Appendix A2 Family Medicaid Financial Limits 2001

2001 Income Limits

LIM

LIM

RSM PgW, NB, PCK

RSM CHILD 0-1, TMA, WIC

RSM CHILD 1-5

RSM CHILD 6-19

FM-MNIL

BUDGET GROUP (BG) SIZE

GROSS INCOME CEILING (GIC)

STANDARD OF NEED (SON)

235% FEDERAL POVERTY LEVEL (FPL)

185% FEDERAL POVERTY LEVEL (FPL)

133% FEDERAL POVERTY LEVEL (FPL)

100% FEDERAL POVERTY LEVEL (FPL)

FAMILY MEDICAID MNIL

1

$435

235

1683

1325

953

716

208

2

659

356

2275

1791

1288

968

317

3

784

424

2867

2257

1623

1220

375

4

925

500

3457

2722

1957

1471

442

5

1060

573

4050

3188

2292

1723

508

6

1149

621

4642

3654

2627

1975

550

7

1243

672

5232

4119

2961

2226

600

8

1319

713

5824

4585

3296

2478

633

9

1389

751

6416

5051

3631

2730

667

10

1487

804

7008

5517

3966

2982

708

11

1591

860

7600

5983

4301

3234

758

12

1635

884

8192

6449

4636

3486

808

(+) PER ADDITIONAL BG MEMBER

44

24

592

466

335

252

50

2001 RESOURCE LIMITS

LIM RESOURCE LIMIT: $1000

FAMILY MEDICAID MEDICALLY NEEDY (FM-MN) RESOURCE LIMIT

NUMBER OF INDIVIDUALS IN FM-MN BG

1

2

3

4

5

6

7

8

9

10

11

12

$2000

4000

4100

4200

4300

4400

4500

4600

4700

4800

4900

5000