Selected Services |
% of Federal Poverty Level |
Annual Income Guidelines for 1-5 Member Households |
||||
|
|
House-hold of 1 |
House-hold of 2 |
House-hold of 3 |
House-hold of 4 |
House-hold of 5 |
TAF and GA – Cash and Medical * |
* |
2,892 |
3,912 |
4,836 |
5,632 |
6,384 |
Elderly/Disabled Persons on SSI – Medical * |
* |
6,948 |
10,428 |
N/A |
N/A |
N/A |
HCBS Waivers * |
* |
8,592 |
N/A |
N/A |
N/A |
N/A |
Medically Needy Spenddown * |
* |
5,700 |
5,700 |
5,760 |
5,964 |
N/A |
Children Age 6-18 Medicaid/Waivers |
100% |
9,800 |
13,200 |
16,600 |
20,000 |
23,400 |
|
105% |
10,290 |
13,860 |
17,430 |
21,000 |
24,570 |
|
110% |
10,780 |
14,520 |
18,260 |
22,000 |
25,740 |
|
115% |
11,270 |
15,180 |
19,090 |
23,000 |
26,910 |
|
120% |
11,760 |
15,840 |
19,920 |
24,000 |
28,080 |
|
125% |
12,250 |
16,500 |
20,750 |
25,000 |
29,250 |
Food Assistance/Energy Assistance |
130% |
12,740 |
17,160 |
21,580 |
26,000 |
30,420 |
Children Age 1-5 Medical |
133% |
13,034 |
17,556 |
22,078 |
26,600 |
31,122 |
|
135% |
13,230 |
17,820 |
22,410 |
27,000 |
31,590 |
|
140% |
13,720 |
18,480 |
23,240 |
28,000 |
32,760 |
|
145% |
14,210 |
19,140 |
24,070 |
29,000 |
33,930 |
Pregnant Women & Infants – Medical |
150% |
17,700 |
19,800 |
24,900 |
30,000 |
35,100 |
|
155% |
15,190 |
20,460 |
25,730 |
31,000 |
36,270 |
|
160% |
15,680 |
21,120 |
26,560 |
32,000 |
37,440 |
|
165% |
16,170 |
21,780 |
27,390 |
33,000 |
38,610 |
|
170% |
16,660 |
22,440 |
28,220 |
34,000 |
39,780 |
|
175% |
17,150 |
23,100 |
29,050 |
35,000 |
40,950 |
|
180% |
17,640 |
23,760 |
29,880 |
36,000 |
42,120 |
Child Care Subsidy |
185% |
18,130 |
24,420 |
30,710 |
37,000 |
43,290 |
|
190% |
18,620 |
25,080 |
31,540 |
38,000 |
44,460 |
|
195% |
19,110 |
25,740 |
32,370 |
39,000 |
45,630 |
Children’s Health Insurance Program |
200% |
19,600 |
26,400 |
33,200 |
40,000 |
46,800 |
Information contained in this chart is intended to be general and is subject to change. |
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