2025 Income Eligibility Guidelines for the Every Woman Counts (EWC) Program
| Date: | April 16, 2025 |
| From: | Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) |
| To: | Health Plan Providers, Practitioners, and Facilities |
| Type: | Informational |
| Subject: | 2025 Income Eligibility Guidelines for the Every Woman Counts (EWC) Program |
| Business: | Medi-Cal Managed Care |
The Health and Human Services (HHS) Federal Poverty Guidelines (FPG) are used to determine the financial eligibility for the Every Woman Counts (EWC) Program. To qualify for breast and cervical cancer screening services, recipients must have a family/household income at or below 200 percent of the Health and Human Services (HHS) federal poverty guideline. These guidelines are effective from April 1, 2025, through March 31, 2026.
EWC Income Eligibility Guidelines By Income and Family/Household Size
| Number of Persons in Family/ Household | Monthly Gross Household Income | Annual Gross Household Income |
| 1 | $2,608 | $31,300 |
| 2 | $3,525 | $42,300 |
| 3 | $4,442 | $53,300 |
| 4 | $5,358 | $64,300 |
| 5 | $6,275 | $75,300 |
| 6 | $7,192 | $86,300 |
| 7 | $8,108 | $97,300 |
| 8 | $9,025 | $108,300 |
| For each additional person add | $917 | $11,000 |
Providers should note the following:
- A family/household is a group of two or more persons who are related by birth, marriage or adoption and who live together.
- Monthly “gross household income” means the sum of incomes (before taxes and other deductions) of the person(s) in the family/household living in the household from sources identified by the U.S. Census Bureau. Monthly gross income for migrant farm workers and other seasonally employed persons may be computed by averaging gross income received.
- The poverty guidelines are updated periodically in the Federal Register by the U.S. Department of Health and Human Services under the authority of Title 42 of the United States Codes section 9902(2). The EWC Program income eligibility guidelines are updated accordingly based on the HHS FPG.
If you have any further questions, please contact your Provider Services Representative, or call our Customer Service Department at 1-888-936-PLAN (7526). You may also visit https://www.hpsj.com/alerts/ for online access to the documents shared. The most recent information about Health Plan and our services is always available on our website www.hpsj-mvhp.org
