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Wisconsin Department of Health and Family Services Obsolete Medicaid Eligibility Handbook For the current MEH, see http://www.emhandbooks.wi.gov/meh-ebd/ For the current BC Plus Handbook, see http://www.emhandbooks.wi.gov/bcplus/ |
group size |
100% FPL |
120% FPL |
133% FPL |
135% FPL |
150% FPL |
185% FPL |
200% FPL |
250% FPL |
1 |
$850.83 |
$1,021.00 |
$1,131.61 |
$1,148.63 |
$1,276.25 |
$1,574.04 |
$1,701.67 |
$2,127.08 |
2 |
$1,140.83 |
$1,369.00 |
$1,517.31 |
$1,540.13 |
$1,711.25 |
$2,110.54 |
$2,281.67 |
$2,852.08 |
3 |
$1,430.83 |
$1,717.00 |
$1,903.01 |
$1,931.63 |
$2,146.25 |
$2,647.04 |
$2,861.67 |
$3,577.08 |
4 |
$1,720.83 |
$2,065.00 |
$2,288.71 |
$2,323.13 |
$2,581.25 |
$3,183.54 |
$3,441.67 |
$4,302.08 |
5 |
$2,010.83 |
$2,413.00 |
$2,674.41 |
$2,714.63 |
$3,016.25 |
$3,720.04 |
$4,021.67 |
$5,027.08 |
6 |
$2,300.83 |
$2,761.00 |
$3,060.11 |
$3,106.13 |
$3,451.25 |
$4,256.54 |
$4,601.67 |
$5,752.08 |
7 |
$2,590.83 |
$3,109.00 |
$3,445.81 |
$3,497.63 |
$3,886.25 |
$4,793.04 |
$5,181.67 |
$6,477.08 |
8 |
$2,880.83 |
$3,457.00 |
$3,831.51 |
$3,889.13 |
$4,321.25 |
$5,329.54 |
$5,761.67 |
$7,202.08 |
9 |
$3,170.83 |
$3,805.00 |
$4,217.21 |
$4,280.63 |
$4,756.25 |
$5,866.04 |
$6,341.67 |
$7,927.08 |
10 |
$3,460.83 |
$4,153.00 |
$4,602.91 |
$4,672.13 |
$5,191.25 |
$6,402.54 |
$6,921.67 |
$8,652.08 |
11 |
$3,750.83 |
$4,501.00 |
$4,988.61 |
$5,063.63 |
$5,626.25 |
$6,939.04 |
$7,501.67 |
$9,377.08 |
12 |
$4,040.83 |
$4,849.00 |
$5,374.31 |
$5,455.13 |
$6,061.25 |
$7,475.54 |
$8,081.67 |
$10,102.08 |
13 |
$4,330.83 |
$5,197.00 |
$5,760.01 |
$5,846.63 |
$6,496.25 |
$8,012.04 |
$8,661.67 |
$10,827.08 |
14 |
$4,620.83 |
$5,545.00 |
$6,145.71 |
$6,238.13 |
$6,931.25 |
$8,548.54 |
$9,241.67 |
$11,552.08 |
15 |
$4,910.83 |
$5,893.00 |
$6,531.41 |
$6,629.63 |
$7,366.25 |
$9,085.04 |
$9,821.67 |
$12,277.08 |
16 |
$5,200.83 |
$6,241.00 |
$6,917.11 |
$7,021.13 |
$7,801.25 |
$9,621.54 |
$10,401.67 |
$13,002.08 |
17 |
$5,490.83 |
$6,589.00 |
$7,302.81 |
$7,412.63 |
$8,236.25 |
$10,158.04 |
$10,981.67 |
$13,727.08 |
18 |
$5,780.83 |
$6,937.00 |
$7,688.51 |
$7,804.13 |
$8,671.25 |
$10,694.54 |
$11,561.67 |
$14,452.08 |
each additional person |
$290.00 |
$348.00 |
$385.70 |
$391.50 |
$435.00 |
$536.50 |
$580.00 |
$725.00 |
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• Kids 6 through 18 | • SLMB | • Cat Needy Pregnant Women |
•SLMB+ | • BC premium limit |
• Med Needy Pregnant Women |
• QDWI |
• MAPP |
• QMB |
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• BC recipient limit |
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• PE | • MAPP premium limit |
• PE |
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• kids <6 |
• kids <6 |
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• BC applicant limit |
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This page last updated in Release Number: 07-02
Release Date: 02/01/07
Effective Date: 02/01/07