Number of Fetuses

MA Category

FFU

Size

0

1

2

3

4

5

MAU/

MAR

AFDC

**

**

**

**

**

**

MAOU/

MAOR

AFDC-Related MA (cat needy) area 1

1

$311

$550.00

$647.00

$772.00

$886.00

$958.00

2

$275.00

$431.33

$579.00

$708.80

$798.33

$888.86

3

$215.67

$386.00

$531.60

$638.67

$740.71

$824.25

MAOU/

MAOR

AFDC-Related MA Area 2 (cat needy)

1

$301.00

$533.00

$626.00

$749.00

$861.00

$929.00

2

$266.50

$417.33

$561.75

$688.80

$774.17

$863.14

3

$208.67

$374.50

$516.60

$619.33

$719.29

$801.00

NAOR

AFDC-Related MA (med needy)

1

$591.67

$591.67

$689.33

$822.67

$944.00

$1,021.33

2

$295.84

$459.55

$617.00

$755.20

$851.11

$947.43

3

$229.78

$411.34

$566.40

$680.89

$789.52

$879.00

MHSN

Healthy Start children age 6-19

1

 $775.83

***

***

***

***

***

2

$520.42

***

***

***

***

***

3

$435.28

***

***

***

***

***

MHSC/

MHSP

Healthy Start

Pregnant Women & Children < 6 (med  needy)

1

$1031.86

$1,384.31

$1,736.76

$2,089.21

$2,441.66

$2,794.11

2

$692.15

$1,157.84

$1566.91

$1,953.33

$2,328.42

$2697.05

3

$578.92

$1044.60

$1,465.00

$1862.74

$2,247.54

$2,624.26

NHSC/

NHSP

Healthy Start Pregnant Women & Children < 6 (med Needy)

1

$1,435.29

$1,925.54

$2,415.79

$2,906.04

$3,396.29

$3,886.54

2

$962.77

$1,610.53

$2,179.53

$2,717.03

$3,238.78

$3,751.53

3

$805.26

$1,453.02

$2,037.78

$2,591.03

$3,126.28

$3,650.28