2021 Income Eligibility Guidelines for the CHDP Gateway Program
April 7, 2021
Effective January 1, 2021, through December 31, 2021, providers are to use the following income guidelines when determining recipient eligibility for pre-enrollment in Medi-Cal through the Child Health and Disability Prevention (CHDP) Gateway program. Providers should disregard all previous CHDP income eligibility guidelines charts.
Income Eligibility Guidelines
266 Percent of the 2021 Federal Poverty Guidelines
Effective January 1, 2021, through December 31, 2021
(For determinations of CHDP Gateway aid codes 8W and 8X only)
| Number of Persons in the Household |
Monthly Income |
Annual Income |
| 1 |
$2,856 |
$34,261 |
| 2 |
$3,862 |
$46,338 |
| 3 |
$4,868 |
$58,414 |
| 4 |
$5,875 |
$70,490 |
| 5 |
$6,881 |
$82,567 |
| 6 |
$7,887 |
$94,643 |
| 7 |
$8,894 |
$106,720 |
| 8 |
$9,900 |
$118,796 |
| 9 |
$10,906 |
$130,872 |
| 10 |
$11,913 |
$142,949 |
For households of more than 10 persons,
for each additional person, add: |
$1,007 |
$12,077 |
