Appendix A2 Family Medicaid Financial Limits 2004 | Medicaid

Georgia Division of Family and Children Services
Medicaid Policy Manual

Policy Title:

Family Medicaid Financial Limits 2004 (effective 07/01/2004)

Effective Date:

07/01/2004

Chapter:

Appendix A2

Policy Number:

Appendix A2

Previous Policy Number(s):

Updated or Reviewed in MT:

MT-11

2004 Income Limits

	LIM	LIM	PCK	RSM PgW, NB	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)	200% 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	1824	1552	1436	1032	776	208
2	659	356	2447	2082	1926	1385	1041	317
3	784	424	3070	2612	2416	1737	1306	375
4	925	500	3692	3142	2907	2090	1571	442
5	1060	573	4315	3672	3397	2442	1836	508
6	1149	621	4938	4202	3887	2795	2101	550
7	1243	672	5561	4732	4377	3147	2366	600
8	1319	713	6183	5262	4868	3500	2631	633
9	1389	751	6806	5792	5359	3853	2896	667
10	1487	804	7429	6322	5850	4206	3161	708
11	1591	860	8052	6852	6341	4559	3426	758
12	1635	884	8675	7382	6832	4912	3691	808
(+) PER ADDITIONAL BG MEMBER	44	24	623	530	491	353	265	50

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