ADDENDUM 2
FAMILY MEDICAID INCOME STANDARDS
ADULT INCLUDED (AI)
The following income eligibility standards are used when the household includes at least one specified relative.
NOTE:
This chart is also used for the Under 21 category and for any case in which
the specified relative is the only person included in the household.
|
Effective 1/1/2006 |
Effective 1/1/2007 |
||||
|
Household Size |
Gross Income (185%) |
Net Income |
Household Size |
Gross Income (185%) |
Net Income |
|
Adult Included |
Adult Included |
||||
|
1 |
1348 |
729 |
1 |
1393 |
753 |
|
2 |
2155 |
1165 |
2 |
2225 |
1203 |
|
3 |
2425 |
1311 |
3 |
2504 |
1354 |
|
4 |
2695 |
1457 |
4 |
2784 |
1505 |
|
5 |
2965 |
1603 |
5 |
3063 |
1656 |
|
6 |
3235 |
1749 |
6 |
3342 |
1807 |
|
7 |
3505 |
1895 |
7 |
3622 |
1958 |
|
Each Additional |
270 |
146 |
Each Additional |
279 |
151 |
ADULT NOT INCLUDED (ANI)
The following income eligibility standards are used in cases in which no specified relative is included in the household. Household size is the total number of dependent children who are included in the household:
|
Effective 1/1/2006 |
Effective 1/1/2007 |
||||
|
Household Size |
Gross Income (185%) |
Net Income |
Household Size |
Gross Income (185%) |
Net Income |
|
Adult Included |
Adult Included |
||||
|
1 |
1184 |
640 |
1 |
1222 |
661 |
|
2 |
1454 |
786 |
2 |
1502 |
812 |
|
3 |
1724 |
932 |
3 |
1781 |
963 |
|
4 |
1994 |
1078 |
4 |
2060 |
1114 |
|
5 |
2264 |
1224 |
5 |
2340 |
1265 |
|
6 |
2534 |
1370 |
6 |
2619 |
1416 |
|
7 |
2804 |
1516 |
7 |
2898 |
1567 |
|
Each Additional |
270 |
146 |
Each Additional |
279 |
151 |
SELF-EMPLOYMENT INCOME
ANNUALIZATION STANDARDS (185% FPG Federal Poverty Guidelines)
|
Household Size |
Income Standard Effective 4/1/2005 |
Income Standard Effective 4/1/2006 |
Income Standard Effective 4/1/2007 |
|
1 |
22,108 |
22,663 |
23,625 |
|
2 |
29,656 |
30,525 |
31,672 |
|
3 |
37,204 |
38,388 |
39,720 |
|
4 |
44,752 |
46,250 |
47,767 |
|
5 |
52,300 |
54,113 |
55,815 |
|
6 |
59,848 |
61,975 |
63,862 |
|
7 |
67,396 |
69,838 |
71,910 |
|
8 |
74,944 |
77,700 |
79,957 |
|
Addl. |
7,548 |
7,863 |
8,048 |
|
IRS Internal Revenue Service Mileage Allowance |
|||
|
Year |
2005 |
2006 |
2007 |
|
Cents per Mile |
40.5 |
44.5 |
48.5 |
TRANSITIONAL MEDICAID INCOME STANDARDS (185% FPG Federal Poverty Guidelines)
|
Household Size |
Effective 4/1/2005 |
Effective 4/1/2006 |
Effective 4/1/2007 |
|
1 |
1,843 |
1,889 |
1,969 |
|
2 |
2,472 |
2,544 |
2,640 |
|
3 |
3,101 |
3,199 |
3,310 |
|
4 |
3,730 |
3,855 |
3,981 |
|
5 |
4,359 |
4,510 |
4,652 |
|
6 |
4,988 |
5,165 |
5,322 |
|
7 |
5,617 |
5,820 |
5,993 |
|
8 |
6,246 |
6,475 |
6,664 |
|
Addl. |
629 |
656 |
671 |
|
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