Appendix A2 Family Medicaid Financial Limits 2002

2002 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

1736

1366

982

739

208

2

659

356

2339

1841

1324

995

317

3

784

424

2942

2316

1665

1252

375

4

925

500

3545

2791

2007

1509

442

5

1060

573

4148

3266

2348

1765

508

6

1149

621

4751

3741

2689

2022

550

7

1243

672

5355

4215

3031

2279

600

8

1319

713

5958

4690

3372

2535

633

9

1389

751

6562

5166

3714

2792

667

10

1487

804

7166

5642

4056

3049

708

11

1591

860

7770

6118

4398

3306

758

12

1635

884

8374

6594

4740

3563

808

(+) PER ADDITIONAL BG MEMBER

44

24

604

476

342

257

50

2002 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