IN.gov - Skip Navigation

Note: This message is displayed if (1) your browser is not standards-compliant or (2) you have you disabled CSS. Read our Policies for more information.

CLOSE MENU
  • Business & Agriculture
  • Residents
  • Government
  • Education
  • Taxes & Finance
  • Visiting & Playing
  • Family & Health

Indiana State Department of Health

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 February 1, 2017

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 at 250% of FPL
  Income Must Be Equal To or Less Than The Below
1 $30,150
2 $40,600
3 $51,050
4 $61,500
5 $71,950
6 $82,400
7 $92,850
8 $103,300
9 $113,750
10 $124,200
11 $133,529
12 $145,100
For each additional
member add:
 $10,450
 
 
Household Size CSHCS Monthly Income at 250% of FPL
  Income Must Be Equal To or Less Than The Below
1 $2,513
2 $3,383
3 $4,254
4 $5,125
5 $5,996
6 $6,867
7 $7,387
8 $8,608
9 $9,479
10 $10,350
11 $11,221
12 $12,092
For each additional
member add:
$871

 

 

  • ISDH_Inshape_widget
  • HIP_2_0_widget
  • widget4
  • MCH MOMS Helpline
  • widget6