For Pennie to forward a customer's application to DHS for a MA/CHIP eligibility determination, their annual household income must fall at or below what percentage of the FPL?

For Pennie to forward a customer's application to the Department of Human Services (DHS) for a Medical Assistance (MA) or Children's Health Insurance Program (CHIP) eligibility determination, a key threshold is set at 138% of the Federal Poverty Level (FPL). This percentage is important because it aligns with the expansion of Medicaid under the Affordable Care Act, which aims to provide health coverage to individuals and families with incomes at or below this level.

Eligibility for MA and CHIP programs is based on income relative to the FPL, and 138% represents the cutoff point for many low-income individuals to qualify for these programs. By ensuring that applicants meet this income threshold, Pennie helps connect eligible individuals and families with crucial health care services. Understanding this benchmark is essential for agents and brokers to accurately guide clients through the application process and to inform them about potential eligibility for coverage.