Policy History for 4.8.4 INCOME LIMITS

Release 05-07

4.8.4 INCOME LIMITS

 

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

 $797.50

***

***

***

***

***

2

$534.58

***

***

***

***

***

3

$446.94

***

***

***

***

***

MHSC/

MHSP

Healthy Start

Pregnant Women & Children < 6 (cat needy)

1

$1,060.68

$1,421.99

$1,783.31

$2,144.63

$2,505.94

$2,867.26

2

$711.00

$1,188.87

$1,608.47

$2,004.75

$2,389.38

$2,767.35

3

$594.44

$1,072.31

$1,503.57

$1,911.51

$2,306.13

$2,692.42

NHSC/

NHSP

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

1

$1,475.38

 $1,977.96

 $2,480.54

$2,983.13

$3,485.71

$3,988.29

2

$988.98

 $1,653.69

 $2,237.34

 $2,788.57

$3,323.58

 $3,849.32

3

$826.85

$1,491.56

 $2,091.43

 $2,658.86

$3,207.77

$3,745.09

 

** FFU is not used in determining eligibility for AFDC-Medicaid .

 

*** Pregnant women are not eligible for this category.  Determine pregnant women under the age of 19 for Health Start for Women instead.

 

This page last updated in Release Number: 05-02

Release Date: 05-10-05

Effective Date: 03-01-05