Appendix A2 Family Medicaid Financial Limits 2005 | Medicaid

Georgia Division of Family and Children Services
Medicaid Policy Manual

Policy Title:

Family Medicaid Financial Limits 2005 (effective 02/01/2005)

Effective Date:

02/01/2005

Chapter:

Appendix A2

Policy Number:

Appendix A2

Previous Policy Number(s):

Updated or Reviewed in MT:

MT-15

2005 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	1875	1596	1476	1061	798	208
2	659	356	2512	2138	1978	1422	1069	317
3	784	424	3151	2682	2481	1784	1341	375
4	925	500	3791	3226	2984	2145	1613	442
5	1060	573	4427	3768	3485	2506	1884	508
6	1149	621	5067	4312	3988	2867	2156	550
7	1243	672	5706	4856	4492	3229	2428	600
8	1319	713	6343	5398	4993	3590	2699	633
9	1389	751	6982	5942	5496	3952	2971	667
10	1487	804	7621	6486	5999	4314	3243	708
11	1591	860	8260	7030	6502	4676	3515	758
12	1635	884	8899	7574	7005	5038	3787	808
(+) PER ADDITIONAL BG MEMBER	44	24	639	544	503	362	272	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