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

$850.83

***

***

***

***

***

2

$570.42

***

***

***

***

***

3

$476.94

***

***

***

***

***

MHSC/

MHSP

Healthy Start

Pregnant Women & Children < 6 (cat needy)

1

$1,131.61

$1,517.31

$1,903.01

$2,288.71

$2,674.41

$3,060.11

2

$758.65

$1,268.67

$1,716.53

$2,139.53

$2,550.09

$2,953.55

3

$634.34

$1,144.35

$1,604.65

$2,040.07

$2,461.29

$2,873.63

NHSC/

NHSP

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

1

$1,574.04

$2,110.54

 $2,647.04

$3,183.54

$3,720.04

$4,256.54

2

$1,055.27

$1,764.69

 $2,387.66  

 $2,976.03

$3,547.12

$4,108.32

3

$882.35

$1,591.77

 $2,232.03  

 $2,837.69

$3,423.60  

$3,997.16