eligibility for the program.

 
NOTE: CSHCS defines a pregnant woman as one family member.
 

Household Size CSHCS Annual Income
Equal To Or Less Than
1 $29,175
2 $39,325
3 $49,475
4 $59,625
5 $69,775
6 $79,925
7 $90,075
8 $100,225
9 $110,375
10 $120,525
11 $130,675
12 $140,825
For each additional
member add:
 $10,150