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Non-HCWD Cases (classification C or Q if dually eligible)
Percent of Poverty Level |
Number of
Persons |
Monthly income |
One-third reduction |
100% of FPL |
Individual |
$ 931.00 |
$621.00 |
100% of FPL |
Couple |
$1,261.00 |
$841.00 |
HCWD Cases (classification N or G unless dually eligible)
Percent of Poverty Level |
Number of
Persons |
Monthly income |
One-third reduction |
150% of FPL |
HCWD Individual |
$1,397 |
$931 |
150% of FPL |
HCWD Couple |
$1,892 |
$1,261 |
REVISED 04/01/12 – CHANGE NO. 06-12
(VII.)
The living allowance for an ineligible child/ineligible spouse is $350 minus the gross income.
Number of Persons |
Monthly income |
One-third reduction |
Individual |
$242.00 |
$161.00 |
Couple |
$317.00 |
$211.00 |
Percent of Poverty Level |
Number of Persons |
Monthly income |
One-third reduction |
100% of FPL |
1 |
$931.00 |
$621.00 |
100% of FPL |
2 |
$1,261.00 |
$841.00 |
100% of FPL |
3 |
$1,591 |
$1,061 |
100% of FPL |
4 |
$1,921 |
$1,281 |
100% of FPL |
5 |
$2,251 |
$1,501 |
100% of FPL |
6 |
$2,581 |
$1,721 |
100% of FPL |
7 |
$2,911 |
$1,941 |
100% of FPL |
8 |
$3,241 |
$2,161 |
Percent of Poverty Level |
Number of Persons |
Monthly income |
One-third reduction |
120% of FPL |
1 |
$1,117.00 |
$745.00 |
120% of FPL |
2 |
$1,513.00 |
$1,009.00 |
120% of FPL |
3 |
$1,909 |
$1,273 |
120% of FPL |
4 |
$2,305 |
$1,537 |
120% of FPL |
5 |
$2,701 |
$1,801 |
120% of FPL |
6 |
$3,097 |
$2,065 |
120% of FPL |
7 |
$3,493 |
$2,329 |
120% of FPL |
8 |
$3,889 |
$2,593 |
REVISED 04/01/12-CHANGE NO. 06-12
(VII.)
Percent of Poverty Level |
Number of Persons |
Monthly income |
One-third reduction |
135% of FPL |
1 |
$1,257.00 |
$838.00 |
135% of FPL |
2 |
$1,703.00 |
$1,135.00 |
135% of FPL |
3 |
$2,148 |
$1,432 |
135% of FPL |
4 |
$2,594 |
$1,729 |
135% of FPL |
5 |
$3,039 |
$2,026 |
135% of FPL |
6 |
$3,485 |
$2,323 |
135% of FPL |
7 |
$3,930 |
$2,620 |
135% of FPL |
8 |
$4,376 |
$2,917 |
Note: MQB Family Size Budgeting income levels (3 or more people) are not currently in EIS.
Percent of Poverty Level |
Number of Persons |
Monthly income |
One-third reduction |
200% of FPL |
Individual |
$1,862.00 |
$1,242.00 |
200% of FPL |
Couple |
$2,522.00 |
$1,682.00 |
Percent of Poverty Level |
Number of Persons |
Maximum Monthly Income |
<150% of FPL |
Individual |
$1,397.00 |
<150% of FPL |
Couple |
$1,892.00 |
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For questions or clarification on any of the policy contained in these manuals, please contact your local county office. |
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